common spinal deformities lordosis excessive anterior curvature of the spine exaggeration of normal...
TRANSCRIPT
Common Spinal Deformities
Lordosis Excessive anterior
curvature of the spine Exaggeration of normal
curves in the cervical & lumbar spines
Common Spinal Deformities
Lordosis causes:› Postural deformity› Lax muscles (esp. abs)› Heavy abdomen› Compensatory
mechanisms› Hip flexion contracture› Spondylolisthesis› Congential problems› Fashion (high heels)
Common Spinal Deformities
Kyphosis Excessive posterior
curvature of the spine Round back Humpback/gibbus Flat back Dowager’s Hump
Scoliosis
Abnormal spinal curvature of various degrees or severity involving shortening of muscles and ligaments.
Common Spinal Deformities
Scoliosis› Nonstructural
“Functional” May be related to leg
length discrepancy
› Structural Lacks normal flexibility Asymmetric movements
Common Spinal Deformities
Scoliosis Ideopathic
Approx. 75-85% of all structural cases are ideopathic
Stretch concave curve Strengthen convex curve
Patient History
History of injury? Any previous back or neck pain? Any positions of comfort? Family history? Previous illnesses, surgeries, or severe injuries? Hx of other conditions (connective tissue diseases
such as Marfan’s Syndrome)?
Marfan Syndrome?
Marfan syndrome is one of the more common disorders of connective tissue that can affect the Eyes, Skeleton, Lungs, Heart and Blood Vessels, and may be life-threatening. The effects of Marfan syndrome varies between individuals, some people only being mildly affected.
Marfan syndrome is a hereditary
Rehabilitation Non surgical treatment + P.T . Surgical treatment + P.T . Stretched & strengthening technique . Orthotics . Hydrotherapy .
• 0°- 30° Treated with signs of
progression
• 30°- 45° Orthotic Intervention
• 45° < Surgical Intervention
Low Profile TLSO for Scoliosis
• Worn when sleeping only
• Made of semi-rigid plastic and foam
Charleston Bending Orthosis
Providence Orthosis
BRACING……then
BRACINGMilwaukee Brace
BRACING
BRACING…..now
BRACING…..now
AIS
Types– Milwaukee
Effective Self image
– Boston brace Not effective above T7
– Wilmington brace– Charlston brace part
time at night 8 hrs
SURGERY
Table Handle Locks
Treatment Demonstration:Charite Disc Replacement/Dextrorotatory Scoliosis
This is a case of L4 Charite Disc Replacement with and L5 Disc herniation and dextrorotatory scoliosis.
The Rule of 50% is discussed in relation to the treatment plan to relieve S1 dermatome pain.
Hyperkyphosis & Scheuermann's Disease treated in the supine position.
Hyperkyphosis / Scheuermann's Disease / Osteoporosis / Any Condition needing thoracic adjusting
Dr. Cox demonstrates flexion-distraction long-y-axis decompression spinal adjusting (low-velocity, low-amplitude adjusting) for any condition needing gentle thoracic spinal adjusting. Patients working on computers and carry much stress really appreciate this care.
Hyperkyphosis / Scheuermann's Disease / Upper Thoracic Spine Low-Velocity/Low-Amplitude (LVLA) Adjusting using the Cervical Headpiece
Highlights: Use of the cervical spine
restraint to treat the thoracic spine curvature.
Long Y axis automated distraction with cervical headpiece restraint in place.
Goals: drop intradiscal pressures increase foraminal area restore physiological ranges
of motion
Hyperkyphosis / Thoracic Spine Adjusting in the Side-Lying Position
For some patients, this very gentle application is preferred.
Compression Fracture Treated in the Supine Position
Ideal stretched position & TO for kyphotic pt.
Stretching Exercise
Total Body Rotation
Stretching &strengthening of the trunk
Polly therapy
Stretching &strengthening of the trunk
Hydro therapy
The right & wring position
THANK YOU