Scoliosis (Curvature Of The Spine)
Scoliosis is a sideways bending of the spine in excess of 10 degrees. A normal and healthy spine, so when looking from the back of the vertebrae, neck, back and lumbar region extends in the form of a straight line. Replaces vertebrae in scoliosis and turning to the right or left. Therefore, scoliosis is a three-dimensional deformity is defined as.
Also scoliosis deformity in the lower regions of the body originate from the main to the upper part is I am an agent.
Among men, the most common disorder in preschool period, depending on the growth rate in adolescent girls are more likely to.
Progress is faster and is more common in girls.
What Are The Symptoms Of Scoliosis ?
Does not give many symptoms in the early stages. incidentally X-ray findings can be found.
The first noticeable scoliosis shoulder in one of the findings is that the levels are different.
Shoulders, shoulder blades, breast disorders, the findings that stand out prominently at waist level, and the symmetric curve. This situation may be accompanied by pains in the back and waist.
The degree of curvature increases, the curvature in excess of 50 degrees in respiratory distress respiratory distress may also occur ... Especially experienced.
Degrees Of Scoliosis
The Natural History of scoliosis may not always remain the same. The curvature of the spine move on, May remain the same, or in rare cases may be reversible. The examination in two or more successive 20 degrees or more can be similar to the curvature in excess of 5 degrees, 10 degrees, 20 degrees is considered to be increased in progress under curves.
The patient's girl, double curvatures, if you are back in the area, the greater the degree of curvature at the time of diagnosis to be diagnosed under the age of 10, the curves tend to progress more quickly. Below 30 degrees curvature in the rate of progress is quite low.
Degrees of scoliosis are as follows;
Chronological Classification:
- Infancy : 0-2 years old
- Juvenile period : between the ages of 3-9
- Adolescent period : between the ages of 10-17
- Adulthood is 18 years and above
Adolescence grouped curvatures of 20 to 40 degrees and more are seen. Mid-level exercise such a degree that are considered scoliosis, physical therapy is very effective and corsets.
Scoliosis curves of 40 degrees, the rate of growth and progress has largely been completed. Surgical intervention of the curvature of the back for 45-50 degrees above the curvature in the lumbar region must be at least 40 degrees.
The Causes Of Scoliosis
- Congenital spine bone structure-borne disorders, congenital scoliosis
- Infantile and juvenile scoliosis that begins in early childhood
- For reasons neuromuscular, muscular dystrophy Nov-borne diseases scoliosis
- Marfan's syndrome, Ehler Danlos syndrome, connective tissue diseases such as scoliosis sourced from
- Polio, scoliosis due to inflammatory diseases and trauma
- Inequality and leg, hip, knee joint problems that occurs due to scoliosis
The Course Of Scoliosis
Scoliosis rarely may show spontaneous regression.
Scoliosis, which may be a growth that occurs at the beginning of the age of progress, it is impossible to predict. In recent years, some studies have shown that some children with the characteristics of a gene can be in progress. In some cases, progress is rapid, and the treatment success rate is less. These are;
- Konduguzama of diagnosis have a high degree of curvature in the zone
- At the waist, both back and double-curvature region holds
- Neuromuscular scoliosis
- Nov induced contractures and scoliosis to have severe shortness of
How to apply a treatment is decided in consideration of the risk and the rate of progression of scoliosis.
Acceptable in the treatment of scoliosis treatment methods include:
- Monitoring and continuous tracking
- Corset applications
- Special scoliosis exercise and rehabilitation implementation
- Surgical intervention
Scoliosis Cobb angle 25 degrees above Condensed rehabilitation programs should be applied to children who are applied by physical therapists.
Scoliosis spine surgery with plates and screws is taken in the middle line is the idea, and these children sometimes these metals should remain in the body permanently. It also should be known that it would create problems in the late period of the surgery.
Scoliosis Exercises
In scoliosis, the physiotherapist and specialist physicians should work with. It is possible to stop scoliosis with exercise programs. These workouts are very effective, especially in children with scoliosis and 7yasinda of 15 degrees. Scoliosis scoliosis exercises also gives effective results in patients in excess of 40 degrees.
In exercise programs “Bobath”, “Vojta”, “Katharina Schroth” in classical techniques such as stretching and strengthening exercises can also be applied. Especially it is believed that psychological factors play an important role in scoliosis rehabilitation. Intensive exercise programmes could leave a major impact on teens.
Scoliosis physical therapy and rehabilitation Applications
The Cobb angle of 20-30 degrees to the development of scoliosis in children with or without a corset a corset age compared to the period it applies to rehabilitation and exercise programs. Those with an angle of 30 degrees to 40 degrees in adults also can benefit a lot from this program and those who are in pain.
Many of scoliosis physiotherapy in the treatment approach. Vojta therapy, acupuncture therapy, such as Schroth practices and made to work on the most. Children and families should be described in detail, not necessarily the details of physical therapy and physical therapist on what to do the necessary cooperation between the child and the family must be provided. As with 3-4 sessions per week intensive can be applied as part of this program can be maintained.