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KMID : 0378019850280020152
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New Medical Journal
1985 Volume.28 No. 2 p.152 ~ p.158
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An Approach to the Physical Therapy on Scoliosis
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Abstract
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Scoliosis is lateral tilt or angular deviation from the normal straight position of one or more vertebral segment of the spine.
It usually becomes apparent during the years of growth. The factors that result in scoliosis are often established long before the child reaches school age, and definite deformity is usually recognizable before the age of 14 years. The most common form of scoliosis is -that encountered in adolescents for which there is no known causes.
As rule there is no complaint until deformity of the back is notice and since the deformity is of very gradual development. Occasionally the child may complaint fatigue and back pain before a deformity is noted. The severe cases, pain developing in the lumbar xegion may be caused by pressure of the ribs on the iliac crest. The patient may be shortness of breath, from respiratory capacity, and gastrointestinal disturbances from crowding of the abdominal organs.
The evaluation performed by the physical therapist includes sitting and standing height, body weight, length, ROM, muscles strength, and curve angle. The aims of treatment are to prevent the progression and to correct deformity. Therapeutic exercise designed to prevent the progression and to correct deformity. A therapeutic exercise must be analyzed in relationship to anatomy and physiology and to its specific effect. Every exercise must be designed with the therapeutic goal in mind and carried out exactly. One of the most common modes of treatment for progressive curves between 20 to 40 degrees has been Milwaukee brace. These problems include inability to participate in recreational sports, excessive wear and tear on clothing, pressure sores, and difficulty with reading and writing at a desk. The patient did not want to wear Milwaukee brace.
Electrical stimulation as an alternative treatment for mild to moderate scoliosis. Lateral electrical surface stimulation is a effective to treatment of idiopathic scoliosis in children and adolescents, LESS is used while the patients sleep at night and does not require exercises or any additional treatment during the day. The patients are free to carry an regular daily activities and to look like their peers.
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