and Physical Therapy Amanda Hong Lauren Davidson Introduction Amanda Hong Major Nutrition Career Goal Registered Dietitian Lauren Davidson Major Health Psychology Career Goal Public Health Educator ID: 473290
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Degenerative Scoliosisand Physical Therapy
Amanda Hong
Lauren DavidsonSlide2
IntroductionAmanda Hong
Major: Nutrition
Career Goal: Registered Dietitian
Lauren Davidson
Major: Health Psychology
Career Goal: Public Health Educator
Objective: how to prevent degenerative scoliosis through exercising and proper nutrition Slide3
A.S.P.I.R.E. Physical Therapy
A
thletic
S
pinal
Preventative Industrial Rehabilitation ErgonomicsLocation: 894 Meinecke Avenue, San Luis ObispoPractitioner: Tyrone G. McSorelyInterview Overview:Elderly patientsScoliosis and treatmentPostureWhy?Slide4
Scoliosis
An abnormal, side-to-side, curvature (single “C” or double “S”) of the spine
4 Main Types:
Idiopathic
Congenital
NeuromuscularDegenerativePrevalence: Idiopathic is in 2% of populationMore prevalent in girls than boysGirls are 8X more likely than boys to need treatmentSlide5
Regions of the Spinal ColumnSlide6
Single “C”Slide7
Double “S”Slide8
Rib Cage RotationSlide9
Degenerative Scoliosis: Overview
A spinal deformity with a Cobb angle >10°, which develops after skeletal maturity without any previous history of scoliosis.
Risk Factors:
Life-style, intrinsic mediators, hormonal factors, genetic factors
Causes:
Gradual deterioration of facet joints; same process as osteoarthritis of spineOsteoporosis, or other degenerative diseases of the spinal columnDiagnosis:X-ray, changes in height & motor function, presence of pain, medical history Prevalence: 2013: 6% in Americans 50+ yearsSlide10
Degenerative ScoliosisSlide11
Primary Research ArticleTitle:
Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomized controlled trial.
Purpose: to see how
active self-correction and task-oriented exercises affects spinal deformities and health-related quality of lifeSlide12
Methods
Participants:
Adolescents [10-12 years]
Cobb angle 10°-25°
Experimental Group:
Active self-correction tailored to the type of curve of scoliosisControl Group:General exercises aimed at spinal mobilization IV:Physical exercisesEducation sessionsDV:Cobb angle Slide13
Results, Limitations, & Strengths
Results
Experimental Group:
Had a decrease in Cobb angle >5°
Control Group:
Cobb angle remained stableLimitationsExercise compliance and adherence could not be fully guaranteedMixing rib humps with lumbar humps may lead to an incorrect interpretation of the resultsStrengthsFocused on individual differences in spinal curveSlide14
Treatment Overview
Types of treatment:
Surgical
Lumbar decompression plus fusion surgery
Non-Surgical
Pain relievers, epidural/facet injectionsChiropractic/Osteopathic manipulationBracingPool/water therapyWeight lossYogaPHYSICAL THERAPYInterferential therapyManual therapy
ExercisesSlide15
Physical TherapyManual Therapy
Massage
Manipulation
Mobilization
Exercise and Stretching
Innercore strengtheninghttp://www.choc.org/orthopaedics/index.cfm?id=P00550 Interferential TherapySlide16
Central Nervous SystemInterferential therapy
Crisscross electrical currents targeting sympathetic nervous system
Helps improve blood circulation, musculoskeletal pain, and edema
Corrects imbalance of neurotransmitters
Norepinephrine/epinephrine
Uses: burn victims, GI system, edema, scoliosis and moreSlide17
Interferential TherapySlide18
AMANDA!Slide19
Class Survey: Physical Therapy and Degenerative Scoliosis
Question
6) Scoliosis is
An exaggerated curve in the spine resulting I a rounded or hunched back (45%)
An abnormal side-to-side spinal curve (55%)
7) The main difference between idiopathic scoliosis and degenerative scoliosis is that idiopathic scoliosis has no known cause, while degenerative has a known causeTrue (44%)False (55%) 8) What is the cure for degenerative scoliosis?There is no cure, only maintenance (55%)10) Physical therapy is a common treatment that is recommended by physicians for scoliosisTrue (78%)False (22%)Slide20
ConclusionHighly recommended!
Additional Research Needed:
Nutrition + Scoliosis
Degenerative + Physical TherapySlide21
Learn By Doing
If it looks good, try it
Learn By Being
Is the ability to take the knowledge you learn and turn it into wisdomSlide22
References1. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. (n.d.). Retrieved May 17, 2014, from
file:///C:/Users/Amanda/Downloads/exercises
reduce deformity (1).pdf
2. Treatment of pain and of the nervous system. (1999, November 30). Retrieved from
http://www.google.com/patents/US5995873
3. Association between regulating synaptic membrane exocytosis 2 gene polymorphisms and degenerative lumbar scoliosis. (n.d.). Retrieved May 17, 2014, from file:///C:/Users/Amanda/Downloads/Article 3.pdf4. Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation. (n.d.). Retrieved May 17, 2014, from https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools and Resources/Policies and Protocols/Medical Policies/Medical Policies/Electrical_Stim_Tx_Pain_Muscle_Rehab.pdf