DEGENERATIVE SCOLIOSISAND 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

Objective: how to prevent degenerative scoliosis through exercising and proper nutrition

A.S.P.I.R.E. Physical Therapy

Athletic Spinal Preventative Industrial Rehabilitation Ergonomics

Location: 894 Meinecke Avenue, San Luis Obispo

Practitioner: Tyrone G. McSorely Interview Overview:

Elderly patients Scoliosis and treatment Posture

Why?

Scoliosis

An abnormal, side-to-side, curvature (single “C” or double “S”) of the spine

4 Main Types: Idiopathic Congenital Neuromuscular Degenerative

Prevalence: Idiopathic is in 2% of population More prevalent in girls than boys Girls are 8X more likely than boys to need treatment

Regions of the Spinal Column

Single “C”

Double “S”

Rib Cage Rotation

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 spine Osteoporosis, or other degenerative diseases of the spinal

column Diagnosis:

X-ray, changes in height & motor function, presence of pain, medical history

Prevalence: 2013: 6% in Americans 50+ years

Degenerative Scoliosis

Primary Research Article

Title: 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 life

Methods

Participants: Adolescents [10-12 years] Cobb angle 10°-25°

Experimental Group: Active self-correction tailored to the type of curve of

scoliosis Control Group:

General exercises aimed at spinal mobilization IV:

Physical exercises Education sessions

DV: Cobb angle

Results, Limitations, & Strengths Results

Experimental Group: Had a decrease in Cobb angle >5°

Control Group: Cobb angle remained stable

Limitations Exercise compliance and adherence could not be

fully guaranteed Mixing rib humps with lumbar humps may lead to an

incorrect interpretation of the results Strengths

Focused on individual differences in spinal curve

Treatment Overview Types of treatment:

Surgical Lumbar decompression

plus fusion surgery Non-Surgical

Pain relievers, epidural/facet injections

Chiropractic/Osteopathic manipulation

Bracing Pool/water therapy Weight loss Yoga PHYSICAL THERAPY

Interferential therapy Manual therapy Exercises

Physical Therapy

Manual Therapy Massage Manipulation Mobilization

Exercise and Stretching Innercore strengthening http://www.choc.org/orthopaedics/index.cfm

?id=P00550

Interferential Therapy

Central Nervous System

Interferential 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 more

Interferential Therapy

AMANDA!

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 cause

True (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 scoliosis

True (78%) False (22%)

Conclusion

Highly recommended! Additional Research Needed:

Nutrition + Scoliosis Degenerative + Physical Therapy

Learn By DoingIf it looks good, try it

Learn By BeingIs the ability to take the knowledge you

learn and turn it into wisdom

References 1.  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.pdf

4. 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