Effect of Bracing or Surgical Treatments on Balance Control in Idiopathic Scoliosis: Three Case Studies In adolescents, scoliosis is the most frequent spinal deformity. About 80 percent of scoliosis cases are idiopathic, meaning there is no known cause, although some believe that impairment in the sensory processing could be the cause. The purpose of this particular study is to see if orthopedic treatments can help people who have scoliosis have more balance control. It can be infantile (birth to three years), juvenile (two to ten years old), and degenerative (adulthood) scoliosis. The kind of scoliosis is determined based on the age of when someone is diagnosed. Scoliosis is detected when biomarkers are used to predict deformation of the spine or a progression risk. Scoliosis can be caused by one of six ways. It can be genetic, neurological, hormonal and metabolic, skeletal growth, biomechanical, and environmental. Three studies were done with one person per case. Case one was to see the effect of spine surgery and the control of the person’s balance. Case two was to see the effect of bracing on balance control. Case three was to see the effect of spine surgery in adult’s balance control. In the first case, a 17-year-old male had a surgery that consisted of reducing the curves and vertebrae rotations using transpedicular screws. Eighteen months after surgery, the curve of his spine had an 18-degree right thoracic curve and a 14-degree left lumbar curve whereas
Many people all around the world may come across symptoms of having scoliosis. Mostly girls from ages 10 to 16 get a curve of about 10 degrees. Scoliosis is the curvature of the spine and mostly occurs in adolescent years. Scoliosis may be identified during a physical examination by bending forward to see if your back is completely straight and if your shoulder blades are balanced. During my research process i found out that a lot of people at my school have scoliosis.
After a quick x-ray I wait for the doctor for what seems like hours, when she finally enters the room she looks in my eyes and says the exact word I was praying not to hear... “unfortunately”. My heart drops, she continues, “The x-rays showed a significant change in your curve.” I sit there, staring at the doctor, pale faced and in shock. When you have scoliosis, your spinal curve is measured in degrees, at around a 20 degree curve you would be
Then lo and behold my surgery occurred on July 22, 2015. It was a grueling 6-hour long surgery. I spent a week in the hospital and I was in tremendous pain for weeks afterwards. I was not able to enjoy my summer like everyone else, as I was stuck in bed for the entire time. But guess what. My back was straight. It was over. No more brace. No more looking crooked and feeling self-conscious about it. My mind was finally free.
One of a gymnasts’ most common injuries is a stress fracture involving the lower back. The medical term for this is Spondylosis. The back is a very crucial part of gymnastics, it is constantly working hard and being used. Amongst gymnasts, the most common cause of a stress fracture is overuse. However, they can also occur due to an awkward fall or a fall from a height. Almost everything in gymnastics calls for a combination of great speed and power which puts any gymnast at high risk of falling or landing wrong. Whether it’s a fall or an awkward landing, the pressure is being applied to the spine and joints, increasing the chances of injury. Back injuries in adolescent athletes stem from repetitive stressful body movements, like bending and twisting that can cause trauma to the spinal column. The
Maintain the natural curve of the spine, keeping the spine in line, create a stable base of support with your legs slightly apart, your knees slightly bent. Avoid stooping, bending at the waist and twisting.
There are three different types of musculoskeletal disorders that effect the spinal column: Lordosis, Kyphosis, and Scoliosis. Scoliosis effects the largest amount of people and also effects the widest range of ages. There are three different types of scoliosis and they are categorized by the age at which the deformity developed. Infantile scoliosis develops from birth to 4 years old, juvenile scoliosis develops from 4 to 9 years old, and adolescent scoliosis develops from 10 to 18 years. Scoliosis is most commonly developed in the adolescent stage, it compromises approximately 80 percent of all scoliosis cases (Baaj, 2017). Any
The CSE training program (Therapeutic Intervention). This program will be modified from Jacob and colleagues (2014). It is designed for the intervention group to control and stabilize the spinal structures including deep muscle and spinal vertebrae for decreasing back pain and enhancing the physical function of the spine (Kim & Yoon, 2015; Shamsi, Sarrafzadeh, & Jamshidi, 2015). Therefore, the CSE training program could be described as the reinforcement of the ability to enhance the stability of the neutral spinal position. The CSE training program is a 4-week program including supervised exercise training and home-based exercise training. The core exercise of the CSE training program focuses on 3 components of spinal stabilities as following:
Only vertebral segments at rest and end range were analyzed for the purpose of this study. The intervertebral angle was measured using the National Institute of Health Image software. Intervertebral angles are defined as the distance between two end plates. The difference between end range and resting intervertebral angles was defined as segmental lumbar motion. An increase in spinal extension denoted a positive value, whereas a negative value was denoted by a decrease in spinal extension.
AIS is treated by Surgical & Non Surgical ways. Those who have curves beyond 40 degrees to 50 degrees are often considered for scoliosis surgery. The goal is to make sure the curve does not get worse, but surgery does not perfectly straighten the spine. Currently, Bracing is the only non-surgical treatment for AIS, advocated by Medical Spine Community. All other non-surgical treatments such as Chiropractic Adjustment or Osteopathic Manipulation or Exercise or Acupuncture have not been proven to be effective in controlling the progression or curing it. Bracing is the usual treatment choice for adolescents who have a spinal curve between 25 degrees to 40 degrees, particularly if their bones are still maturing and if they have at least 2 years
Scoliosis is a disease that affects the spine. There are many people that have spine problems, but with scoliosis a person will have a curved spine. Studies show that it is more common to diagnose someone in their younger years. Scoliosis usually occurs in the thoracic area and the lumbar region. Doctors will look at specific criteria to diagnose a patient and move onto possible treatments.
Untreated, scoliosis progressively impacts one's life, especially through puberty's growth spurts. Scoliosis stunts growth and puts dangerous pressure on vital organs, such as the heart, liver, and lungs.
Scoliosis is described as an abnormal curvature of the spine in a sideways direction. The condition can be categorized as either a “C” curve or an “S” curve. Now, I have an “S” curve which means my spine has two curves, one to the left and one to the right, each different from the other. I first became diagnosed with this condition when I was
Depending on the severity of the curvature, different treatment methods are implemented to attack this abnormality of the spine. Although the effectiveness of using plastic back braces to deter the curvature is still to be determined, doctors still generally use this method for smaller curves. In recent years, doctors have been employing a minimally invasive surgical approach for larger curves, one that requires surgeons to only make a few small incisions along the spine, rather than the traditional two-foot incision along the spine. This technique is by far the most radical treatment since the first scoliosis surgery took place in the early 1900s.
A review of the literature regarding spinal immobilisation has been undertaken using databases for PubMed, MEDLINE, CINAHL, OVID and Cochrane EBM. Reviews were electronically searched using the subject headings “spinal injuries”, “spinal immobilisation” and “management of spinal injuries”. The results generated by the search were limited to English language articles and reviewed for relevance to the topic. The aim of this literature review is to compare and contrast the views on spinal immobilisation and to achieve a better knowledge of evidence based practice.
Scoliosis is a complex deformity or curvature of the spine and entire torso and has been recognized clinically for centuries (Asher, Marc A.). “For a few of the patients an underlying cause can be determined, including congenital changes, secondary changes related to neuropathic or myopathic conditions, or later in life from degenerative spondylosis. However, the cause of most scoliosis is not known and since about 1922 such patients have been diagnosed as having idiopathic scoliosis (Asher, Marc A.).”