Postural Evaluation.ppt

* * Can be the result of Weakness and elongation of hip flexors. * AIS is more common among girls and a scoliotic curve is more likely to progress in females than in males. Curves in the thoracic region or curves where the apex is more caudal (closer to the head), are more likely to progress than other types of curves. Curves between 60 to 100 degrees and greater can cause respiratory problems and numerous other health problems. The main goal of treatment of AIS is to prevent progression of the curve magnitude. It is important to monitor AIS especially during puberty * * * * * * * * * * * * * Important to Sagittal Plane Correction first, then Elongation followed Translation moving Rside Thorax to the Left and Deflection. Notice Pre- Post the head is balanced over the thorax, the shoulders are back, the abdominals can now engage do to the decrease in excessive lordosis. * Traction with AutoCorrection and Elongation- Seated in Corrected Posture * Standing AutoCorrection with Elongation and Deflection- Doing Standing Breathe Work * Long Hang Tx, opposite of curve- Elite Gymnast Standing AutoCorrection –In Brace with RSC * Right Thoracic Left Lumbar non –corrected. Doing Sport Specific Training in Over Correction – For Bball and Softball * * * * * * * Measure spinal curvature using Cobb method : Choose the most tilted verterbrae above below apex of the curve. - Angle b/t intersecting lines drawn perpendicular to the top of the superior vertebrae and bottom of the inferior vertebrae is the Cobb angle. General Inspection: Scoliosis Test: Adam’s Forward Bend Test Patient Position: Standing with hands held in front (arms straight) Evaluation Procedure: Patient bends forward, sliding hands down the front of each leg Positive Test: Asymmetrical hump along lateral aspect of thoracolumbar spine One shoulder blade appears more prominent Uneven hips Treatment of scoliosis In mild cases: Physical Therapy Intervention In moderate cases: Brace treatment