Scoliosis

Question 1

Right sidebending introduced to a type 1 neutral group curve, the vertebrae will rotate…. Toward the Convexity or Concavity?

Answer 1

Convexity

Question 2

patient has a short left leg due to a recent femur fracture. On PE you will find… (spine dx)

Answer 2

Neutral, Sidebent right rotated left

Question 3

70 year old female with a history of osteoporosis. Left sacral base 3/4 inch shorter than the right. The most appropriate initial heal lift is….

Answer 3

1/16th of an inch. (in fragile patient, start with 1/16th and increase 1/16th every 2 weeks…

Question 4

if normal w/out inciting event, what heel lift is most appropriate?

If due to surgery or trauma?

Answer 4

1/8th & 1/8th every 2 weeks.

can do whole amount initially

Question 5

Generally, to treat short leg (progression)

Answer 5

To treat:

• Ensure mobility of involved joints
• THEN do “lift therapy”
  
  • Usually don’t start at “max lift”

Question 6

A scoliotic curve is most likely to progress in (pt population)

Answer 6

Adolescent patients (rapid growth - must be watched closely)

Question 7

Which thoracic curve measurement can seriously compromise cardiovascular function?

Answer 7

75 degrees

Question 8

A scoliosis is defined as greater than __ degrees

Answer 8

5 degrees

Question 9

Functional vs Structural scoliosis? Can haz OMT?

Answer 9

resolves when flexed and sidebent to the “rib humped” side (CAN use OMT)

doesn’t resolve (permanent changes have occurred) - can’t help w/ OMT

Question 10

Left Short leg - which is most likely found…

innominate?

Shortening of?

Tenderness over?

Pain where?

Answer 10

Left anterior/Right Posterior innominate

Shortening of right paraspinal musculature

Tenderness over left IlioLumbar Ligament

Left groin pain

Question 11

Thoracic scoliotic curve -
Sidebent left rotated right

Left Scapula finding?

Right AC joint?

Answer 11

Depressed Left inferior angle of scapula.

Elevated right AC joint

Question 12

Short right leg, you will find…. Pelvic sideshift where?

Answer 12

Pelvic sideshift to the left

Question 13

Spine surgery + Harrington rod placement for curves beyond…..

Answer 13

45 degrees

Question 14

13 y/o male prescribed Heel lift for short right leg. What will happen to right leg?

Answer 14

Increased growth and lengthening of right leg (Wolff’s law can be used correctively in this)

Question 15

When treating patient with scoliosis with OMT, the primary goal is?

Answer 15

optimize motion and function of existing structures.