Scoliosis - Class 7

Question 1

scoliosis

Answer 1

general term used to describe any lateral curvature of the spine

Question 2

classifications

Answer 2

structural

non-structural

Question 3

structural scoliosis

Answer 3

irreversible lateral curvature

w/ fixed rotation of the vertebra

Question 4

how do the vertebral bodies rotate –> structural

Answer 4

into the convexity

Question 5

how do the spinous processes rotate –> structural

Answer 5

toward the concavity

Question 6

structural scoliosis is not corrected by

Answer 6

positioning or voluntary effort

Question 7

etiology of structural scoliosis

Answer 7

idiopathic

neuromuscular

osteopathic

Question 8

idiopathic –> structural

Answer 8

about 75-80% of all scoliosis develops w/o any known cause

in otherwise normal healthy children

Question 9

how does idiopathic scoliosis progress

Answer 9

w/ skeletal growth

Question 10

neuromuscular –> structural

Answer 10

about 15-20% of structural scoliosis

Question 11

neuromuscular –> structural –> develops as a result of

Answer 11

congenital or acquired dzs

-CP
-myelomeningocele
-muscular dystrophy

Question 12

osteopathic –> structural

Answer 12

congenital or acquired

Question 13

congenital –> osteopathic –> structural

Answer 13

secondary to hemivertebra

Question 14

aquired –> osteopathic –> structural

Answer 14

d/t rickets, fxs or dislocations of spine

Question 15

complications –> structural

Answer 15

cosmesis

pulmonary complications

Question 16

cosmesis –>structural

Answer 16

in the T-spine and causes deformation of the rib cage

problems with self-image or self esteem

Question 17

pulmonary complications –> structural

Answer 17

vertebral rotation causes the ribs on the convex side of the curve to push posteriorly

–> causing rib hump
–>narrowing the thoracic cage

Question 18

as the vertebral body rotates towards the convex side

Answer 18

spinous process deviates toward the concave side

ribs on this side move anteriorly

causing a “hollow” and widening of the thoracic cage

Question 19

pulmonary complications –> axis of rib rotation

Answer 19

may change

efficiency of respiratory muscles can be reduced

overall rib compliance is reduced

Question 20

scoliosis is a

Answer 20

restrictive lung problem

Question 21

severity of structural

Answer 21

mild

moderate

severe

Question 22

mild structural

Answer 22

less than 20 degrees

Question 23

moderate sturctural

Answer 23

20-40/50 degrees

Question 24

severe structural

Answer 24

40-50 degrees or greater

Question 25

non-structural scoliosis

Answer 25

fxnal reversible lateral curve tends to be position and dynamic in nature

Question 26

etiology of non-structural

Answer 26

LLD spasms in back muscles habitual asymmetric postures

Question 27

habitual asymmetric postures --> non structural

Answer 27

sitting with weight shifted onto 1 hip standing w/ weight primarily on 1 leg

Question 28

habitual asymmetric postures results in --> non structural

Answer 28

asymmetric flexibility and tightness in soft tissues of the trunk and hips

Question 29

direction of the curve is always identified by the

Answer 29

convexity

Question 30

major curve is the

Answer 30

most significant curve

Question 31

compensatory curves

Answer 31

develop in response to major curves to position the shoulders level over the pelvic

Question 32

sites

Answer 32

develop in the thoracic or lumbar spines individually may exist in multiple areas

Question 33

shapes

Answer 33

long C-curve S-curve

Question 34

long c-curve

Answer 34

usually extends the length of the thoracic and lumbar spine

Question 35

s-curve

Answer 35

most common type of curve seen in idiopathic scoliosis

Question 36

s-curve involves

Answer 36

major curve and compensatory curve/curves