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Flashcards in Scoliosis Questions Deck (20)
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1

What type of curve can be corrected with lateral flexion?

Compensatory curves and Non-structural curves

2

How does a grade 5 Risser Sign present?

Complete capping of the apophyseal plate of the ilium indicates a Risser grade 5

3

The risser sign progresses _______ to ________.

lateral to medial

4

What are the three types of adolescent ideopathic scoliosis?

Idiopathic, Neuromuscular, congential

5

How does congenital scoliosis present?

Vertebra may fail to form (hemivertebra, wedge vertebra)
Failure to segment (unilateral and bilateral bar presentation)

6

What may be the main contributor to non-structural curvature?

Leg length discrepancy

7

Which neuromuscular pathologies may present with neuromuscular scoliosis?

Myelomenigocele
Spinal Muscular Atrophy (SMA)
Cerebral Palsy
Duchenne Muscular Dystrophy
Polio
Arthrogryposis

8

What factors must be considered when treating neuromuscular scoliosis?

Hyper/hypotonicity
Loss of volitional control=kinesthetic reminder is not indicated

9

What goals are associated with neuromuscular scoliosis treatment?

Spinal alignment to improve respiration and support
Spinal support to allow free movement of the arms
Prevent further spinal deformity

10

What percentage of scoliosis cases are idiopathic?

80%

11

What is the ratio of female to male scoliosis occurance?

4:1

12

What is the most common AIS presentation?

Right thoracic, left lumbar

13

How long can AIS be treated after menarche?

18 months

14

Thoracic and double major curves progress less than single lumbar or thoracolumbar curves. True or False?

FALSE

15

What are the parameters of AIS that we can manage with spinal orthoses?

Ideally:
25-45 degrees
Risser sign of 0,1, or 2

16

What is the most proximal apex of a curve that can be managed with a TLSO?

Literature varies from T6 to T8

17

What treatment options are available if a curve is above T6,7 or 8?

CTLSO
Milwaukee Orthosis

18

What biomechanical principles are utilized in AIS managemet?

End-point control
Curve Correction
Transverse Load
Stimulus to withdraw (kinesthetic reminder)

19

What percentage of curve correction is considered an effective treatment outcome?

50%

20

Weaning out phase for AIS treatment is accomplished by:

Reduce wear time 4 hours in 4 month increments
Nights only for 1 year