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- Title
Objectives and principles of treatment in idiopathic scoliosis.
- Authors
Borda, Ileana Monica; Ungur, Rodica; Irsay, Lászlo; Onac, Ioan; Ciortea, Viorela
- Abstract
Treatment of idiopathic scoliosis, representing 80% of all cases of scoliosis, has as main objectives: to stop curve progression at puberty (or even reduce it), to prevent or treat respiratory dysfunction, to prevent or treat spinal pain syndromes, to improve aesthetics by postural correction. For each patient, the specific objectives must be set according to the actual clinical condition (scoliosis degree, age at diagnosis). The choice of treatment methods in evidence-based clinical practice will be done by correlating the information provided by evidence-based medicine with a physical examination performed by a scoliosis specialized physician and with patient preferences: simple observation at 3, 6 or 12 months, physiotherapeutic specific exercises (outpatient or inpatient), night-time, part-time or full-time bracing or fusion surgery. The most important prognostic factors are: family history, proven progression, decompensation, short curve, pain, flat back (kyphosis reduction) and aesthetic impact. Physiotherapeutic specific exercises are the first step in scoliosis treatment in order to prevent progression during growth and should be based on three-dimensional auto-correction, training in activities of daily living (ADL), stabilizing the corrected posture, and patient education. Methods with proven efficacy are DoboMed, Lyon, Schroth, Scientific Exercise Approaches to Scoliosis (SEAS), side shift. These exercises are also recommended during bracing and even in painful operated patients. Exercises to improve respiratory function are recommended when needed and during bracing. Sports activities are not a specific treatment for scoliosis, but they are complementary recommended for maintaining general fitness and for their psychological and neuromotor benefits.
- Subjects
SCOLIOSIS treatment; DISEASE progression; KYPHOSIS; PHYSICAL fitness; PERIODIC health examinations; THERAPEUTICS
- Publication
Palestrica of the Third Millennium Civilization & Sport, 2014, Vol 15, Issue 4, p349
- ISSN
1582-1943
- Publication type
Article