Ortho

7/16/99

 

·        5° change in one year is considered a progressive scoliosis

·        diversified—do not adjust into the line of the concavity

·        can adjust ribs on the concave side

·        just make sure not to add stress to the facets

·        clinical exam

·        scoliosis present—erect, full spine PA x-ray

·        Adult (+20 yr.)

·        45° and/or decreased cardiopulmonary status—referral for surgery

·        <45°--pain/no pain—manipulate—yearly evaluation

·        idiopathic

·        adolescent (10-18)

·        juvenile (3-10)

·        infantile (0-3)—monitor yearly, most spontaneously improve

·        0-20°--monitor every 3-6 months (stable) or progression

·        20-40° brace/manipulate

·        40-50°--unsure

·        >50° surgery

 

Lateral Electric Surface Stimulation (LESS)

·        must be an AC stimulator

·        must have a pulse width of >200 microseconds

·        must be able to adjust frequency to b/w 30 and 50 Hz (pulses/sec)

·        must be able to surge the current on and off at 6 to 10 second intervals

·        pads placed above and below the apex (almost on midaxillary line)

·        worn while sleeping for 8 hrs

·        problems is skin irritation and sleep disruption

 

Braces

·        23hours a day

·        compliance is a problem

·        psycho/social problems