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Conclusion of project on scoliosis
Pathology idiopathic scoliosis
Conclusion of project on scoliosis
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For many years the connection between scoliosis and brace strategy has continued to be a focus of medical and scientific research. This essay will critique and synthesise information from academic sources to evaluate the effectiveness of brace strategy in the treatment of adolescent idiopathic scoliosis (AIS). Scoliosis is diagnosed when the spin is displaced causing a sideward curve (Fagan, 2012). According to Pierce (2005), an estimate of 80% of scoliosis cases is unknown also known as idiopathic. During the pubertal growth spurt ages 10-14, is when AIS is detected (Escalada et al., 2009; Asher & Burton, 2006). The support and pressure points from the brace treatment prevent curve progress. This is where the curve doesn’t rise further 5 to 10 degree and also prevent surgery. (Fagan, 2012). The essay has been divided into three main section that will explore the link between scoliosis and the effectiveness of brace treatment. The three main themes in this essay will portray modification in brace strategy, impact of brace treatment on the wellbeing of adolescents and the effectiveness of brace treatment. There are scientific evidence that suggest bracing strategy is effective in the treatment of Idiopathic scoliosis in adolescence.
Modification in brace treatment has effectively degraded spinal curvature in skeletally immature patients. Increase spinal curvature in ALS can lead to reduce pulmonary function, decrease mobility and cause back pain (Sevastikoglou, Linderholm, & Lindgren, 1976). There has been numerous procedures followed such a as exercises, physiotherapy, massages and electrical stimulation, however bracing treatment is the only strategy that has been effective (Schiller, Thakur, & Eberson, 2010). A report inv...
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Weinstein, S. L., Zavala, D. C., & Ponseti, I. D. (1982). Idiopathic scoliosis: Long term follow-up and prognosis in untreated patients S. L. Weinstein, D. C. Zavala, and I. D. Ponseti. J Bone Joint Surg 63A:702–711, (June), 1981. Journal of Pediatric Surgery, 63(5), 702-12. doi:10.1016/S0022-3468(82)80406-5
Wood, G. (2014). Scoliosis | Brace modifications that can result in improved curve correction in idiopathic scoliosis ((9:2)). Retrieved from http://www.scoliosisjournal.com/content/9/1/2
Yrjönen, T., Ylikoski, M., Schlenzka, D., & Poussa, M. (2007). Results of brace treatment of adolescent idiopathic scoliosis in boys compared with girls: a retrospective study of 102 patients treated with the Boston brace. European Spine Journal, 16(3), 393-7. doi:10.1007/s00586-006-0167-z
S, L. (2002, March 12). Arch Wired. Retrieved February 19, 2014, from A brief history of braces: http://www.archedwire.com/HistoryofOrtho.htm
Nine times out of ten, the idea of getting braces would instantly be met with resistance and dread by anyone, but more so by teens and young adults. It seems that wearing braces is always followed by the stigma of pain, discomfort, and being labelled as "geeky". But despite the slight pain and discomfort, braces get an important job done--that of straightening crooked, misaligned teeth, or correcting one's bite. See, it's not really as bad as you think it is because braces have a purpose. Fortunately, there is now the Invisalign treatment. It's a more pleasant alternative to wearing traditional metal braces--invisible braces.
...within the chiropractic and osteopathic region, there involves a gap between scientific research and the work conducted, overall there has been an increase in the number of scientific and research-based support provided within all three regions. These can be clarified through research supporting the effectiveness of chiropractic with a research concluding the positive effects of spine manipulation to which was conducted over a year on various patients. Additionally these positive outcomes were also randomly trailed to find the effectiveness of manual therapy in physiotherapy to which the severities of bodily pains were dramatically reduced within 6 and 12 weeks. Finally, case reports and clinical trials were also conducted to find how efficiently osteopathic manipulative treatment (OMT) were used to improve children’s quality of life and general motor functions.
Amyotrophic lateral sclerosis, or ALS, is a degenerative disease affecting the human nervous system. It is a deadly disease that cripples and kills its victims due to a breakdown in the body’s motor neurons. Motor neurons are nerve cells in the brainstem and spinal cord that control muscle contractions. In ALS, these neurons deteriorate to a point that all movement, including breathing, halts. Muscle weakness first develops in the muscles of body parts distant from the brain, such as the hands, and subsequently spreads through other muscle groups closer to the brain. Such early symptoms as this, however, can hardly be noticed.
The next morning, my life was drastically different, as I now had 2 rods and 15 screws in my back. Although this apparatus of rods and screws effectively reduced my severe case of scoliosis, it left me with subsequent limitations which my nurse, Nadine, referred to as BLT (Bend, Lift, and Twist). Ironically, 10 years later, I now understand that each word, although a literal limitation, afforded me a subjective strength. These words sparked my pursuit towards becoming a physician.
Thinking that I was strong minded and never looking at the negatives, ones suspicions changed my whole mind setting. After an endless wait in the mournful waiting room of the hospital, my name was called. The nurse brought us to Dr. Yazay's office where he confirmed his suspicions, and so began my life with scoliosis. Since the age of eight I have been swimming. I was a competitive swimmer for nine years, and now had to deal with a life without the activities I felt defined my identity. The treatment for my scoliosis involved wearing the most uncomfortable thing in the world which was a brace. With several restrictions on my physical activity, I had an abundance of free time on my hands.
Cahill, Bernard R. Proceedings of the Conference on Strength Training and the Prepubescent. American Orthopeadic Society for Sports Medicine. 1-11. 1995.
Stand Up is a program developed to promote good posture and physical activity to high school students. This means encouraging them to use all available resources and educating them on the benefits of being active and practicing good posture. Sitting for extended periods is common among high school students. This is due to having long school days and being an electronically oriented age group. Two CDC risk addressed in my program are behaviors that result in intentional injury and physical inactivity. I plan on implementing this program to help improve posture and physical activity among high school students to hopefully reduce possibility of lower back pain and obesity in this population.
Most cases of scoliosis (about 80%) are classified idiopathic, meaning the causes are unknown. Scoliosis may also result from muscle paralysis. With early treatments, spinal curvature progression can be stopped and reversed using a relatively simple treatment plan based on the same principles used by orthodontists to straighten teeth. Treatment of scoliosis depends on the severity of the curvature. It may be limited to wearing a corrective back brace. If the curvature is extreme or continues to progress, it may require surgery. During this procedure a metal rob is inserted to support the spine and packed in place with bone fragments from the pelvis.
Dentistry poses high physical demands for those working in the profession, leading to a greater likelihood for the development of musculoskeletal disorders (MSDs)1. In a review written by Sarkar et al., it was noted that as many as 87.2% of dentists experience some sort of MSD in their lifetime, which can affect the ability to work, leading to absentees and possible early retirement. An integral part of a successful dental practice, among many other components, is a dentist in good health2. Thus, it is necessary to practice proper ergonomics by making sure that the occupational environment is tailored to success of the dentist rather than forcing the dentist to make accommodations to his or her surroundings1. Ergonomics is an important concept
Looking in my mom’s yearbook, majority of the students have braces. Comparing her yearbook to my yearbook from this year, almost half of my class has perfectly straight pearly white teeth and a few still have braces. Over the years, orthodontist have been putting children in braces earlier and faster than they did years ago. Due to this, some patients are having to get a second set of braces because their jaw has shifted and teeth are out of line again. Early orthodontic care is necessary for cases that are in desperate need to correct problems like an overbite or crossbite. Orthodontist are seeming to put braces and start treatment on children that have not even lost all over their primary teeth, causing the second set of braces later on. Are orthodontist giving their patients the best option for them or is it the best option for their pocket?
The purpose of this paper is to explain the role of Physical Therapist in a School in providing indirect services (services which are not directed to children in the school) to teachers, parents, school educational staff, physicians, or any other service providers.1 The school based PT’s consults and educates them to help improve child’s physical environment, implement program planning, procure assistive devices, develop modification and accommodations for access and successful participation. 1 They even help integrate interventions and recommendations into child’s environment. 1 The PT’s also collaborate with other team members to facilitate wellness issues and disability awareness for the entire school population. 1
Some cases of Scoliosis can be left alone as long as they are monitered and don't develop any further. Others can be prevented from further development by a back brace to keep their spinal alignment in check. However the only real cure for more severe cases of Scoliosis is back surgery. In most surgeries this can be corrected to one degree or another. Usually to straighten posture to quell the further development of the curve or to relieve backpain. Full correction of Scoliosis hoever usually is not
This treatment entails using various kinds of braces, in conjunction with minor oral surgery. A few considerations are:
At What Point is a Child’s Backpack Too Heavy?. Ed. Kayee Ip and Kelly King. American Academy of Orthopaedic Surgeons, 7 Aug. 2012. Web. 10 Dec. 2013. .