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Patho kinesiology of scoliosis
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Scoliosis
Everyone's spine has curves. These curves produce the normal rounding of the shoulder and the sway of the lower back. A spine with scoliosis has abnormal curves with a rotational deformity. This means that the spine turns on its axis like a corkscrew.
Scoliosis is a curvature of the spine which may have its onset in infancy but is most frequently discovered in adolescence. It is more common in females by a 2:1 ratio. However, when curves in excess of 30 degrees are evaluated, females are more frequently affected by a ration of approximately10:1.
The cause of the most common form of scoliosis; idiopathic scoliosis. is unknown, but there have been hereditary factors discovered that are present.
Scoliosis causes shoulder, trunk and waistline “asymmetry”. In mild forms, the condition may be barely noticed; however, in severe forms there is significant disfigurement, back pain and postural fatigue, and it may be associated with heart failure. Fortunately the majority of scoliosis cases need only close follow-up to watch for worsening of the curve. Some cases require more aggressive treatment which could include surgery.
The non-operative treatment of scoliosis involves observing the deformity with examinations and repeated x-rays. Under certain circumstances, when spinal growth remains, a brace may be used in combination with follow-up x- rays. Physical therapy exercises have not been shown to be effective treatment for scoliosis.
The most common surgical treatment for scoliosis is a spine fusion using special stainless steel rods, hooks, and a bone graft. The rods are attached to the spine with hooks and the curved portion of the spine is carefully
Lou Gehrig's disease is often referred to as Amyotrophic lateral sclerosis (ALS), this is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Motor neurons come from the brain to the spinal cord and from the spinal cord to the muscles throughout the entire body. The progressive degeneration of the motor neurons in ALS would eventually leads to their death. When the motor neurons die, the ability of the brain to initiate and control muscle movement is also lost. With voluntary muscle action progressively affected, for this reason patients in the later stages of the disease may become totally paralyzed (Choi, 1988).
What is scoliosis? Scoliosis is a musculoskeletal disorder that causes the back to curve sideways like and “S” or a “C” and cause the body to lean to one side. Scoliosis can eventually if not looked into and not treated colid with your bodily organs like your heart, lungs, and kidneys. This can cause you to slump down into a hump and cause it hard to breath and do physical activity.
“Some things may never get better, but your ability to deal with that problem will improve.” This was said by, Wayne Kirk. In the book, Out of My Mind by Sharon Draper, the main character Melody was born with cerebral palsy. She has an active and bright mind but you are not able to see that because she can’t use her words to speak. Having a child with special needs is extremely challenging. You don’t get the chance to watch them grow up like the other kids, you watch them struggle and fight to be heard. Even though children with special needs don’t always struggle or fight. They are still trying hard to be like the children they are always around, like their classmates or even siblings.
Osteogenesis imperfecta, also known as “brittle bones disease,” is a rare genetic disorder that affects the body’s production of type I collagen, which is the major protein of the body’s connective tissue. Generally, people affected with OI either have too little of type I collagen, or the quality of it is poor. Collagen defects account for about 85%.1 However, proteins in the bones may be affected in some of the more uncommon forms of OI. Because of this defect, people with OI have fragile bones, which break easily without an apparent cause.
Osteoporosis is a condition, in which bones are weak from deterioration, loss of bone mass, and quality-bone strength. Osteoporosis usually triggers postmenopausal women (women who have not had their period for a whole year), or older men and women. Some risks both older men and women endure when experiencing Osteoporosis are decrease of calcium and bone fractures. These symptoms or effects can all be caused by weight loss, smoking, age, ethnicity, genetics, medications, bone structure, and certain diseases that can later on contribute to Osteoporosis, such as rheumatoid arthritis. Osteoporosis may be prevented by going to drug therapy to stop alcoholism and smoking, a sufficient amount of calcium intake, and exercising; such as jogging, walking,
Osteoporosis is a disease of the bone. The bones become weak and brittle and are prone to fractures. A person with osteoporosis can fracture a bone just by hitting a table or turning while in bed. Most people with osteoporosis keep on getting fractures because the weight of the body cannot be supported by the bone and normal body movements, including walking, will strain the bone. This condition arises when the rate of bone growth cannot keep pace with bone loss. Osteoporosis can affect any bone including the hip, wrist or spine.
Osteoporosis is a silent, complex, multifactorial, chronic disease characterized by the progressive loss of bone density, which leads to the risk of imminent fractures (1). Osteoporosis "Osteo" is Latin for bone. "Pores" means "full of pores or holes." Thus, osteoporosis means "bones that are full of holes"(1). The bone mass reflects the balance between formation by osteoblasts and resorption by osteoclasts. Around the third decade of life the peak bone mass is reached, and then begins a slow process more continuous bone loss progresses with age(1). Osteoporosis is a metabolic bone disease characterized by low bone mineral density (BMD), the deterioration of the microarchitecture of cancellous or trabecular bone, and changes in the physical
Cerebral Palsy (CP) is brain damage. It cannot be cured, it is not contagious, it is not a disease, and it does not get worse. According to Funk & Wagnalls New World Encyclopedia, "Cerebral Palsy is a broad term for various nonprogressive disorders of motor function in people, resulting from brain damage around the time of birth. Damage to the brain could occur before, during, or shortly after birth"(“Cerebral”). Since the damage is done during the brain’s formation, and occurs in the part of the brain that controls motor and muscle functions, people with CP might have problems with motor skills, muscle tone, muscle weakness, reflexes, balance, excessive drooling, difficulties swallowing or speaking, shaking, tremors, and difficulty with fine motor skills (“Cerebral Palsy: Hope”). Although it may not be diagnosed until a child is a few years old, most children with CP are born with it, and even though it does not get worse the symptoms caused by the brain damage can change and people with CP may have problems with vision, speech, hearing, or language, but with early intervention, support and treatment, many people with CP can manage their condition and lead full, productive lives.
Left hip flexors are tighter than the right – ROM in hips could be cause of back issue. She needs to increase ROM of hip flexors.
Another critical nutrient for healthy bones is magnesium, which helps peoples’ bodies absorb calcium, neutralize metabolic acids, and support a robust bone structure. A body that is growing needs the support of magnesium when it comes to treating osteoporosis. Magnesium can help with the constipating effect that calcium has, when taking it with calcium supplements (Bauer 1). Beans, sweet potatoes, beans, cashews, spinach, and brown rice give a lot of magnesium.
Repetitive neck movements or keeping the neck in a fixed position aggravates the pain. The patient also complains of constant 5-6/10-scale level pain in the thoracic spine and lumbar spine. Heavy lifting, repetitive bending, twisting, and stooping aggravate the pain. The pain is improved by shifting positions. There is also frequent 5/10-scale level left shoulder pain. Current medications: Prevacid and Vitamins. The patient reports difficulty with some activities of daily living. There were reported sleep problems and difficulty with sexual function. The exam revealed limited ROM in the lumbar spine. He can extend his knees fully. SLR was positive bilaterally. There is paraspinal spasm and tenderness. There is facet joint tenderness. There was positive Tinel’s, positive Phalen’s and positive Finkelstein’s test on the left. Cervical: The ROM was reduced. There was paraspinal tenderness, tightness, spasm, muscle guarding at trapezius, rhomboid muscle groups at the base of the neck on the left side. Left Shoulder: ROM was reduced. There was positive impingement sign. There was tenderness to rotator cuff and tenderness over bicipital groove, on the left. Treatment plan: X-rays of the cervical spine, lumbar spine and left shoulder; MRI of the cervical spine, lumbar spine, and left shoulder; EMG/NCV of the upper extremities; Fiorcet,
Cerebral palsy is a broad term recognizing any number of neurological disorders that typically develop either during pregnancy, during childbirth or early childhood until about the age of three. It permanently affects body movement and muscle coordination, though it never progress’s over time. The word cerebral palsy is claimed from the combination of the defined terms cerebrum, referring to the damaged part of the brain, and palsy, referring to the disorder of a movement.
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
Bone diseases most directly influence the ability to walk or to move any part of the body--hands, limbs, neck, and spine. They are related to joint disorders--ARTHRITIS, COLLAGEN DISEASE, DISLOCATION of joints, and RHEUMATISM. The medical specialty pertaining to bone disorders is ORTHOPEDICS. Fractures are the most common bone disorders. They can occur as the result of an accident or be secondary to metabolic diseases.
Scoliosis is a progressive disease. In its early stages a mild rotation and rib deformity is detected. As it progresses more vertebrae rotate, causing the ribs to crowd together on one side of the chest and to spread apart on the opposite side. The disease is usually first identified in persons 10 to 17 years old. Most cases occur in girls and become apparent during the rapid growth phase of puberty. Conditions also include shoulder unleveling, waistline discrepancies, acute headaches, shortness of breath, rib hump, chronic fatigue, and mood swings.