Medicinski pregled 2012 Volume 65, Issue 1-2, Pages: 35-40
https://doi.org/10.2298/MPNS1202035J
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Idiopathic scoliosis
Jandrić Slavica (Zavod za fizikalnu medicinu i rehabilitaciju „Dr Miroslav Zotović”, Banjaluka, Republika Srpska, Bosna i Hercegovina)
Introduction. Idiopathic scoliosis is a structural and lateral curvature of
the spine for which a currently recognizable cause has not been found and
there is no basic evidence for physical and radiographic pathology.
Complications. Scoliosis could be a cause of the back pain, deformities,
respiratory and cardiology problems. There is a higher risk for decreasing of
bone mineral density. Diagnosis and Management. Physical examination,
radiography and stereophotogrametry are used in diagnostics of idiopathic
scoliosis. The management of idiopathic scoliosis can be conservative or
operative. The main forms of conservative management are: therapy exercises,
electrical stimulation and spinal orthosis. The primary aim of scoliosis
management is to stop curvature progression. The improvement of pulmonary
function (vital capacity) and treatment of pain are also of major importance.
The guidelines for Conservative Management of Scoliosis. The International
Society on Scoliosis Orthopaedic and Rehabilitation Treatment gave the
guidelines for conservative management of scoliosis. Conservative management
of scoliosis includes: a) Lyonaise, Side-Shift, Dobosiewicz, Schroth and
other kinesitherapy methods, b) scoliosis intensive rehabilitation which
appears to be effective with respect to many signs and symptoms of scoliosis
and with respect to impeding curvature progression and c) brace treatment,
which has been found to be effective in preventing curvature progression and
thus in altering the natural history of idiopathic scoliosis. Conclusion. The
International Society has given the standards for kinesitherapy, intensive
rehabilitation and spinal orthosis in clinical practice and clinical
investigations. Surgical procedures can improve curves in the frontal plane,
but have important limitations in maintaining fixation and achieving
correction in other planes.
Keywords: Scoliosis, Diagnosis, Scoliosis + therapy, Scoliosis + complications, Rehabilitation, Exercise Therapy, Surgical Procedures, Operative, Practice Guideline