Adolescent Idiopathic Scoliosis


Adolescent Idiopathic Scolisis
(AIS) is a two dimensional deformity (lateral and rotational) of the spinal column in the absence of associated congenital or neurologic abnormalities.  Onset is between the ages of 10 and 18. Longitudial studies (Yawn et al, 1999; Soucacos et al, 1997) estimate the prevalence as high as 2% of the adolescent population, using a definition of a spinal curve greater than 10 degrees. (A side to side curve of at least 10 degrees with a rotational deformity, of at least 10 degrees, must be present before AIS can be diagnosed.)  Side to side (frontal plane) curves greater than 20 degrees have a distribution of 5 females for every male. 


Reasonable normal curves for the adolescent spine are:

 

Sagittal Plane Curves (Kyphosis) – up to 40 degrees

Frontal Plane Curves (Scoliosis) – up to 10 degrees

Rotational – up to 10 degrees

 

Symptoms and Signs:  The Symptoms and Warning signs of Scoliosis are:

 

  • difference in shoulder height
  • head not centered with the rest of the body
  • difference in hip height or position
  • difference in the way the arms hand beside the body when standing
  • positive Adams Test – scapulas at different heights when bent forward at the waist

Treatment:  Proprioceptive Therapy has been demonstrated to be an effective therapy in treating scoliotic curves less than 25 degrees and in combination with bracing when treating scoliotic curves less than 50 degrees.

 

Treatment of Scoliosis

  • observation and biyearly examinations (curves between 10-15 degrees)
  • proprioceptive insoles (curves between 15- 25 degrees)
  • combination of proprioceptive insoles and bracing (curves between 25-50 degrees)
  • surgery (unstable curves over 50 degrees)

For information on screening protocols for AIO, go to my Research website at Screening for Adolescent Ideopathic Scoliosis.



Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot and PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain


Sign Up Now to get your free chapter from Professor Rothbart's book, Forever Free From Chronic Pain

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