Neuropathological Aspects of Conservative Treatment of Scoliosis. A Theoretical View Point.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2012, Vol 14, Issue 2
Abstract
Abstract An upright body posture cannot be maintained passively for reasons including a high location of the centre of gravity (COG) and a small support area. Proper alignment of body parts is maintained au-tomatically, tending towards a pattern encoded in the CNS. A particularly important role in posture regulation is played by the short muscles of the back, which respond to being stretched with a con-traction.During the early phase of scoliosis, the CNS automatically corrects abnormalities, but over time ha-bituation occurs and the CNS treats them as something normal. Any attempt to restore proper body alignment is treated as an error and CNS automatically restores this abnormal pattern. With a pro-longed deviation in body part alignment, CNS treats it as a defect and runs compensatory mecha-nisms to restore the balance of the body as a whole. Balance is ensured by postural compensation, but this does not restore proper body part alignment.In the treatment of scoliosis, it is important both to slow down progression and to prevent the de-velopment of abnormal postural habits, which are part of a vicious circle even without progression. Secondary prevention is therefore needed in all patients. Passive observation limits the possibilities for prevention and contradicts the principle of early implementation of rehabilitation.Depending on the size of the angle of curvature, recommended treatments of scoliosis comprise ob-servation, corset bracing, and surgery. Physiotherapy is often treated as an unconventional and inef-fective treatment. Often, the biggest problem is transferring the resulting correction to automatic maintenance of a correct posture in the vertical position. The aim of this paper was to discuss the conservative treatment of scoliosis with regard to difficulties maintaining the correct alignment of the body parts in the vertical position that accompany scoliosis.
Authors and Affiliations
Krzysztof Czupryna , Olga Nowotny-Czupryna , Janusz Nowotny
Keywords
Related Articles
- EP ID EP57190
- DOI -
- Views 89
- Downloads 0
Technika operacyjna i wyniki leczenia martwicy głowy kości udowej przez nawiercenie i wypełnienie przeszczepami
StreszczenieWstęp: Celem pracy jest przedstawienie techniki operacyjnej i wyników odkrętarzowego nawiercenia i oczyszczenia strefy martwicy w głowie kości udowej, a następnie wypełnienie jej ubytków przeszczepami kości a...
Asymptomatic peri-operative deep venous thrombosis (DVT) of the lower limb in patients after total knee arthroplasty (TKA)
Background. DVT of the lower limbs occurs after TKA in 25%-74% of cases, despite the use of antithrombolytic low molecular weight heparin (LMWH). In 50% of cases the course is asymptomatic. The aim of our study was to ev...
Diastematomielia - problem diagnostyczny i terapeutyczny<br /> Opis przypadków.<br />
Streszczenie 1. Wstęp. Diastematomielia to postać dysrafizmu polegającego na zdwojeniu lub rozdwojeniu rdzenia kręgowego, przedzielonego przegrodą kostną. Wada często współistnieje z innymi zaburzeniami rozwojowymi czasz...
Bilateral shoulder dislocation in a 7-year-old child with progeria syndrome
Shoulder dislocation is a rare skeletal trauma in childhood and progeria is a rare disease. Our patient had bilateral shoulder dislocation associated with a low energy trauma. Treatment consisted in reposition under gene...
Evaluation of follow-up results of McBride operative treatment for hallux valgus deformity
Introduction Hallux valgus still remains a problem in orthopaedic surgery, a fact attested to by over a hundred operating procedures for the correction of this deformity that have been elaborated until now. Aim The aim o...