Scoliosis | Physica

A lateral deviation of the spine is known as a Scoliosis. This results in the spine rotating around the vertical axis giving the spine a twisted appearance. Radiologically a scoliosis is defined by a Cobb angle of greater than 10 degrees, which is basically an indicator of the severity of the curve.

The most common type of scoliosis is known as Idiopathic scoliosis, or no known cause. This type of scoliosis can present at three different development ages; 1) infantile (<2 years) 2) juvenile (2-10 years) 3) Adolescent > 10 years to the end of the growth spurt. Adolescent Idiopathic scoliosis (AIS) accounts for 80% of idiopathic cases.

Adolescent Idiopathic scoliosis (AIS);

positive family history
more common in girls than boys
AIS in girls accounts for 90% of the curves seen in clinical practice

Physical Traits of scoliosis;

lateral deviation of the spine
spine has a rotated appearance
one shoulder or hip may look higher than the other
rib hump with bending forward

Detection is via an x-ray and the severity is assessed by a radiologist who determines the cobb angle.

Most curves can be managed with physiotherapy which consists of postural education, manual therapy to loosen stiff joints and strengthening/core exercises to strengthen areas of weakness. Scoliosis where the cobb angle exceeds 25 degrees may require bracing and curves over 50 degrees may require surgery. This consists of straightening the curve with Harrington rods.

All physica staff have received extra training in the management of scoliosis. We will assess your spinal curve and may request an x-ray to confirm the diagnosis. We will then devise a comprehensive physiotherapy plan to return you to optimum capacity.