To document improved symptoms in a patient who investigated the three-dimensionaldynamics of her own spinal curvature through visual imagery.
Idiopathic scoliosis was diagnosed at age eight years. A T5–T12 spinal fusion with cadaver bone graft, without instrumentation, was performed at age thirteen years (John Cobb, Hospital for Special Surgery, New York, NY, U.S.A). The Cobb angle of the post surgical curvemeasured eight-five degrees. By age thirty-two years restrictive lung disease, arthritis andspinal stenosis, were diagnosed. The symptoms worsened progressively.
An exercise program incorporating Alexander Technique, Yoga, Pilates, and neuromuscular training wasdesigned to (1) strengthen andstabilize muscles around hypermobile joints, and (2) improve proprioceptive awareness to allow postural adjustments to improve spinal alignment and symmetry. In collaboration with orthopedists and radiologists, images including a three-dimensional spiral computed tomography scan of the subject's skeleton were made for the purpose of drawing.
Health related quality of life can be improved using movement practices based on these concepts.