Scoliosis - Latest Comments

Intestinal malrotation

Nancy Allen — 2012-05-23T15:47:07Z

Please begin to consider the full range of intestinal malrotations/malattachments as a factor in the development of scoliosis.
These congenital issues may be more relevant when influenced by a widening pelvis. Malrotations/malattachments may cause a torque in the entire body plan ( ?) with variations depending on the exact nature of the abnormal tensions produced by the gut issues ? Redundant colon has been considered as a variant of malrotation. Could acidosis be a chronic issue in certain gut malrotations - causing chronic pH balancing issues, with osteoporosis as a secondary result ?

Material not really clear / relevant articles on the SpineCor not discussed.

Hans-Rudolf Weiss — 2010-11-28T21:09:36Z

Dear Editor,

I must admit, I was a bit astonished to find this paper published in Scoliosis as a winner of a SOSORT award.

1. The materials as described are hard to reconstruct as the description of the materials within this study is an accumulation of different samples of patients. A clear description of the patient materials of the relevant sample that has completed treatment without none relevant data would have been desirable.

2. Within the paper one prospective controlled study (Best Clinical Paper, IRSSD Vancouver 2004 [1]) and a randomized controlled study from Hong Kong [2] on the SpineCor with contradictory results to the conclusions as presented here have not been cited, neither discussed.

Therefore, the conclusion drawn from the paper as presented cannot be regarded as being valid. Comprehensible conclusions can only be drawn from papers discussing also contradictory papers and therefore this paper has to be flawed on the basis of not aiming at an objective approach to the analysis.

To my subjective opinion only a clear description of the materials without any overloading with non relevant data will enable the reader to follow-up with the discussion and conclusion of the authors. And the discussion should also point out to papers that might affect biased conclusions.
Unfortunately also other recent papers on the SpineCor are prone to the same shortcomings, lacking clear description of materials as presented within this comment and unbiased discussion as well [3,4].

If there is a biomechanical model described so as to allow to conclude why in independent studies the SpineCor was not applied successfully [5], I would have expected that the authors also discuss this matter appropriately.

1. Brace treatment during pubertal growth spurt in girls with idiopathic scoliosis (IS): a prospective trial comparing two different concepts.
Weiss HR, Weiss GM.
Pediatr Rehabil. 2005 Jul-Sep;8(3):199-206.
2. The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis.
Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, Chow DH, Tam SY.
Spine (Phila Pa 1976). 2008 May 20;33(12):1360-5.
3. Effectiveness of the SpineCor brace based on the new standardized criteria proposed by the scoliosis research society for adolescent idiopathic scoliosis.
Coillard C, Vachon V, Circo AB, Beauséjour M, Rivard CH.
J Pediatr Orthop. 2007 Jun;27(4):375-9.
4. Results of SpineCor dynamic bracing for idiopathic scoliosis.
Szwed A, Kołban M, Jałoszewski M.
Ortop Traumatol Rehabil. 2009 Sep-Oct;11(5):427-32.
5. SpineCor vs. natural history - explanation of the results obtained using a simple biomechanical model.
Weiss HR.
Stud Health Technol Inform. 2008;140:133-6.

school screening for scoliosis

jacob ross — 2009-09-05T18:03:02Z

In the USA, not all legislated screening programs are the same today. We can not take a broad-brush approach to whether or not a state has screening, but must look further at screening protocol details, including age and gender screened, screener education and support, scoliometer usage, reporting and follow-up methodologies etc, to evaluate the effectiveness of a program. Some states have ratios of one school nurse for every 700 students, while others have 2000/1 ratios and use health aides and volunteer parents to perform scoliosis screening. Unfortunately, in the USA there is a lack of national standards and adequate reports for scoliosis screening mechanisms, making collection of evidence-based outcomes necessary to either enhance this process or eliminate it, extremely difficult. Perhaps a study should be first done to compare the legislative states and document the intra and inter state variability of screening programs and outcome results

malibu drug rehabilitation

school screening for scoliosis

john petersen — 2008-11-12T21:27:52Z

School screening for scoliosis is a well accepted technique for the early detection of spinal deformities. We reviewed the experience in Minnesota over the past eight years, with an average of one-quarter of a million children being screened yearly. Of the children screened, 3.4 per cent were referred for evaluation and scoliosis was found in 1.2 per cent. The number of children requiring operations for adolescent idiopathic scoliosis has diminished since 1970. The average curve for which a surgical procedure was done has also diminished from 60 to 42 degrees. The cost of the program is low, averaging 6.6 cents per student screened. This compares with a so-called time cost averaging thirty-five cents. Voluntary scoliosis.

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johnpetersen

quebec drug rehab

Rotational strength weakness in rotations to the concave side in patients with idiopathic scoliosis

Brian Rothbart — 2007-07-18T12:00:08Z

Re Rotational strength weakness in rotations to the concave side in patients with idiopathic scoliosis - my research suggests that the muscular weakness is secondary to the postural distortons resulting from abnormal foot motion. We have demonstrated, using Formetric Studies, that proprioceptive insoles reverse the spinal distortions observed in Scoliotic children. The muscular weakness autocorrects as the postural distortions are reversed - See http://www.rothbartsfoot.info/3DFormetrikStudy.html

Prof Brian A Rothbart

Impact of backpacks on posture in children

Brian Rothbart — 2007-07-18T11:58:03Z

Very interesting article. However, there are other factors that impact posture directly, e.g., abnormal foot mechanics. For a complete discussion - See http://rothbartsfoot.info/Infoscientific.html

Prof Brian A Rothbart

Research Fellow, GRD BioMed Inc (ISS, Rome Italy)

Thank you

cindy marti — 2006-05-12T14:52:49Z

My sincere gratitude to Dr. Rigo for his generous sharing of knowledge with us (P.T.'s) in the United States over the last two years. I hope to become involved in SOSORT and wish I could have attended Poland. I look forward to checking Scoliosis on line regularly and hope some day to make a contribution from Schroth therapy here in the US

Thank you and a request

cindy marti — 2006-05-12T14:52:04Z

Martha,

Related to this article, I must take the opportunity to thank you for your excellent book "Scoliosis and the Human Spine". It was pivotal and inspirational to me in deciding to pursue Schroth training under Dr. Manuel Rigo last year. We are now practicing at our facililty with Schroth and are fully committed to learning more and growing our program - all in the spirit of your article on the hope of changing the asymmetrical forces on the spine.

I would like to please draw your attention to the ADVANCE PT publication that went out to APTA members last week. There is an article featuring Schroth in Wisconsin.

Joe, I am hopeful that you will be following up on your previously stated plans to publish on Schroth in an upcoming NSF newletter. I would be happy to contribute in anyway I can.

Cindy Marti, PT