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Scoliosis
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Scoliosis - April 24, 2000 1:40:00 PM
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pvanwell
Posts: 10
Joined: January 24, 2000
From: Redford, MI 48239
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A quick review of the literature available to me, tells me not much positive has been found to help young scoliosis patients through Physical Therapy. They are not my normal daily fare and I would like to find out if anyone out there has any successful approaches to the management of this patient population, that is preferrably also supported by the available evidence.
Sorry for my ignorance.
Peter van well, PT
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Re: Scoliosis - April 24, 2000 2:28:00 PM
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Dana D
Posts: 142
Joined: September 18, 1999
Status: offline
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During my orthopedic course, we had a professor who spent extensive time in Germany working in an intense program developed for young girls with idiopathic scoliosis. This program of therapeutic intervention is called the Schroth method. She provided us with a very thorough explaination of scoliosis and the mechanics involved in it. She also taught us various exercises used to promote alignment of the spine, including the rotational component in a addition to the lateral curvature as well. The exercises she provided us make a lot of sense. I never had the opportunity to use them clinically, but could see how they could work. I inserviced the staff on one of my affils on it... Well, I looked up under Schroth method/scoliosis.. a lot of what came up was in German.. but i did find a website in English [IMG]http://www.rehabedge.com/forums/smile.gif[/IMG] I'm trying to "hyper link it" to the forum, we'll see if it works. I didn't look at this site too much, but browse it and let me know what comes up.
Good luck [URL=http://www.skoliose.com/Html/Englisch.htm]http://www.skoliose.com/Html/Englisch.htm[/URL]
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Re: Scoliosis - April 24, 2000 2:34:00 PM
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Dana D
Posts: 142
Joined: September 18, 1999
Status: offline
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[URL=http://www.mailbase.ac.uk/lists/physio/1998-04/0067.html]http://www.mailbase.ac.uk/lists/physio/1998-04/0067.html[/URL]
here is another site i found, a forum type.
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Re: Scoliosis - April 26, 2000 7:55:00 AM
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gerry
Posts: 238
Joined: July 6, 1999
From: Montgomery, AL, USA
Status: offline
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I agree with your understanding that current research does not show effectiveness of PT in treating scoliosis. I work occaisionally in a scoliosis clinic, and the orthopedist refers to PT for postural education, spinal flexibility exercises as he sees the need. But not to treat the spinal curve.
At the combined sections meeting in February, there was a vendor with a PWBTT device that was claiming to treat scoliosis with a specific protocol. They had spinal X-rays of one patient that showed improvement. I encouraged them to do the research to show effectiveness in a sample population. We will see....
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Re: Scoliosis - April 26, 2000 2:16:00 PM
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Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
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Gerry,
I think that your request is in the pipeline, but I'll check on that. I'd say that I'd take on the issue with my unit, but every time I think that I have a good idea for research with the sucker, Hesse and friends beat me to publication:
Case in point is the new article in Archives of Physical Medicine and Rehabilitation, March 2000). In any event, I'm working on trying to do research in collaboration with a school system here in NC using the device . . . I'm thinking about doing a comparative analysis of traditional PT alone versus traditional PT + PWB-GT in cases of CP. I'll look into how many of kids in the proposed population have scoliosis and how I may be able to incorporate that as a secondary measure, but I'm not particularly hopeful . . . it's hard enough to coordinate research in a school setting, trying to get a university or clinic-based radiologist involved will be more so. I'll consider this issue when creating the research protocol. I'd be careful about applying such results in cases of kids with CP and scoliosis to other patient populations, but it's a start.
Thanks for the idea though, I’ll try to keep you informed of the progress.
Off the top of my head, I'd be skeptical about using the PWB-GT system for this purpose, but I don't know enough about the non-neuro uses for the device.
Drew
------------------ Andrew M. Ball, MS, PT MBA/PhD Candidate
[This message has been edited by Andrew M. Ball, MS, PT (edited April 26, 2000).]
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