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Adult Scoliosis: Evaluation and Treatment Considerations

presented by Cindy Marti, PT

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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The course will give an overview of scoliosis seen in adults. Differential diagnosis of adult onset degenerative scoliosis will be discussed. Key radiological characteristics related to quality of life for adults with scoliosis will be reviewed based upon published literature.Complexities of symptom presentations will be shared, including case examples Suggestions will be provided for clinical precautions and coordination of care with other scoliosis professionals. The course is not intended for the application of PSSE by the clinician (advanced PSSE training is needed), but some simple scoliosis intervention suggestions will be given.

Meet Your Instructor

Cindy Marti, PT

Cindy Marti began her career at St. Elizabeth Hospital in Appleton in 1986. In 1989 she joined Milwaukee-based Competitive Edge Sports Medicine and became part of the management team in 1991. In 1994, after Competitive Edge became part of NovaCare, Cindy became General Manager of the Wisconsin region. In 1996, Cindy stepped down from upper…

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Chapters & Learning Objectives

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1. Definition and Radiological Variables in Adult Scoliosis

This chapter will explain the difference between adults who have AIS and adults who have adult-onset degenerative scoliosis. Published research will be referenced top explain multiple complex radiological variables in adult scoliosis patients that can relate to quality of life. Examples of adult scoliosis symptoms and complexities will be given.

2. Physical Therapy Planning

The incidence of adult scoliosis is growing, and education in basic physical therapy planning and coordination of care for is important for all therapists. This chapter will discuss suggested physical therapy guidelines for adults with scoliosis in order for the reader to improve coordination of care and decision making when caring for adults with scoliosis. Suggestions for entry level treatment ideas using sagittal plane, respiration strategies, and stability will be given along with physical therapy modifications and precautions for adults with scoliosis. As with AIS and Hyperkyphosis, therapists seeing adults with scoliosis should ideally have specific continuing education or refer to trained therapists when indicated.

3. Adult Case Reviews

This chapter will present two detailed case histories of adults with scoliosis, and share 3 adult cases presented at the 2010 SOSORT conference – educational session. Examination, care planning, treatment interventions, and outcomes will be described.

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The course will focus on published literature for appropriate decision making in treatment of AIS - including references from SOSORT (Society of Scoliosis Orthopedic Rehabilitation and Treatment), SRS (Scoliosis Research Society), and additional literature. The course will provide information on treatment recommendations based upon risk of curve progression and other variables, and outline goals of therapy based upon individual needs.

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Adolescent Idiopathic Scoliosis Part 1: Definition & Diagnosis

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course will provide entry level information about Adolescent Idiopathic Scoliosis (AIS). The course will define AIS, provide a basic understanding of the scientific theory of the etiology and pathomechanism of AIS, explain the differential diagnosis of AIS, and provide tools for predicting progression of deformity in order to prioritize care.

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This course will provide an overview of clinical and radiological evaluation of AIS. Different curve pattern examples will be given using the Rigo Classification System as a foundation. Clinical evaluation tools will include postural assessment, use of Bunnell Scoliometer for measurement of angle of trunk rotation, and suggested respiratory assessments. Radiological evaluation will include education on Cobb angle and other spinal parameters.

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The course will define PSSE (Physiotherapeutic Scoliosis Specific Exercise) based upon accepted international standards in conservative management of scoliosis. Various schools of PSSE will be reviewed with an emphasis on the Schroth-Barcelona method. Exercise examples will be shown. PSSE will be contrasted to general physical therapy. Precautions for and modifications of general physical therapy and exercises will be given. The course is not intended for the application of PSSE by the clinician (advanced PSSE training is needed), but some simple scoliosis intervention suggestions will be given.

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Hyperkyphosis: Evaluation & Treatment Considerations

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The course will provide entry level information about Scheuermann’s disease and postural hyperkyphosis. Clinical evaluation and radiologic diagnostic criteria will be described. Treatment indications and goals for physical therapy will be explained. An overview of physical therapy concepts for Scheuermann’s Disease will be provided and in addition, example exercises will be shown. The course is not intended for full competency in treating Scheuermann’s Disease, (advanced training is needed), but some simple intervention suggestions will be given.

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