FAB - Scoliosis
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| In a normal spine, what is the normal lateral curvature? | 5 degrees
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| What % of ppl is lateral curve to the right? | 85%
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| What is definition of scoliosis? | Any lateral deviation of spine of more than 10 degrees
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| What is degree range for mild scoliosis? | 10-20 degrees
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| What are the 2 shapes of scoliosis? | C-shaped or S-shaped
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| What are the 2 categories of scoliosis? | Functional & Structural
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| What is the cause of functional scoliosis? | Effects of soft tissue, muscles, tendons, ligaments
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| Adams test | Flex at waist. If lat. curve straightens out, then functional. If not, then structural.
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| What causes structural scoliosis? | bony changes
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| What is the Lateral Bending test? | After Adams test, for structural scoliosis; Pt lateral bends, scoliotic curve increases.
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| What are 2 types of structural scoliosis? | Developmental & Acquired
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| What causes developmental, structural scoliosis? | Bony abnormality which occures during development
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| Up to what age can developtmental scoliosis be seen? | 20 yrs old
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| What are the common bony abnormalities that can be seen in developmental scoliosis? | Hemivertebra, spina bifida, posterior element defect
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| What is Posterior element defect? | When parts of the posterior elements (lamina, pedicles) of the vertebra do not develop completely.
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| What are 5 causes for acquired scoliosis? | Trauma; neuromuscular dystrophy; infection; Idiopathic
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| What is the more common cause of structural scoliosis? | Idiopathic.
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| How does the coupled motion change in scoliosis? | Coupled motion of rotation and lateral bending REVERSES
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| Where does the reversal of coupled motion occur? | only within scoliotic region & only with structural scoliosis
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| Lovett positive association | Seldom symptomatic and least offending
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| Lovett negative association | Severe pain
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| Lovett Static association | Symptomatic w/ moderately severe pain
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| Lovett Failure association | Profile of lumbar spine disc prolapse
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| Lovett positive SP orientation | SPs are on side of concavity and on high side of sacrum
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| Lovett Negative SP orientation | SPs are on side of convexity and on low side of sacrum
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| Lovett Static SP orientation | SPs are in midline on side of convexity; Sacrum is off 20 degrees
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| Lovett Failure SP orientation | SPs are in midline; Sacrum is off 20 degrees
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| Lovett Excess SP orientation | SP are on side of concavity and on high side o sacrum
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| Lovett Reverse SP orientation | SPs are in midline, Lumbar spine goes in opposite direction; Sacrum is off 20 degrees.
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