Scoliosis

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Let's find Scoliosis.

 

 

Scoliosis

 

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1. What is scoliosis?

 

This is the case in which the s-shaped curve of the spine is twisted in three dimensions due to various causes, resulting in deformation.

Usually, the S-shaped curve appears when viewed from the side of the spine, but for scoliosis, you can see that it bends like an S-shaped curve when viewed from the front.

 

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Scoliosis is characterized by reduced curves and flattening when viewed sideways, and it is important to make a curve of the thoracic with scoliosis exercise.

 

2. Types of scoliosis

 

Spinal scoliosis can be divided into two categories: structural and functional scoliosis.

 

- Structural scoliosis

Structural scoliosis accounts for 80% of the total, and as the spine grows, the spine bends and curves in a C or S-shaped curve, causing the body to lean. As you grow, the curve gets bigger and bigger, so it's most commonly found during the growth period.

It is more than three times more common in women than in men, and there are generally many people with weak muscle strength and lower limb flexibility.

 

- Functional scoliosis

Functional scoliosis is 20% of the total, and the bad lifestyle causes temporary bending of the spine.

If it gets worse, pain and disc can occur, but functional scoliosis can return to normal by finding the root cause and treating it and exercise.

 

3. What causes scoliosis?

 

It is caused by congenital deformity of bones, family history and genetics, and there are many theories about hormone problems, abnormal equilibrium, but there is no clear evidence yet. Most of the time, the cause is not known for sure, but it is also affected by bad lifestyle.

 

4. How do I test for scoliosis?

 

The scoliosis criterion is a curved angle of more than 10 degrees, and the examination of scoliosis can be done with X-Ray or Adam's Test.

 

+Adam's Test

1. Stand your foot with the width of your pelvis.

2. Put your hands together and raise them to the shoulder level.

3. Slowly move your hands to the floor and lower your upper body.

At this point, the observer lowers the eye level to the waist level to see if there is a hump on the wing bone, waist, and back.

 

 

This was referenced by Google

 

This was referenced by Google

 

Adam's test can be used in a simple way to check the scoliosis and imbalance of the spine.

However, X-Ray is recommended for accurate verification. Because you need to know exactly the angle, imbalance, etc. of the scoliosis so that you can find the appropriate exercise method.

 

5. Type of scoliosis

 

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Scoliosis has several types, and although its curve looks similar, it is divided into two types (3C/4C) that are slightly different for each individual and have the largest number of cases (3C/4C) and another 3CP/4CP affected by the pelvis.

(Since not all types of scoliosis are included in two large types, it is important that the spinal scoliosis correction exercise is tailored to individuals.)

 

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-3C Type: The body is divided into three blocks and the thoracic is the main curve.

-3CP Type: A larger main curve for Thoracic than the 3C Type affects the pelvis as well.

-4C Type: The body is divided into four blocks, and the lumbar is the main curve.

-4CP Type: A larger main curve for lumbar also affects pelvic.

As shown in the picture above, 3C and 4C types of scoliosis are the main curve of the thoracic, and we can see that 3C rotates on the same side of the lumbar and pelvis, and 4C rotates on the opposite side of the lumbar and pelvis.

 

6. How are the scoliosis symptoms?

 

Spinal scoliosis is usually caused by thoracic curves in the coronal plane, which affect the front and back of the shoulders and lead to rib hump.

The thoracic vertebrae on the sagittal plane are flattened and the vertebrae are rotated. The ribs fall forward, one side is crushed, one side is widened, the shoulder and the torso are pushed apart, and the pelvis height can vary. Rib case should be corrected through schroth breathing method.

 

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Usually, the left and right heights are different, with one shoulder rising, and the size and position of the breast may differ, one rib may appear prominent, pelvic alignment, and leg length may appear different. In severe scoliosis, the appearance of the spine being distorted may appear apparent.

 

6. What is the goal of treating scoliosis?

 

The treatment goal of scoliosis depends on age. Adolescence is the most important because there is a high probability that the curve can grow the most during the growth period.

During this time, you should be able to maintain the thoracic spine curve or reduce the angle of the curve.

If the angle of a teenage scoliosis patient is between 20 and 30 degrees, you should go to a large hospital for diagnosis. If the angle increases to more than 30 degrees, it can also be done with an assist device or surgery.

For those who have grown up, the x-ray does not change much and the spine itself cannot be fully straightened, but exercise should focus on muscle balance and external posture correction.

Even if growth is over, you should be careful because weakening muscles can increase the angle at which the spine is bent again.

 

7. What is the angle of scoliosis?

 

Cobb's Angle is the criterion for evaluating the degree of scoliosis. It can only be checked accurately through an X-Ray test.

The treatment guidelines for scoliosis are defined according to Cobb's Angle. If Cobb's Angle is above 10 degrees, it is diagnosed as scoliosis. If it is above 20 degrees, it is recommended to wear an assist, and if it is between 40 and 50 degrees, surgery can be recommended.

However, although the angle is between 40 and 50 degrees, we do not operate if there are no major problems in our daily lives and internal organs and breathing problems.

 

This was referenced by Google

 

Cobb's Angle can calculate how much the spine is tilted left and right.

In the picture above, the spine is bent with two curves.

Above is called thoracic curve, below is called lumbar curve. Based on the picture, the right protruding part of the thoracic spine is called Convex Side, and the left crushed part of the thoracic spine is called Concave Side.

Concave Side should be able to relax muscles and Convex Side should be able to activate muscles. Concave Side is the direction of the SP (Spinous process), and Convex Side is the direction of the vertebrae.

 

Both Adam's Test and Cobb's Angle are methods of evaluating sides only, but they are different measures. There is a large slope in the Adam's Test, but often Cobb's Angle is not large. Cobb's Angle is the method for determining the left and right slope of the spine, and Adam's Test is the method for determining the degree of rotation of the spine.

 

8. What is the cure for scoliosis?

 

Methods of treatment include wearing assistive devices, chiropractic, kinetic therapy (schroth, Pilates, corrective exercise, etc.) and surgery is applied if the degree is severe. Early detection and steady progress observation are important for scoliosis treatment.

Then, let's find out how to prevent it.

One of the many causes of scoliosis is the wrong posture in everyday life. You should be careful about behavior that puts pressure on your back, such as standing on one leg for a long time, lifting a heavy bag to one side only.

Because these habits can cause stenosis and disk problems as well as (functional) scoliosis, it is important to always be careful and in the right posture.

 

 

If you want to know how to exercise for scoliosis, click here. 

https://blackgreenco.tistory.com/25

Schroth method for Scoliosis

 

BlackGreenCo helps you build a healthy body through these three methods:

The fascia relaxation, steady stretching, and muscle strengthening through proper exercise

If you are interested or have any questions about this class,

Please contact blackgreenco@gmail.com