Rehabilitation in adult scoliosis: selected case series illustrating options for complexities associated with adult scoliosis
© Marti and Romano; licensee BioMed Central Ltd. 2010
Published: 10 September 2010
Adults with scoliosis often present with multiple complications and co-morbidities affecting their quality of life. The primary source of pain and dysfunction may or not be directly related to the scoliosis but may be related to secondary or tertiary problems. Success for conservative treatment in adults with scoliosis hinges on the clinician’s ability to systematically identify direct and indirect biomechanical contributors to pain and dysfunction, and then subsequently develop “bullet-point” treatment strategies to address the identified deficits, all under the umbrella of the “big picture” of the scoliosis. The resultant multi-faceted approach is often very individualized and - while the personalized care may yield good individual outcomes - it makes for challenging research. This being said, we believe that case histories with good outcomes can plant seeds for larger studies that can germinate and bloom into exciting options for adults with scoliosis.
be expansive and creative in their evaluation and treatment of adults with scoliosis
generate ideas for larger studies evaluating conservative treatment in adults with scoliosis
lateral segmental olisthesis
Sagittal plane configuration
Frontal and sagittal plane imbalance
recurring rib fracture
progressive spinal deformity in adulthood
SI joint belt
identification and correction of leg length discrepancy
brace using TLSO
Specific exercises according to Barcelona-Schroth, SEAS, and others
Oswestry Disability Index (ODI)
Visual Analog Scale (VAS)
Quality of Life Profile for Spinal Deformities (QLSPD)
Although we are not all research facility, we hope our clinical case series may be a resource for ideas to further the systematic study of rehabilitation for adults with scoliosis.
This article is published under license to BioMed Central Ltd.