Scoliosis

موضوع: Scoliosis الجمعة يونيو 22, 2007 6:50 pm

What is scoliosis?

A normal spine, when viewed from behind, appears straight. However, a spine affected by scoliosis shows evidence of a lateral, or sideways, curvature, and a rotation of the back bones (vertebrae), giving the appearance that the person is leaning to one side. Scoliosis is defined as a curvature of the spine measuring 10 degrees or greater on x-ray.
Scoliosis is a type of spinal deformity and should not be confused with poor posture.
Four common types of curve patterns seen in scoliosis are:

thoracic - 90 percent of the curves occur on the right side.
lumbar - 70 percent of the curves occur on the left side.
thoracolumbar - 80 percent of the curves occur on the right side.
double major - curves that occur on the right and left side.

What causes scoliosis?

In most (80 to 85 percent) cases, the cause of scoliosis is unknown - a condition called idiopathic scoliosis. Scoliosis is more common in females than males.
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, three to five out of every 1,000 children develop spinal curves that are considered large enough to require treatment.
The American Academy of Orthopedic Surgeons, in cooperation with the Scoliosis Research Society, describe three different types of scoliosis that can occur in children - congenital (present at birth), neuromuscular, or idiopathic.

Congenital
This type of scoliosis occurs in one out of 1,000 live births. It is often caused by one of the following:
- failure of the vertebrae to form normally
- absence of vertebrae
- partially formed vertebrae
- lack of separation of the vertebrae
Neuromuscular
This type of scoliosis is associated with many neurological conditions, especially in those children who do not walk, such as the following:
- cerebral palsy
- spina bifida
- muscular dystrophy
- paralytic conditions
- spinal cord tumors
- neurofibromatosis - a genetic condition that affects the peripheral nerves that causes changes to occur in the skin, called café-au-lait spots.
Idiopathic
The cause of this type of scoliosis is unknown. There are three types of idiopathic scoliosis:
- infantile - occurs from birth to 3 years of age. The curve of the vertebrae is to the left and it is more commonly seen in boys. Typically, the curve resolves as the child grows.
- juvenile - occurs in children from 3 to 9 years of age.
- adolescent - occurs in children from 10 to 18 years of age. This is the most common type of scoliosis and is more commonly seen in girls.
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Other causes of scoliosis may include:

hereditary conditions that tend to run in families
differences in leg lengths
injury
infection
tumors

What are the symptoms of scoliosis?

The following are the most common symptoms of scoliosis. However, each child may experience symptoms differently. Symptoms may include:

difference in shoulder height
the head is not centered with the rest of the body
difference in hip height or position
difference in shoulder blade height or position
when standing straight, difference in the way the arms hang beside the body
when bending forward, the sides of the back appear different in height

Back pain, leg pain, and changes in bowel and bladder habits are not commonly associated with idiopathic scoliosis. A child experiencing these types of symptoms requires further medical evaluation by a physician.
The symptoms of scoliosis may resemble other spinal conditions or deformities, or may be a result of an injury or infection. Always consult your child's physician for a diagnosis.

How is scoliosis diagnosed?

In addition to a complete medical history and physical examination, x-rays (a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film) are the primary diagnostic tool for scoliosis. In establishing a diagnosis of scoliosis, the physician measures the degree of spinal curvature on the x-ray.
The following other diagnostic procedures may be performed for nonidiopathic curvatures, atypical curve patterns, or congenital scoliosis:

magnetic resonance imaging (MRI) - a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.
computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.

Early detection of scoliosis is most important for successful treatment. Pediatricians or family physicians, and even some school programs, routinely look for signs that scoliosis may be present.

Treatment of scoliosis:

Specific treatment of scoliosis will be determined by your child's physician based on:

your child's age, overall health, and medical history
the extent of the condition
your child's tolerance for specific medications, procedures, or therapies
expectations for the course of the condition
your opinion or preference

The goal of treatment is to stop the progression of the curve and prevent deformity. Treatment may include:

observation and repeated examinations
Observation and repeated examinations may be necessary to determine if the spine is continuing to curve. Progression of the curve depends upon the amount of skeletal growth, or the skeletal maturity of the child. Curve progression slows down or stops after the child reaches puberty.
bracing
Bracing may be used when the curve measures between 25 to 40 degrees on an x-ray, but skeletal growth remains. The type of brace and the amount of time spent in the brace will depend on your child's condition.
surgery
Surgery may be recommended when the curve measures 50 degrees or more on an x-ray and bracing is not successful in slowing down the progression of the curve.

According to the Scoliosis Research Society, there is no scientific evidence to show that other methods for treating scoliosis (i.e., manipulation, electrical stimulation, and corrective exercise) prevent the progression of the disease.

Long-term outlook for a child with scoliosis:

The management of scoliosis is individualized for each child depending on his/her age, amount of curvature, and amount of time remaining for skeletal growth. Scoliosis will require frequent examinations by your child's physician to monitor the curve as your child grows and develops. Early detection is important. If left untreated, scoliosis can cause problems with heart and lung function.
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مستقبل كليه العلاج الطبيعى

موضوع: رد: Scoliosis الجمعة يونيو 22, 2007 7:43 pm

ياه فكرتنا بالترم التانى والسكاشن
بس انا كنت بفكر يا دكتور حمادة
ان احنا نعمل فيديوا لكل السكاشن العملى للسنة اولى
وكمان بتاعت سنة تانية بحيث نستفيد بيها بعد كده
انتا فكرتنى بالفكرة ده لانها كانت فى بالى
حتى الاسطوانة ده ممكن نستفيد بيها بعد كده ونفتكر احنا اخدنا ايه
واعتقد انها بتمثل جزء كبير من شغلنا
ايه رأ]ك فى الفكرة وعارف انك ها توافق بس ازاى نعملها
عاوزك تمخمخ فيها وانا ايدى على كتفك

موضوع: رد: Scoliosis الجمعة يونيو 22, 2007 7:51 pm

الحوار كله محتاج مكان ولو اوضه عند اى حد وكاميرا محترمه مثلا n93 وسيب الباقى عليا
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مستقبل كليه العلاج الطبيعى

موضوع: رد: Scoliosis الأربعاء يونيو 27, 2007 12:53 am

الكلام سهل بس التنفيذ؟؟؟؟؟؟؟؟؟

موضوع: رد: Scoliosis الأحد يوليو 22, 2007 4:22 pm

Scoliosis: is considered a lateral curvature of the spine. Usualy occures due to bad habbites (like watching T.V. with wrong sitting position) or in muscle weakness over one side of the pine which will lead to scoliosis or other defaults of the vertebrae of the spine.

There are two types of scoliosis:

a) c- scoliosis: is the first stage of the scoliosis and usually occurs due to the other causes.

b) s- scoliosis: is the final stage of scoliosis and occurs due to the long term effect of the c- scoliosis.

Note: The two picture up the page is S- scoliosis types.

موضوع: رد: Scoliosis الأحد يوليو 22, 2007 5:16 pm

ahm haga el tanfez

موضوع: رد: Scoliosis الثلاثاء يوليو 31, 2007 12:35 pm

الكاميرا موجوده وممكن نعمل اللى قولتو عليه فى الكلية محدش بيمانع

موضوع: رد: Scoliosis الأحد أغسطس 05, 2007 4:35 pm

a3taked beman3o be2ol lazem ykon fe mo3ed ma3ak
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Love like war ,easy to start ,difficult to end ,impossible to forget

موضوع: رد: Scoliosis الجمعة أغسطس 10, 2007 10:33 pm

thanks alot 4 these information

موضوع: رد: Scoliosis الخميس أغسطس 23, 2007 8:13 pm

thanks alot 4 these information