Beruflich Dokumente
Kultur Dokumente
Journal Reading by :
Andi Besse Fatriyani (C11109361)
Titis Yunvicasari (C11109307)
Ahmad Rais Dahyar (C11109755)
Mohd. Rifaie Ramli (C11106243)
Advisor:
dr. Rangga Arieza
dr. Arnold Darmawan
dr. Herbert Yurianto
Supervisor:
dr. Jainal Arifin, M.Kes, Sp.OT
Introduction
Defined as a lateral curvature of the spine
Continue
Categorized by cause
Congenital
Neuromuscular
Dysfunction of the peripheral neuromuscular
unit
Idiopathic
Classification
Idiopathic Scoliosis subclassified as :
Type Infantile : (Birth Up to 3 Years of Age)
Type Juvenile : (3 to 10 Years of Age)
Type Adolescent : (Older than 10 Years of Age)
Epidemiology
1.6% of high-school students have a
examination
to
rule
out
hereditary
connective-tissue disorders.
The diagnosis of scoliosis is suspected on the basis
of
physical
examination
and
is
confirmed
by
adolescents
with
nonprogressive
idiopathic
Evaluation
Classic findings of scoliosis on examination
are
Shoulder and scapular asymmetry,
Asymmetry of the waist and trunk
Rib prominence on forward flexion on the
Adams test
Adam Test
Radiographic findings
PA and lateral radiograph of the spine from C7
Radiograph
ic findings
Right thoracic scoliosis of
26 degrees from the 4th to
the 10th thoracic Vertebrae
Secondary curve of 15
degrees to the left is shown
in
the lumbar spine
Treatment
Nonprogressive no need treatment
Divided into 2
Nonoperative Therapy
Treatment
Nonperative Therapy
Operative Therapy
Algorithm
for the
Diagnosis
and
Manageme
nt of
Scoliosis in
an
Adolescent
with an
Asymmetri
c Posture.
Areas of uncertainty
School-based screening for
(currently
studied)
mandated to improved
outcome.
Bracing
scoliosis
is
is
frequently
used,
but
its
effectiveness remains uncertain
The role of surgery is controversial in patients
with a mature skeleton and a curvature
greater than 50 degrees but without pain or
appreciable progression
Areas of uncertainty
(currently studied)
A genetic-screening test is available but it has
Guidelines
American Academy of Pediatrics, Scoliosis
Conclusions
and Recommendations
Physical
Conclusions
and Recommendations
Thank you
heres a video on scoliosis examination
VIDEO