Scoliosis Physiotherapy Mississauga

The spine has natural curves in “sagittal” (side view) plane, at neck, trunk and at low back which aligns the head and pelvis, and act as shock absorber to various mechanical stress during everyday movements. But when there is abnormal spinal curvature in “frontal” plane or more than one plane, it is termed as scoliosis. Scoliosis can develop in infancy or early childhood.  Children with Marked scoliosis have deformed thoracic cage that leads to restrictive lung disorder, often accompanied by ventilation perfusion mismatch. All the patients with mild or moderate scoliosis do not exhibit cardiopulmonary restrictions. They do show a significantly lower tolerance to maximal exercise. Exercise deconditioning in scoliotic patients may also contribute to exercise intolerance.

The extent of scoliosis is measured by Cobb’s angle and vertebral rotation at the spine, based on which treatment plan is decided.                         

  • Cobb angle of 10 degrees: Minimum angle which defines Scoliosis.
  • Between 15- 20 degrees: Physical therapy is initiated along with home exercise program. Regular check up is encouraged till bone matures and stops growing. 
  • Between 20 and 40 degrees: Based upon the severity of the curve and patient’s lifestyle, suitable brace is prescribed. Also, intensive rehabilitation is necessary.
  • 40 – 50 degrees or more: Surgical correction may be required.

TYPES OF SCOLIOSIS      

1. Congenital Scoliosis – by birth
2. Idiopathic Scoliosis (most common, 85%) – develops later during growth. It can be further classified as Infantile, Juvenile, and adolescent idiopathic Scoliosis based on the age at which it develops.

PREVELENCE

Gender and Age: Idiopathic Scoliosis is common in young people over the age of 10 and seen more in females than males (4:1).

 
CLINICAL PRESENTATION
  • Sideways body posture
  • One shoulder raised higher than the other
  • Local muscle and ligament pain
  • Reduced pulmonary function (in severe scoliosis case)
 
DIAGNOSIS

Commonly diagnosed by physical examination, an x-ray, spinal radiograph, CT scan or MRI.

Physiotherapy management of Scoliosis

Idiopathic curves of less than 25 Degree and non-progressive congenital curves are evaluated by clinical examination every 4 to 6 months. 

Conservative therapy includes:

  • physical exercises
  • bracing
  • Breathing exercises combined with the thoracic active mobilizations
  • manipulation
  • electrical stimulation
  • Custom made insoles/ Orthotics.

Scoliosis can be managed with or without brace depending on the cobb’s angle and other assessments. Research shows that tailored exercise program along with brace serves beneficial in scoliosis management. Exercises can positively improve breathing function, muscle strength and postural balance, hence reducing disabilities of patients with scoliosis.

Exercises include spinal stabilization, balance activities, core-strengthening, postural correction, including lateral shifts, flexibility exercises and respiratory activities. Our  physical therapist try to follow the scientific exercises approach to scoliosis (SEAS) protocol. In this approach, the patient activity corrects his own posture with the goal of maximal curve correction and follows a specific exercise program, designed to increase spinal stability, improve balance reaction, and retain the normal curve. 

The Schroth method, introduced the 1930’s also utilizes a personalized exercise protocol made in for each patient individually to achieve maximum postural correction. The Schroth method, strives to decrease curve progression, reduce pain increase vital capacity an improved posture and appearance.

PHYSIOTHERAPY GOALS

  • Restoring alignment of the posture and muscle symmetry
  • Coordination
  • Equilibrium
  • Ergonomic corrections
  • Muscular endurance/ strength
  • Neuro motor control of the spine
  • Increase of ROM
  • Reducing the deformity and preventing its progression
  • Improvement of lung functioning capacity,
  • Pain relief
  • Stabilize the treatment progress achieved hence, limiting the need for corrective bracing or surgery.
 
 
Our registered Orthopedic and sports physiotherapist at Curezone physiotherapy, Mississauga heartland location will help you achieve your goals and have a painfree and healthy experience. 

Call us now at Curezone Physiotherapy at 905 997 4333 and book your appointment or a 5 minute free consultation with one of the best physiotherapist our in our Mississauga in Heartland location.

Sheena John

Registered Physiotherapist

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Scoliosis Physiotherapy Mississauga


The spine has natural curves in “sagittal” (side view) plane, at neck, trunk and at low back which aligns the head and pelvis, and act as shock absorber to various mechanical stress during everyday movements. But when there is abnormal spinal curvature in “frontal” plane or more than one plane, it is termed as scoliosis. Scoliosis can develop in infancy or early childhood.  Children with Marked scoliosis have deformed thoracic cage that leads to restrictive lung disorder, often accompanied by ventilation perfusion mismatch. All the patients with mild or moderate scoliosis do not exhibit cardiopulmonary restrictions. They do show a significantly lower tolerance to maximal exercise. Exercise deconditioning in scoliotic patients may also contribute to exercise intolerance.

The extent of scoliosis is measured by Cobb’s angle and vertebral rotation at the spine, based on which treatment plan is decided.                         

  • Cobb angle of 10 degrees: Minimum angle which defines Scoliosis.
  • Between 15- 20 degrees: Physical therapy is initiated along with home exercise program. Regular check up is encouraged till bone matures and stops growing. 
  • Between 20 and 40 degrees: Based upon the severity of the curve and patient’s lifestyle, suitable brace is prescribed. Also, intensive rehabilitation is necessary.
  • 40 – 50 degrees or more: Surgical correction may be required.

TYPES OF SCOLIOSIS      

1. Congenital Scoliosis – by birth


2. Idiopathic Scoliosis (most common, 85%) – develops later during growth. It can be further classified as Infantile, Juvenile, and adolescent idiopathic Scoliosis based on the age at which it develops.

PREVELENCE

Gender and Age: Idiopathic Scoliosis is common in young people over the age of 10 and seen more in females than males (4:1).

 
CLINICAL PRESENTATION
  • Sideways body posture
  • One shoulder raised higher than the other
  • Local muscle and ligament pain
  • Reduced pulmonary function (in severe scoliosis case)
 
DIAGNOSIS

Commonly diagnosed by physical examination, an x-ray, spinal radiograph, CT scan or MRI.

Physiotherapy management of Scoliosis

Idiopathic curves of less than 25 Degree and non-progressive congenital curves are evaluated by clinical examination every 4 to 6 months. 

Conservative therapy includes:

  • physical exercises
  • bracing
  • Breathing exercises combined with the thoracic active mobilizations
  • manipulation
  • electrical stimulation
  • Custom made insoles/ Orthotics.

Scoliosis can be managed with or without brace depending on the cobb’s angle and other assessments. Research shows that tailored exercise program along with brace serves beneficial in scoliosis management. Exercises can positively improve breathing function, muscle strength and postural balance, hence reducing disabilities of patients with scoliosis.

Exercises include spinal stabilization, balance activities, core-strengthening, postural correction, including lateral shifts, flexibility exercises and respiratory activities. Our  physical therapist try to follow the scientific exercises approach to scoliosis (SEAS) protocol. In this approach, the patient activity corrects his own posture with the goal of maximal curve correction and follows a specific exercise program, designed to increase spinal stability, improve balance reaction, and retain the normal curve. 

The Schroth method, introduced the 1930’s also utilizes a personalized exercise protocol made in for each patient individually to achieve maximum postural correction. The Schroth method, strives to decrease curve progression, reduce pain increase vital capacity an improved posture and appearance.

PHYSIOTHERAPY GOALS

  • Restoring alignment of the posture and muscle symmetry
  • Coordination
  • Equilibrium
  • Ergonomic corrections
  • Muscular endurance/ strength
  • Neuro motor control of the spine
  • Increase of ROM
  • Reducing the deformity and preventing its progression
  • Improvement of lung functioning capacity,
  • Pain relief
  • Stabilize the treatment progress achieved hence, limiting the need for corrective bracing or surgery.
 
 
Our registered Orthopedic and sports physiotherapist at Curezone physiotherapy, Mississauga heartland location will help you achieve your goals and have a painfree and healthy experience. 

Call us now at Curezone Physiotherapy at 905 997 4333 and book your appointment or a 5 minute free consultation with one of the best physiotherapist our in our Mississauga in Heartland location.

Sheena John

Registered Physiotherapist

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