Risks and long-term complications of adolescent idiopathic scoliosis surgery versus non-surgical and natural history outcomes.Hard Tissue. For citation purposes: Weiss HR, Moramarco M, Moramarco K.
Risks and long-term complications of adolescent idiopathic scoliosis surgery versus non-surgical and natural history outcomes. Hard Tissue 2013 Apr 30;2(3):27. Critical review Spinal Surgery HR Weiss1*, M Moramarco2, K Moramarco2 Authors affiliations (1) Orthopedic Rehabilitation Services, 55457 Gensingen, Germany (2) Scoliosis 3DC, 3 Baldwin Green Common, Suite 204,Woburn, MA 01801, USA * Corresponding author Email: hr.weiss@skoliose-dr-weiss.com Abstract Introduction Recently, a paper was published containing the long-term results of the first ‘modern’ double rod instrumentation, the Cotrel–Dubousset instrumentation. 1748 7161 8 S2 O9. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner” Adolescent idiopathic scoliosis (AIS) is the most common pediatric spinal deformity.
It progresses most rapidly during the pubertal growth spurt. The prevalence in the general adolescent population has been reported to be up to 5.2 % [1] and the annual incidence about 2 % [2]. Rapid scoliosis progression leads to decreased self-esteem [3], mental health concerns [4], pain [5, 6, 7, 8], respiratory complications [9] and limited function [6, 7].
These observations justify efforts to start the treatment early before the pubertal growth. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner” Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic. The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study. The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study. MMS: Error. MMS: Error.
Vital Capacity. Pelvic parameters: origin and significance. Scoliosis - treatment indications according to current evidence.OA Musculoskeletal Medicine. For citation purposes: Weiss HR, Moramarco M.
Scoliosis - treatment indications according to current evidence. OA Musculoskeletal Medicine 2013 Mar 01;1(1):1. Critical Review Management HR Weiss1*, M Moramarco2* Authors affiliations (1) Orthopedic Rehabilitation Services ‘Gesundheitsforum Nahetal’, Gensingen, Germany (2) Scoliosis 3DC, Baldwin Green Common, Suite 204, Woburn, MA, USA * Corresponding authors Emails: hr.weiss@skoliose-dr-weiss.com, marc@drmoramarco.com Abstract Introduction. Scoliosis - treatment indications according to current evidence.OA Musculoskeletal Medicine. The method of Katharina Schroth - history, principles and current development. Rehabilitation of adolescent patients with scoliosis. Development and preliminary validation of Brace Questionnaire (BrQ): a new instrument for measuring quality of life of brace treated scoliotics. Beyond definition, quality in health care is determined by the application of the right method of care to the patient's condition in the most effective manner possible and by the nature of the interaction between the patient and the provider [31].
This subjective aspect of quality is the portion of the outcome measures that BrQ is attempting to quantify. Climent and Sanchez in their study of adolescents with spinal deformities contended that QoL variables include the Risser sign, clinical diagnosis, duration of brace treatment, and degree of correction [32]. These variables do not constitute a significant measurement of patient wellbeing, are more related to the diagnostic evaluation and do nothing to alter one's perception of happiness.
Health educators, school nurses, and clinicians need to be aware of social well-being factors, and how these factors relate to psychosocial functioning [33]. It could be argued that a possible bias was present in the item selection phase. The Trunk Appearance Perception Scale (TAPS): a new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis. The characteristics of the Trunk Appearance Perception Scale demonstrate that it is a valid instrument to evaluate the subjective perception of the trunk deformity in patients with idiopathic scoliosis.
The floor and ceiling effects of the TAPS (1.6% and 3.8%, respectively) compare favorably with those of the WRVAS, in which the majority of the figures have a floor effect greater than 15% [9]. These data suggest that the TAPS may be sensitive to the changes that occur following a specific treatment. Monitoring of changes in trunk rotation during scoliosis physiotherapy. Reliability and validity of the adapted Greek version of scoliosis research society – 22 (SRS-22) questionnaire. Reliability and validity of the adapted Greek version of scoliosis research society – 22 (SRS-22) questionnaire. TRACE (Trunk Aesthetic Clinical Evaluation), a routine clinical tool to evaluate aesthetics in scoliosis patients: development from the Aesthetic Index (AI) and repeatability.
With this paper we aimed to develop a routine clinical tool for aesthetic evaluation of scoliosis patients, evolving from our yearly experience in grading some parameters (shoulders, scapulae, waist).
The goal was to verify the intra- and inter-rater repeatability, but most of all the sensitivity to change in a clinical setting. A secondary aim was to build on our experience to develop a new tool to be studied. Our first evaluation showed an overall fair repeatability for AI. Buchanan et al. [13] found a similar reliability for the intra- and inter-observer cosmetic deformity rating among a group of orthopaedic surgeons.
However, the present study revealed a low sensitivity of AI to changes; indeed, a three-point change out of seven is the minimum change that could be considered significant. The Trunk Appearance Perception Scale (TAPS): a new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis. Pelvic parameters: origin and significance. Methodology of evaluation of morphology of the spine and the trunk in idiopathic scoliosis and other spinal deformities - 6th SOSORT consensus paper. The typical steps [7] of the Delphi method [6] were performed.
After the topic of the consensus was defined, the group of experts in scoliosis treatment comprising SOSORT members was constructed, based on the professionals participating to previous consensus procedures. The first questionnaire was prepared, checked by the authors and distributed via e-mails among the SOSORT Board Members. The responses were analyzed and the Pre-Meeting Questionnaire (PMQ) was created (Additional File 1), then distributed electronically among the participants. The answers to PMQ were collected and analyzed, then the Meeting Questionnaire (MQ) was prepared (Additional File 2). During the SOSORT Annual Meeting the Consensus Session was organized, chaired by the first author (T.K.). The development and refinement of the questionnaire aimed to select the domains of primary importance for patient evaluation.
Γωνία Cobb. H γωνία Cobb πήρε το όνομα της από τον Αμερικανό χειρούργο ορθοπεδικό John Robert Cobb (1903-1967), ο οποίος ήταν ο πρώτος που την χρησιμοποίησε το 1947 για να μετρήσει το μέγεθος της σκολίωσης σε ακτινογραφία.
Σήμερα, αποτελεί τον κλασσικότερο και πιο διαδεδομένο τρόπο αξιολόγησης του μεγέθους της σκολίωσης. Γενικά, σύμφωνα με την SRS, μετρήσεις της γωνίας Cobb λιγότερο από 10 μοίρες δεν θεωρούνται καν σκολιώσεις. Η μέτρηση της γωνίας Cobb αποκτά ιδιαίτερη σημασία στην διάγνωση της πάθησης, στην επιλογή της καταλληλότερης θεραπείας για την σκολίωση, όπως και στην αξιολόγηση της εξέλιξης της. Για να μετρηθεί η γωνία Cobb, θα πρέπει πρώτα να εντοπιστούν οι δύο σπόνδυλοι του κυρτώματος με την μεγαλύτερη κλίση (most tilted upper vertebra-most tilted lower vertebra).
Στην συνέχεια μία γραμμή χαράσσεται στο άνω άκρο (endplate) του επάνω σπονδύλου και αντίστοιχα μία γραμμή στο κάτω άκρο του κάτω σπονδύλου. Scoliosis - treatment indications according to current evidence.OA Musculoskeletal Medicine. 1237. 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. SOSORT has published in Scoliosis Journal two Consensus Papers on bracing titled "SOSORT consensus paper on brace action: TLSO biomechanics of correction (investigating the rationale for force vector selection)" [130], and "Guidelines on "Standards of management of idiopathic scoliosis with corrective braces in everyday clinics and in clinical research": SOSORT Consensus 2008" [114]: they can serve as reference for specific insights.
Efficacy in adolescents Recently a Cochrane review [131, 132] has been published, that found that there is very low quality evidence in favor of using braces, making generalization very difficult. The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study. Scoliosis - treatment indications according to current evidence.OA Musculoskeletal Medicine.
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If your browser does not accept cookies, you cannot view this site. Setting Your Browser to Accept Cookies There are many reasons why a cookie could not be set correctly. Below are the most common reasons: You have cookies disabled in your browser. Why Does this Site Require Cookies? This site uses cookies to improve performance by remembering that you are logged in when you go from page to page. Screening for the Early Detection for Idiopathic Scoliosis in Adolescents. Το αποτέλεσμα της μεθόδου Schroth, όταν προστίθεται στο πρόγραμμα θεραπείας, στην ποιότητα ζωής και στην μυϊκή αντοχή σε εφήβους με Ιδιοπαθή Σκολίωση – Τυχαιοποιημένη Ελεγχόμενη Έρευνα (RCT): Βραβείο καλύτερης έρευνας SOSORT 2015. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis-an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner” Schreiber S, Parent E, Moez EK, Hedden D, Hill D, Moreau M, Lou E, Watkins E, Southon S Scoliosis 2015, 10:24 Η έρευνα πραγματοποιήθηκε στον Καναδά, από ομάδα επιστημόνων που εφάρμοσαν τις ασκήσεις της μεθόδου σαν συμπληρωματικό θεραπευτικό στοιχείο στην συνήθη θεραπεία στην Βόρειο Αμερική, που είναι απλή παρακολούθηση ή κηδεμόνας.
2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. SOSORT has published in Scoliosis Journal two Consensus Papers on bracing titled "SOSORT consensus paper on brace action: TLSO biomechanics of correction (investigating the rationale for force vector selection)" [130], and "Guidelines on "Standards of management of idiopathic scoliosis with corrective braces in everyday clinics and in clinical research": SOSORT Consensus 2008" [114]: they can serve as reference for specific insights. Efficacy in adolescents Recently a Cochrane review [131, 132] has been published, that found that there is very low quality evidence in favor of using braces, making generalization very difficult. SOBOTTA, ΑΤΛΑΝΤΑΣ ΑΝΑΤΟΜΙΚΗΣ ΤΟΥ ΑΝΘΡΩΠΟΥ (ΔΕΥΤΕΡΟΣ ΤΟΜΟΣ) / SOBOTTA J.
Άτλας Ανατομίας - in.gr. Η ανθρώπινη ανατομία μπορεί να περιγραφεί με τρόπο κατανοητό σε όλους. Νέα έκδοση 2009 Αφήστε τον πολυτελή Άτλαντα Ανατομίας να σας ξεναγήσει στο μαγικό κόσμο του ανθρώπινου σώματος. Στις σελίδες του απεικονίζονται με μεγάλη λεπτομέρεια τα όργανα και τα μέρη του σώματος, ενώ οι πολύπλοκες λειτουργίες των συστημάτων του οργανισμού παρουσιάζονται και αναλύονται από τη συντακτική ομάδα τού παγκοσμίως φημισμένου άτλαντα Sobotta.
Επιπλέον, παρουσιάζονται και εξηγούνται με σαφήνεια οι συνηθέστερες παθήσεις και δυσλειτουργίες, μαζί με τις αντίστοιχες καθιερωμένες διαγνωστικές και θεραπευτικές μεθόδους. Εμπλουτισμένος με περισσότερες από 600 υψηλής ποιότητας εκόνες, ο Άτλας Ανατομίας αποτελεί το τέλειο εργαλείο για ένα γοητευτικό όσο και διδακτικό ταξίδι σε έναν πανταχού παρόντα κι όμως κρυμμένο κόσμο. Το ιδανικό βοήθημα για τον ιατρό και το φοιτητή, αλλά και για όποιον χρειάζεται αξιόπιστες ιατρικές πληροφορίες. Εγχειρίδιο περιγραφικής ανατομικής. Skroutz.