China
Africa
Explore chapters and articles related to this topic
Adolescent Idiopathic Scoliosis
Published in Kelechi Eseonu, Nicolas Beresford-Cleary, Spine Surgery Vivas for the FRCS (Tr & Orth), 2022
Kelechi Eseonu, Nicolas Beresford-Cleary
A scoliometer is an instrument that is placed on the back and can be used to provide an objective measure of curve rotation. Always perform a gait assessment (ask the patient to walk while observing from the back, front and side).
Evaluation of the Spine in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
Ashish Dagar, Sarvdeep Singh Dhatt, Deepak Neradi, Vijay G Goni
A scoliometer can also be used in this position to measure rib hump. Rib hump becomes more prominent in a flexed position. Rib hump is seen on the side of convexity of a spinal curve, but anterior rib hump is prominent on the side of concavity of the spinal curve. Shoulder asymmetry: This can be measured by measuring the angle between the line passing through both the coracoid processes and a horizontal reference line.Limb length and pelvic obliquity: Limb length discrepancy can give rise to spinal deformity. Correction of limb length should be included in the management plan. Pelvic obliquity arising out of internal pelvic pathologies or hip joint pathologies should be considered in the final management plan.
Preoperative Diagnosis and Management
Published in Alaaeldin (Alaa) Azmi Ahmad, Aakash Agarwal, Early-Onset Scoliosis, 2021
The coronal and sagittal profile of the back should be assessed. In cases with dystrophic neurofibromatosis, sharp, angular, rapidly progressive kyphoscoliosis can be suspected. Limb length discrepancy, equinus, and pelvic obliquity should be properly assessed. A thorough musculoskeletal examination should be conducted, including examination of the hips and feet, to see if there is any hip dysplasia or foot deformity. Having the patient perform the Adam’s forward bending test and the use of cubes for short limbs will help to assess the patient clinically. Hand and ligamentous laxity need to be assessed to exclude syndromatic cases, and legs and forearms should be examined for dystrophic skeletal changes as anticipated in neurofibromatosis. If the facility does not have a scoliometer, assessment of rib hump may be assessed by appearance, meaning that rotation is more than 30°. Chest expansion is evaluated by measuring chest wall circumference with a tap below the nipple.
Assessment of the coronal plane trunk symmetry in children
Published in Physiotherapy Theory and Practice, 2020
Anna Matlęga, Jolanta Stępowska, Andrzej Wiśniewski, Jan Gajewski
Traditionally, the clinical assessment of the trunk symmetry has been based on qualitative visual evaluation of the anterior and posterior surfaces of the trunk. In addition to the analysis of skeletal X-rays, assessment of trunk symmetry from two-dimensional (2D) or three-dimensional (3D) images in the coronal plane was proposed (Boulay et al., 2006; Fortin, Feldman, Cheriet, and Labelle, 2010; Kotwicki, Kinel, Chowanska, and Bodnar-Nanus, 2008; Minguez, Buendia, Cibrian, and Salvador, 2007; Parent et al., 2010; Stokes, Armstrong, and Moreland, 1988; Stokes and Moreland, 1987). The introduction of quantitative methods of assessment of the coronal plane trunk symmetry resulted from the need to facilitate early recognition of faulty posture which is common in children and adolescents (Kuniharu, Suzuki, and Toshiaki, 1998; Stolinski, Kotwicki, Czaprowski, and Chowanska, 2012). There are some useful tools to analyze the surface of the back in 3D, for example: Quantum, the Integrated Shape Imaging System; and Diers Formetric (Fessler, Prevot, and Hilt, 2002; Hilt, Fessler, and Prevot, 2000; Patias et al., 2010; Saltikov et al., 2002; Warren, 2002) To be able to clinically follow-up children with spinal deformities without expensive machines we can also simply measure the angle of trunk rotation using a scoliometer (Gieysztor, Sadowska, Choinska, and Paprocka-Borowicz, 2018).
Identification of the most relevant intervertebral effort indicators during gait of adolescents with idiopathic scoliosis
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2020
Samadi B, Raison M, Achiche S, Fortin C
To perform the data collection procedure, 15 adolescents with AIS (5 males, mean (SD)- age:14.1 y (±1.3) (range: 12-16 years), weight: 48.9 kg (±9.4), height: 1.60 m (±0.1) and 12 TDA as the control group (5 males, mean (SD) age:13.4 y (±1.8) (range: 11-16 years), weight: 44.4 kg (±13), height: 1.55 m (±0.10) were recruited in this study. The AIS group included six thoracic, six lumbar/thoracolumbar and three double curve types, with the Cobb angle between 12 to 37 degrees (mean(±SD): 26 (±7)). Inclusion criteria: the participants with AIS with the Cobb angle more than 10 degrees and fewer than 50 degrees were recruited. The healthy participants with less than 5 degrees of trunk asymmetry measured by the Scoliometer (National Scoliosis Foundation, Watertown, MA) and without any neuro-musculoskeletal condition were included. All of the participants/parents signed the written consent approved by the research ethics committee of Sainte-Justine University Hospital Centre (UHC) prior to the test.