New Tests for Early Screening of the So a Called Idiopathic Scoliosis
a) New tests for scoliosis n the diagnosis of so-called idiopathic scoliosis we should use widely known old tests such as Adams & Meyer test, symmetry or asymmetry of waist test, but also new tests like – the side bending test for scoliosis (Lublin test), a test checking the habit of standing ‘at ease’– on the right versus on the left leg, Dunkan Elly – test to discover the flexion contracture of hips making “anterior tilt of pelvis”, pelvis rotation test (a new test since 2006), the adduction of hips test (similar to Ober test).This “adductions test” is deciding in new classification of scoliosis, explain character of scoliosis, place and character of curves, stiffness or flexibility of spine. All tests are presented below. List of the old and new tests (Fig. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10) and clinical changes enabling an early discovery of scoliosis. The list of the new tests and symptoms (doctor’s/examination questions and answers) are important to recognize an early stage of scoliosis: Test of adduction of both hips (in extension position of joints – like the Ober test). Important is also checking the flexion contracture of the hips and the external rotation contracture of the right hip. The are three models of movements of right / left hip and in consequence three groups and four types of scoliosis. Below we describe tests using for early discovery of scoliosis (Figures 1 – 10): 1. Bending test for scoliosis – Adams/Meyer test. Flexion test performed with bent spine (and the whole of the body). When the shape is round it is good / proper, when stiff and in straight contracture – there is (it shows) the beginning of scoliosis. 2. Side bending test for scoliosis (bending to the left and to the right leg during standing in abduction), also called Karski or Lublin test, it is a modified Adams/Meyer test – more sensible as Adams test. A specially – in “C” II/A scoliosis and II/B group of scoliosis show very early beginning of deformity.
