Research
Therapy and Prophylaxis of the So a Called Idiopathic Scoliosis. Old and New Exercises. Results. Examples
Till 1995 the aetiology of idiopathic scoliosis was no found and treatment by extension exercises was the most common method of therapy. The observation about scoliosis are finished in 2007 – T. Karski. On basis of ours observations (1985 – 2014) we can underlined that all extension exercises, other name - strengthening exercises, were and still are - wrong and harmful. All patients coming to our Department after such previous therapy suffered from huge deformities, bigger humps and stiffness of the spine. To explain these undesirable results of the treatment the term “the natural history of scoliosis†was coined. We studied that all strengthened exercises other name extensions exercises, in prone position exercises, “muscle corset†making exercises, were only bad, making huge iatrogenic deformity of spine and trunk.
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 pelvisâ€, 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.
Biomechanical Aetiology of the So-Called Idiopathic Scoliosis. New Classification (1995 a 2007) in Connection with aoModel of Hips Movementsa
The article describes the biomechanical aetiology of the so-called idiopathic scoliosis (1995 – 2007), known as an adolescent idiopathic scoliosis (AIS). The first lecture dealing with the issue was delivered in Hungary in 1995. The first publication was made in Germany in 1996 (Orthopädische Praxis). Biomechanical development of scoliosis. The scoliosis appears as the secondary deformity originating in the asymmetry of hips’ position and movement described by Prof. Hans Mau in articles about Syndrome of Contractures (Fig. 1, 2a, 2b, 3, 4a, 4b, 4c). Next - while walking and while standing ‘at ease’ on the right leg (T. Karski). The research proves that the right leg is the preferred one over the years for standing. This phenomenon is because of better stability of right leg in region of right hip during standing and this is because of smaller adduction in straight position of joint. Every type of scoliosis starts to develop at the time when the child starts to stand and walk. Depending of types of scoliosis is a special characterise of patho-morphology of deformity of spine and their various properties. To explain in details the biomechanical aetiology we must remember about the three asymmetries causing the development of scoliosis:
