Neuropathological Aspects of Conservative Treatment of Scoliosis. A Theoretical View Point. Krzysztof Czupryna , Olga Nowotny-Czupryna , Janusz Nowotny Ortop Traumatol Rehabil 2012; 14(2):103-114 ICID: 992293
Article type: Review article
IC™ Value: 2.40
Abstract provided by Publisher
An upright body posture cannot be maintained passively for reasons including a high location of the centre of gravity (COG) and a small support area. Proper alignment of body parts is maintained au-tomatically, tending towards a pattern encoded in the CNS. A particularly important role in posture regulation is played by the short muscles of the back, which respond to being stretched with a con-traction.During the early phase of scoliosis, the CNS automatically corrects abnormalities, but over time ha-bituation occurs and the CNS treats them as something normal. Any attempt to restore proper body alignment is treated as an error and CNS automatically restores this abnormal pattern. With a pro-longed deviation in body part alignment, CNS treats it as a defect and runs compensatory mecha-nisms to restore the balance of the body as a whole. Balance is ensured by postural compensation, but this does not restore proper body part alignment.In the treatment of scoliosis, it is important both to slow down progression and to prevent the de-velopment of abnormal postural habits, which are part of a vicious circle even without progression. Secondary prevention is therefore needed in all patients. Passive observation limits the possibilities for prevention and contradicts the principle of early implementation of rehabilitation.Depending on the size of the angle of curvature, recommended treatments of scoliosis comprise ob-servation, corset bracing, and surgery. Physiotherapy is often treated as an unconventional and inef-fective treatment. Often, the biggest problem is transferring the resulting correction to automatic maintenance of a correct posture in the vertical position. The aim of this paper was to discuss the conservative treatment of scoliosis with regard to difficulties maintaining the correct alignment of the body parts in the vertical position that accompany scoliosis.
DOI 10.5604/15093492.992293 PMID 22619095 - click here to show this article in PubMed