One type of structural scoliosis is juvenile idiopathic scoliosis, which is specific for children between the ages of 4 and 10 yrs. Treatment can be conservative or operative. In the example I present, we are talking about a 6-year-old boy who was diagnosed with juvenile idiopathic scoliosis (left picture). The recommendation of the specialist was orthosis and surgery. Functional exam revealed good mobility of the hips and spine, but poor postural stabilization and poor trunk strength. We recommended exercise therapy (supervised exercise and home-based exercise) focused on the observed motor deficiencies. The whole process was supervised by my friend and collaborator, member of the Motus Melior team, Professor Nejc Šarabon. After 4 months, a control functional exam and RTG was performed. A significant improvement in trunk strength by >50%, particularly in lateral flexion, was observed. Also, postural stabilization was also markedly improved. Finally, control RTG clearly showed marked reduction of scoliosis. Additional home-based work on trunk strength and postural stabilization was recommended. This example illustrates that successful management of musculoskeletal conditions requires an integration of patho-anatomical (‘structural’) and patho-functional (‘functional’) approach.
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