Scoliosis Treatment Guidelines

Draping and Positioning

  • Side-lying on convex side
  • Pillow under area of curve
    • Verbalize and physically check pillows are in place and secure
    • Ask client about comfort

Hydrotherapy

  • Heat on concave side
  • State 5 – 10 minutes, be sure to verbally, visual and touch area

Specific Treatment

  • Muscles within “Cave” are short and high tone ( ex. Multfidi, Erectors)
  • Muscles on convex side are long and weak ( ex. Multifidi, Erectors)
  • Outside curve, on concave side are long and weak (ex. scalenes, QLs)
  • Outside curve on convex side are short and high tone (ex. scalenes, QL, Psoas)

T-Spine (Short)

Concave

  • Intercostals
  • Serratus Anterior
  • Erectors
  • Multifidus

Convex

  • Scalenes
  • QLs
  • Rhomboids
  • Psoas
  • Glute Med
  • Upper traps

Be sure to do 2 neuromuscular techniques, negotiate trigger points, heat and stretch

T-Spine Curve (Long)

Concave

  • QLs
  • Upper traps
  • Rhomboids
  • Scalenes

Convex

  • Erectors
  • Multifidi
  • Serratus Anterior
  • Lattissimus Dorsi

Perform 2 neuromuscular techniques, apply cold hydrotherapy, perform ice massage, strengthen that side

Joint Mobilization

  • Rib springing on concave side
  • Posterior- Anterior glide on convex side, state grade 1 or 2 oscillations
  • Rotation towards convex side, when pushing spinous process

Communication

  • Check in with draping and pillowing
  • Check in with technique, joint mobilizations and hydrotherapy
  • Explain reasoning to lengthen and shorten muscles

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