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Non-surgical treatment (conservative treatment) should be pro-active with intervention performed early as "Best results were obtained in 10-25 degrees scoliosis which is a good indication to start therapy before more structural changes within the spine establish." [2] Treatment options have historically been categorized under the following types:
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Relieve pressure on nerves, especially spinal nerves; Prevent or reduce skeletal deformities or muscle contractures; To provide a fusiform tamponade around a bleeding vessel; In most cases traction is only one part of the treatment plan of a patient needing such therapy. The physician's order will contain: Type of traction; Amount of weight to ...
The McKenzie protocol also now includes flexion protocols and stresses the importance of differentiating whether flexion or extension improves patient's symptoms. As a result, McKenzie principles are used by many physical therapists in the treatment of low back pain, whereas Williams Exercises are no longer taught as a physical therapy protocol.
Physical therapists can improve the quality of life of individuals with spinal cord injury by developing exercise programs that are tailored to meet individual patient needs. Adapted physical activity equipment can also be used to allow for sport participation: for example, sit-skiis can be used by individuals with a spinal cord injury for ...
Spinal manipulation is an intervention performed on synovial joints of the spine, including the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. It is typically applied with therapeutic intent, most commonly for the treatment of low back pain. [1]
During a treatment, the practitioner palpates the patient's spine. If any 'unbalanced' areas are found, possible underlying misalignments are palpated with gentle pressure using the thumb or hand against the spinous processes , while the patient enacts guided movements such as swinging the leg or arms to distract the muscles' inertia; this is ...
PPIVM assessments test the movement available at a specific spinal level through the application of a passive physiological movement. [ 1 ] [ 2 ] Cervical PPIVMs can be performed in cervical lateral flexion or rotation, with the therapist restricting movement beyond a certain cervical level by blocking with the hand; this allows the ...
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