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Scoliosis Myung Min Sul.

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Presentation on theme: "Scoliosis Myung Min Sul."— Presentation transcript:

1 Scoliosis Myung Min Sul

2 Types of Scoliosis

3 Non – structure cause Come right Bad posture
Stress ( mentality cause ) Disk Inflammation Leg length Stiffness to muscle around pelvic Deformity of bone

4 Structure cause ( Idiopathic )
Make a appearance by the cause ( heraditary, structure, spina Bifida , arthrogryposis, neurofibermatosis. ) It is lacking Softness Don’t easy to come right 80% : Don’t grasp the problem wholly Trunk flexion : asymmetrical

5 Congenital scoliosis Type of curve
Lumbar Thoracic-Lumbar T’ and L’ union Thoracic Cervical-T’ 발생률 (%) 23.6 16 37 22.1 1.3 만곡이 나타나는 평균연령 13.25 14 12.3 11.1 15 만곡 고정되는 평균연령 14.5 15.5 16.1 만곡 범위 T2 – L11 T12 ~ L1 T : T6~T10 L : T11~L4 T6 ~ T11 C7, T1~T4 만곡 정점 L1& L2 T11 & L2 T7 & T8, L2 T8,9 T3 성숙한 상태의 평균각도 Standing 36.8 42.7 T : 51.9 L : 41.4 81.4 34.6 Supine 29.1 35 T : 41.4 L : 37.7 73.8 32.2 Prognosis Good Middle Best bad Don’t see to deformity

6 Rib and vertebral pathology change on the non – structure

7 Example of the scoliosis curve

8 Muscle weakness and shortening type by the postural deviate
Joint ( injury ) muscle ( shortness ) Major Weak muscle 전면자세 환추후두관절 경추 측두하악관절 견갑흉추관절 상완관절 견갑거근 흉쇄유돌근 사각근 하후두근 상부 승모근 대,소흉근 설근 하부경추와 흉추직립근 중,하부 승모근 방형근 척추만곡변형자세 흉요추 골반관절 고관절 상복근 내늑간근 고관절 신전근 하부요추신전근 하복근 하흉추신전근 고관절 굴곡근 전만증 요추 신전근 긴장성 고관절굴곡근 복근 후만증 흉추 내늑간근, 대흉근, 전거근, 견갑거근, 상부 승모근 흉추 직립근, 방형근, 편평한 등 요추 요추 신전근 고관절 굴곡근

9 편평한 상부 경흉추 견갑흉추관절 흉추직립근 견갑후인근 견갑전인근 전내늑간근 전만증 경흉요추 골반관절 고관절 족부관절 오목한 부분의 근육 고관절 내전근 짧은쪽의 족부 회외근 튀어나온부분의 근육 고관절 이전근 긴쪽의 족부 회내근

10 Observation Anterior view

11 Functional Design Posture

12 side view

13 Posterior view Inferior of scapular PSIS

14 Pain point A/o : atlas – Occipital C/T : Cervical – Thoracic
T/L : Thoracic – Lumbar L/S : Lumbar - Sacrum

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16 Muscle Training

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19 Is your Child’s Backpack Making The Grade ?

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