Abstract
Background Classification systems exist to guide the management of surgery (the King and Lenke systems) and Brace treatments (Cheneau, Rigo and SpineCor). Few exist for the management of physical exercise (Lehnerth-Schroth classification system). The side shift approach to correction of scoliosis curves has been used by therapist at the RNOHT for over15 years. The side shift approach was developed by Mrs Min Mehta, and has been Modified using consensus based evidence of SOSORT. Clinical observations had indicated that not all patients could actively (Auto) correct to beyond the trunk midline, a key principle of Side Shift. At the RNOHT a classification system based upon the ability of an individual to auto-correct the spine during a side shift movement has been developed to aid the appropriate application of the shift exercises, and allow future comparative analysis. Consecutive patients who have AIS, seen by the author and 1 colleague in the calendar year of 2011, were tested for the application of the Side-Shift Classification System. Three types of Side-Shift were developed. Aim To develop a Clinical Classification System for Physical Therapy. To demonstrate if clinical spinal mobility correlates with indications of Side-Shift exercises. Methods
Highlights
Classification systems exist to guide the management of surgery and Brace treatments (Chêneau, Rigo and SpineCor)
To demonstrate if clinical spinal mobility correlates with indications of Side-Shift exercises
Types of Side-Shift Correction are being analysed and compared to diagnosed Curve types, measurements are being recorded of Cobb Angle and Hypermobility Scores and scoliometer measurements
Summary
Classification systems exist to guide the management of surgery (the King and Lenke systems) and Brace treatments (Chêneau, Rigo and SpineCor). Few exist for the management of physical exercise (Lehnerth-Schroth classification system). The side shift approach to correction of scoliosis curves has been used by therapist at the RNOHT for over[15] years. The side shift approach was developed by Mrs Min Mehta, and has been Modified using consensus based evidence of SOSORT. Clinical observations had indicated that not all patients could actively (Auto) correct to beyond the trunk midline, a key principle of Side Shift. At the RNOHT a classification system based upon the ability of an individual to auto-correct the spine during a side shift movement has been developed to aid the appropriate application of the shift exercises, and allow future comparative analysis. To demonstrate if clinical spinal mobility correlates with indications of Side-Shift exercises
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