Bazán PL

Language: Spanish
References: 11
Page: 95-101
PDF size: 71.30 Kb.

ABSTRACT

Non-surgical treatment of idiopathic scoliosis, can be realized either by general Orthopaedic surgeon or specialist dedicated to spinal pathologies. The different therapeutic alternatives includes: observation, rehabilitation exercises, the correction of posture, swimming, physical therapy, physiokinesiotherapy, and the use of orthotic devices. Actually, the exercise programs for the posture correction, physical therapy and kinesiology has not been shown to be effective in changing the natural evolution of scoliosis. It is recommended a periodic, clinical and radiographic observation every four to six months in patients with idiopathic scoliosis with growth potential only in less than 25° curves. Patients with curves that are greater than 20 or 25° and less than 40 or 45° and growth potential are appropriate to be dealt with through the use of the corset. Exercises in swimming pool should be preferred; however, must be carried out as a complement to the use of orthesis. The sport’s impact are not recommended; The Milwaukee brace is offering better results but that has less acceptance among patients. The corsets to go under the shoulder (Boston and Wilmington) have better acceptance and it is indicated in low thoracic and thoracolumbar scoliosis. There is no Evidence I work on the actual result and the role that plays the use of the corset in the treatment of idiopathic scoliosis.

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