Neurophysiological basis of rehabilitation of adolescent idiopathic scoliosis

@article{Smania2008NeurophysiologicalBO,
  title={Neurophysiological basis of rehabilitation of adolescent idiopathic scoliosis},
  author={Nicola Smania and Alessandro Picelli and Michele Romano and Stefano Negrini},
  journal={Disability and Rehabilitation},
  year={2008},
  volume={30},
  pages={763 - 771}
}
Background. Knowledge on mechanisms of neurophysiological control of trunk movement and posture could help in the development of rehabilitation programs and brace treatment in adolescent idiopathic scoliosis (AIS). Aims. Reviewing up-to-date research on neurophysiology of movement and posture control with the aim of providing basis for new researches in the field of AIS rehabilitation and background understanding for clinicians engaged in management of AIS. Methods. Review of literature… 
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53 Citations
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Neuropathological aspects of conservative treatment of scoliosis. A theoretical view point.
TLDR
The aim of this paper was to discuss the conservative treatment of scoliosis with regard to difficulties maintaining the correct alignment of the body parts in the vertical position that accompany scoliotic dysplasia.
Neuropathological approach to conservative treatment of scoliosis- a theoretical view point
TLDR
In the scoliosis treatment it is important to slow progression and prevent the formation of muscle imbalances and to develop the abnormal habit, which are essential part of a vicious circle, even without progression.
Braces for idiopathic scoliosis in adolescents.
TLDR
Evaluating the efficacy of bracing for adolescents with AIS versus no treatment or other treatments, on quality of life, disability, pulmonary disorders, progression of the curve, and psychological and cosmetic issues found low quality evidence of rigid bracing compared with observation.
Surgical versus non-surgical interventions in people with adolescent idiopathic scoliosis.
TLDR
The impact of surgical versus non-surgical interventions in people with AIS who have severe curves of over 45 degrees is examined, with a focus on trunk balance, progression of scoliosis, cosmetic issues, quality of life, disability, psychological issues, back pain, and adverse effects, at both the short term and the long term.
Bracing and exercise-based treatment for idiopathic scoliosis.
Braces for idiopathic scoliosis in adolescents.
TLDR
There is very low quality evidence in favour of using braces in adolescent patients with AIS, making generalization very difficult, and RCTs and prospective cohort studies should follow both the Scoliosis Resarch Society (SRS) and Society onScoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) criteria for bracing studies.
Actual evidence in the medical approach to adolescents with idiopathic scoliosis.
TLDR
Consensuses by the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) show that there is no agreement among experts either on the best braces or on their biomechanical action, and that compliance is a matter of clinical more than patients' behavior.
Current knowledge of idiopathic scoliosis among practising physiotherapists in South Africa
TLDR
The participants had a poor understanding of the diagnosis and treatment involved in managing patients with IS and a lack of knowledge regarding the methods of conservative treatment for scoliosis.
Cochrane Review: Braces for idiopathic scoliosis in adolescents
TLDR
There is very low quality evidence in favour of using braces for idiopathic scoliosis in adolescents, and patients' choices should be informed by multidisciplinary discussion.
Introduction to the "Scoliosis" Journal Brace Technology Thematic Series: increasing existing knowledge and promoting future developments
TLDR
The only way to improve the knowledge and understanding of brace type and brace function is to establish a single and comprehensive source of information about bracing, which the Scoliosis Journal is going to do through the "Brace Technology" Thematic Series, where technical papers coming from the different schools will be published.
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References

SHOWING 1-10 OF 91 REFERENCES
Asymmetry of paraspinal EMG-time characteristics in idiopathic scoliosis.
TLDR
The observed intensity-specific EMG asymmetry in the present scoliotic subjects may be attributed to the imbalanced neural input associated with AIS that may also have pathogenetic importance in the etiology of idiopathic scoliosis.
Idiopathic Scoliosis and the Central Nervous System: A Motor Control Problem: The Harrington Lecture, 1983 Scoliosis Research Society
TLDR
It is proposed that a higher level CNS disturbance may be responsible for reports of EEG abnormalities, visuo-spatial impairment, motor adaptation, and learning deficits in idiopathic Scoliosis.
Altered sensory-weighting mechanisms is observed in adolescents with idiopathic scoliosis
TLDR
It is demonstrated that idiopathic scoliosis adolescents have difficulty in reweighting sensory inputs following a brief period of sensory deprivation, and the analysis of the sway density plot suggests that adolescent idiopathy scolia patients, during sensory reintegration, do not scale appropriately their balance control commands.
Etiologic theories of idiopathic scoliosis: neurodevelopmental concept of maturational delay of the CNS body schema ("body-in-the-brain").
TLDR
The concept brings together many findings relating AIS to the nervous and musculo-skeletal systems and suggests brain morphometric studies in subjects with progressive AIS.
Physical exercises in the treatment of idiopathic scoliosis at risk of brace treatment – SOSORT consensus paper 2005
TLDR
Responses to questionnaires show that, in principle, specialists in scoliosis physiotherapy do not disagree and that several features can be regarded, currently, as standard features in the rehabilitation ofScoliosis patients.
A preliminary study on electromyographic analysis of the paraspinal musculature in idiopathic scoliosis
TLDR
The most interesting finding was that children with progression of the curve also showed enhanced EMG ratios at the lower end vertebra of the Curve, whereas it is always normal in the non-progressive group.
Paraspinal muscle fibre type alterations associated with scoliosis: an old problem revisited with new evidence
TLDR
To establish the extent to which the paraspinal muscles are affected in idiopathic scoliosis, samples from patients must be compared with controls of a similar gender and age, and differences in fibre type size and distribution meant that on the concave side the Relative area of the muscle occupied by type I fibres was smaller, and on both sides of the curve the relative area occupied bytype IIB fibres were greater and by type IIA fibres smaller.
Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement
TLDR
It is postulated that the non-direction-specific contraction of TrA may be related to the control of trunk stability independent of the requirement for direction-specific control of the centre of gravity in relation to the base of support.
Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain: A Motor Control Evaluation of Transversus Abdominis
TLDR
The delayed onset of contraction of transversus abdominis indicates a deficit of motor control and is hypothesized to result in inefficient muscular stabilization of the spine.
Biomechanical spinal growth modulation and progressive adolescent scoliosis – a test of the 'vicious cycle' pathogenetic hypothesis: Summary of an electronic focus group debate of the IBSE
TLDR
A new speculative concept is proposed of vertebral symphyseal dysplasia with implications for Dr Stokes' research and the etiology of AIS, and the need to test this hypothesis using additional factors in his current model and in three-dimensional quantitative models that incorporate intervertebral discs and simulate thoracic as well as lumbar scoliosis.
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