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KYPHOSIS
Learning Objectives
• At the end of the session the students should
be able to
– Define deformities
– Understand the types of Kyphosis
– Explain the etiology and symptoms of deformities
– Evaluate and diagnose the deformities
– Describe in detail about the management and
prognosis of deformities
Management
• Management is largely dependent on the
degree of kyphosis
• <50˚: conservative management
• 50-75˚: brace
• >75˚: surgery
Medical treatment
• Medication such as: NSAID(for pain
management )
Surgery:
• Posterior spinal fusion
• The goal of the surgery is mainly to reduce
the deformity, and possibly lessen pain or
neurological symptoms.
• Rarely used
Physiotherapy
• Modalities: for pain management
• Cryotherapy
• Thermotherapy
• Electrotherapy
• Short Wave
• Physiotherapy is recommended in
combination with bracing
• Exercises appear to maximize the
effect of the brace by
strengthening muscles that help
align the spine
• Mainly focusing on posture
Bracing
• Thoracolumbar brace such as: Gschwend type brace and
kyphologic™ brace
• Only used for patients who are still growing and is not an effective
treatment for adult patients.
Gschwend type brace kyphologic
Exercises
• Stretching exercises
• Strengthen exercises
• Postural Exercises
• Upper Back Stretches
• Hamstring stretch
Upper Back Strengthening
Postural Exercises
• Hip flexion contracture due to disorder of the
hip. E.g., congenital.
• Positional or habitual tightness of hip flexors
due to paralysis of abdominals or flexors of
lumbar spin.
• It could be due to habitual posture and obesity
with protruding abdomen
Treatment
• Mobilization of the lumbar spine
• Anterior stretching of the lumbar spine by concentrating on
exercise to achieve posterior tilt of the pelvis.
• Strengthening of abdominals, glutei and hamstrings
• Training in graded correction of the pelvic tilt has to be
emphasized.
– Active posterior pelvic tilting by contracting abdominals and
glutei in supine position is initiated.
THANK YOU

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KYPHOSIS LORDOSIS.pdf

  • 2. Learning Objectives • At the end of the session the students should be able to – Define deformities – Understand the types of Kyphosis – Explain the etiology and symptoms of deformities – Evaluate and diagnose the deformities – Describe in detail about the management and prognosis of deformities
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  • 16. Management • Management is largely dependent on the degree of kyphosis • <50˚: conservative management • 50-75˚: brace • >75˚: surgery Medical treatment • Medication such as: NSAID(for pain management ) Surgery: • Posterior spinal fusion • The goal of the surgery is mainly to reduce the deformity, and possibly lessen pain or neurological symptoms. • Rarely used
  • 17. Physiotherapy • Modalities: for pain management • Cryotherapy • Thermotherapy • Electrotherapy • Short Wave • Physiotherapy is recommended in combination with bracing • Exercises appear to maximize the effect of the brace by strengthening muscles that help align the spine • Mainly focusing on posture
  • 18. Bracing • Thoracolumbar brace such as: Gschwend type brace and kyphologic™ brace • Only used for patients who are still growing and is not an effective treatment for adult patients. Gschwend type brace kyphologic
  • 19. Exercises • Stretching exercises • Strengthen exercises • Postural Exercises • Upper Back Stretches
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  • 26. • Hip flexion contracture due to disorder of the hip. E.g., congenital. • Positional or habitual tightness of hip flexors due to paralysis of abdominals or flexors of lumbar spin. • It could be due to habitual posture and obesity with protruding abdomen
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  • 31. Treatment • Mobilization of the lumbar spine • Anterior stretching of the lumbar spine by concentrating on exercise to achieve posterior tilt of the pelvis. • Strengthening of abdominals, glutei and hamstrings • Training in graded correction of the pelvic tilt has to be emphasized. – Active posterior pelvic tilting by contracting abdominals and glutei in supine position is initiated.
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