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
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
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
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
27.
28.
29.
30.
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.
