Spinal Flexibility

abdulla rafiu

Description

Title:

Spinal Flexibility

Creator:

abdulla rafiu

Date:

3/19/2009

Text:

Dear All.
 
Many thanks to everyone who shared their constructive ideas to my question on SPINAL FLEXIBILITY,including Richard Feldman, Mark Payette, especially, Martin Carlson whose reply is attched below;

 

Thanks and best regards

 

Abdulla Rafiu, MSc (Student)

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Dear Abdulla,
 
I like your idea of using a hanging P-A radiograph to quantify flexibility/correctability of AIS deformity. It could be used in conjunction with Cobb Angle measurements as well as with Overall Balance Summation. The reasons I like it:
 

The flexibility of all curves are tested with a single radiograph (less expense & less x-ray exposure)
The side-bending radiograph, as traditionally done (i.e. left side bending radiograph for left curve) is not a valid test of correctability for lumbar curves. The reasons are thoroughly explained on page S28 of the Journal of Prosthetics and Orthotics, Vol. 15, No. 4, October 2003.
Hanging P-A radiographs can probably be done with greater repeatability than side bending radiographs. Time and trials will reveal if it is helpful to instruct patients to “let their trunk go limp”. You may or may not encounter a different set of overall alignment variations (oblique pelvis, etc.) on the hanging radiograph which complicate the comparison.
 
Some things you should keep in mind, Mr. Rafiu, as you attempt to do your research:
 

Do not mix Idiopathic Scoliosis information, thoughts and theory with other (neuromuscular) types of Scoliosis. The OBS is just for IS.
It is probably not wise to include Infantile Idiopathic Scoliosis with your thinking and data about juvenile or adolescent onset Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis is most probably a collection of two, three or more distinct etiologies which we do not yet know how to differentiate. This poses a huge problem for researchers. You can proceed but keep that fact in mind.
 
Please share this on the list and please keep informed – good luck.
 
Sincerely,
 

J. Martin Carlson, CPO
Tamarack Habilitation Technologies, Inc.
1670 94th Lane NE
Blaine, MN 55449-4323
Phone: (763) 795-0057
Fax: (763) 795-0058
E-mail: <Email Address Redacted>
Website: www.tamarackhti.com

  


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Citation

abdulla rafiu, “Spinal Flexibility,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/230280.