Neuromuscular Scoliosis

 

Neuromuscular Scoliosis is associated with disorders of the nerve and muscular systems, such as cerebral palsy, spina bifida, spinal cord injury, muscular dystrophy, and polio. It accounts for 5%–7% of childhood scoliosis.

Unlike Adolescent Idiopathic Scoliosis (AIS), the underlying cause of Neuromuscular Scoliosis is clear: it arises from either a lack of spinal and trunk muscular control or, alternatively, spasticity of those same muscles.

Although the Schroth Method was originally designed for individuals with AIS, the program can be adapted for those with Neuromuscular Scoliosis. The adaptations will vary depending on each child's abilities, and the length of treatment will be adjusted accordingly.

The goals of the Schroth Method for those with Neuromuscular Scoliosis include seating system evaluations and recommendations and strengthening the trunk muscles (if possible).

It’s important to note that the Schroth Method has limitations for those with Neuromuscular Scoliosis and that bracing and/or surgery may often be recommended instead. We work closely with local scoliosis physicians to ensure each patient receives the most appropriate treatment.

 

Ask about additional treatments:

  • Soft and Deep Tissue Mobilization. Hands-on techniques intended to release tightness, trigger points, and restrictions in the muscles and fascia. This technique can be useful in addressing tight musculature and other soft tissues around the curvature resulting in improved mobility of the curve.

  • A thorough assessment will determine if there are shortened muscles in the body that are contributing to the patient’s diagnosis. We provide both assisted stretching, as well as instruction on how to properly stretch at home.

  • The body can become deconditioned for a variety of reasons: due to pain, surgery, sedentary lifestyle, and even wearing a brace. The importance of core, hip, and back strength can not be understated for those with scoliosis or spinal diagnoses, especially those who are considering bracing, are currently braced, or who have been braced in the past.

  • In contrast to exercise performed purely for fitness, therapeutic exercise isolates a particular muscle group that is weak or dysfunctional. These will be implemented to complement the Schroth Method.

  • Stiffness in the joints can be addressed by applying graded pressure to the joint surface.

  • Utilizing small, thin needles to both activate dormant muscle tissue as well as release hypertonic muscles. This can be a great tool to reduce both acute and chronic pain, as well as improve mobility.

 
scoliosis physical therapy bar hang

80 minute evaluation: $330

50 minute follow-up: $235

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