Originally posted by Pooka1
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...and the yoga woman and perhaps one other.
It is possible PT can stop progression in kids and maybe even gain permanent ground on a structural curve. That possibility has not been disproven. It's just hard proving anything, one way or the other, with conservative scoliosis treatments.
And all that's not sufficient either. Derotation can be achieved; the postural percentage of scoliosis can be removed and this slows or halts progression if the curves are below the gravitational threshold and the rest of the vertebral stack is straightened. But none, or not much of that directly hits the structural curve.
A compensatory curve can go up and down like a yo-yo. All this fine dressing won't totally correct a structural curve (maybe get 20 - 30% of it).
After a week getting into wearing her SpineCor (she's now calling it "The Robe" from Scrooge..."Take my robe and come with me." Where we're going, now that she wearing it 20 + hours / day, is into the realm of EXERCISE PUTTING DIRECT PRESSURE ONTO THE STRUCTURAL CURVE:
To take two easy examples:
1) Schroth, left side lying on a rolled up towel; towel is placed below the lying patients LC apex;above this, the T concavity, is filled with air and forced towards the ground, air expired upwards to elongate; right leg is on stool and raises, abducted (to derotate the pelvis), work the weak lumbar side QL, psoas, gluteal and hip flexors; RAB performed (left back breathing with upper right chest breathing to derotate thorax, assistants hand guiding/forcing the movement and other hand stretching the tight lumbar concavity muscles and derotating the pelvis. We've been doing this for months; results are totally horizontal pelvis (was 10 - 15 degrees) and over 10 degrees off the compensatory curve. The thoracic curve has changed--it's shorter, a few degrees improved, etc.
2) double side-shift is direct force on the structural curve: Tamzin can move her thoracic curve apex 1 - 2 cm correctively, while doing the same on the LC. We are about to incorporate this move into her every 5 minute auto-corrections for the next 3 - 4 weeks. Most of these will be performed in-brace, giving them an extra kick.
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