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- Description of musculoskeletal biomechanics - aspects that are helpful in understanding how to work with scoliotic patient
- Elements of soft tissue work:
- postisometric muscle relaxation
- trigger point therapy
- Joint mobilization
- Patient examination:
- examination records/forms
- visual assessment of a child
- measurement of degree of scoliosis
- assessment of degree of compensation
- assessment of degree of balance
- specific testing for leg length discrepancy
- Assessment of potential for correction
- Proprioceptive training, exercise program
- Lower trunk stability
- Pelvic and scapular patterns
- pelvic patterns and lumbar spine alignment in sagittal plane
- pelvic patterns and convexity/concavity of scoliosis
- lower extremity patterns and rotation of lumbar spine (lumbar fold)
- scapular patterns and thoracic spine alignment in sagittal plane
- scapular patterns and convexity/concavity of thoracic scoliosis
- upper extremity patterns and rotation of thoracic spine (thoracic hump)
- Management of one curved, two curved and three curved scoliosis
- development of functional compensation
- Characteristics of kinematic chain exercises
- use of corrective patterns, asymmetric exercises in open and closed kinematic chains, exercises in functional positions (with T-bands)
- Focused breathing exercises in various starting positions in closed kinematic chains
- Postural reeducation (development of a habit of correct posture utilizing biofeedback technique)
- X-ray analysis
- Experiences, sensations and expectations of a patient and parents
- looking at problem of scoliosis
- scoliosis and pain complaints
- motivating young patient
- limits of scoliosis improvement - realistic goals of therapy tailored to condition of a child
- Home exercise program
- functional positions
frequency of home exercises
timing and number of repetitions
precision
Basic Course includes one hour presentation of therapy with a patient carried out by instructors.
Second and third part of the course include six one hour therapeutic sessions carried out by seminar participants with real patients as well as presentation of treatment session of selected patients carried out by instructors.
Lecture is given on supporting treatments (insoles, brace) and surgical management by Tomasz Kotwicki M.D., Ph.D - Center of Pediatric Orthopedics and Traumatology in Poznan, Poland.
The third part of the course presents work with scoliosis in the muscle-chains concept.
Main concepts of FITS:
- individualization of treatment process
- making child aware of the nature of her deformity
- elimination of myofascial restrictions, which impede formation of proper movement patterns
- use of corrective movement patterns, asymmetric exercises in open and closed kinematic chains as well as using exercises in functional positions
- postural reeducation (establishing habit of proper posture using feedback mechanisms)