Three methods of scoliosis treatment.
Treatment method 1.
This is the treatment for scoliosis provided by Italian master of manual therapy M.M. Fulgenzi, whose main treatment principle is to treat from the lower extremities upwards.
Lower extremities.
The muscle tone of both lower limbs is assessed in a side-lying position and treated appropriately at the same time.
Lateral side of the body.
Because of the scoliosis, the myofascia and other tissues on the concave side of the spine tend to be tight, and these tissues can be relaxed in a side-lying position with active movements of the case.
Pelvis.
The pelvis with scoliosis tends to have one side of the pelvis rotating inward (inflare) and the other side rotating outward (outflare), in addition to the problem for the pubic symphysis needs to be addressed as well.
Sacrum.
For the sacral torsion, we can correct the sacral torsion with the active movement of the patient in a sitting posture and the therapist’s hand on both sides of the sacrum to apply force and twist.
Thoracic cavity.
Scoliosis will cause the tightness of intercostal muscles inside and outside the thoracic cavity, which can be relaxed with the breathing movement of the case.
Back area.
Scoliosis causes the vertebrae to rotate, so the muscles on one side of the upper back will protrude significantly. This phenomenon is caused by the rotation of the transverse processes of the spine in the direction of the spine, and can be combined with active movements of the case to correct these joints.
Shoulder blade.
Scoliosis will cause the shoulders to be high on one side and low on the other, while the scapulae appear to be inward and outward on one side, and can be corrected with breathing movements of the case to correct these joints.
Ribs.
Scoliosis will cause the vertebrae to rotate while driving the ribs to rotate, so the ribs on one side of the upper back will protrude significantly, which can be corrected with the breathing movement of the case.
Treatment of scoliosis 2.
For the treatment of scoliosis, the following methods are provided by the master of manual therapy as reference.
(i) Recent studies in the literature
Studies have shown a link between progressive scoliosis and proprioceptive deficits (Keessen 1992).
In a study of polysynaptic spinal cord reflexes, it was found that in cases with scoliosis, neuromuscular adjustment was slower and less precise than in normal cases (Maquire 1993).
A study of the peripheral muscles at the tip of the protruding spinal curvature (apex) showed that the multifidius on the concave side of the spine tends to become fast twich fiber.
A section study of the peripheral muscles of the spine showed a significant decrease in the number of muscle spindles in cases with scoliosis.
Studies have shown that the brainstem region is more likely to be abnormal in cases with scoliosis.
Postural coordination is less developed in cases with scoliosis.
(B) Robert Schleip’s Master Manual Therapy Suggested Treatment Direction
Treat the tight spinal erectors.
Special stretching techniques for the spine.
Assess and improve the mental state, social skills and environment of the patient.
Special antigravity sensor function training.
Micromovement exercises for proprioceptive functions.
(C) Robert Schleip manual therapy master common techniques
In this position, the therapist can use various myofascial relaxation techniques with active movements to relax the muscle tissue around the spine.
In this position, the therapist can use various myofascial relaxation techniques to relax the muscle tissues around the spine.
To train proprioceptive functions on a cushion, the client stands on the cushion with a book on his or her head and is asked to maintain balance while making touching movements in different directions.
Treatment of scoliosis 3.
Sometimes there is no progress after a certain level of scoliosis is treated, the following problems can be considered.
The psoas major muscle
The lumbaris major muscle has fiber bundles connected to the anterior side of the transverse processes of all lumbar vertebrae and to the anterior medial side of the discs of the lumbar vertebrae from L1 to L4, and according to the different points where the lumbaris major muscle is connected to the lumbar vertebrae, the one connected to the transverse processes of the lumbar vertebrae is called the posterior muscle bundle, and the one connected to the discs is called the anterior muscle bundle. The medial arcuate ligament is a continuation of the lumbaris major fascia from the fascial surface, which then extends upward to the diaphragm. The diaphragmatic foot and its fascia cover the psoas major muscle until they blend into the anterior longitudinal ligament, which thickens as the psoas major muscle continues to travel downward and connects to the discus soleus fascia. This allows the common tendon of the iliopsoas muscle to be associated with the transversus abdominis muscle and the internal oblique muscle. When the psoas major muscle passes the edge of the pelvis, the fascia of its posterior muscle bundle will be tightly attached to the edge of the pelvis, producing a posterior rotation of the ipsilateral mesentery.
Mesentery.
When the mesentery is tightened due to certain factors, it will cause rotation of the lumbar vertebrae and restriction of joint mobility. This is the reason why many clinical cases with problems in the lumbar spine and intestinal joints do not improve well, because they do not deal with the problem of mesenteric tightness, so the symptoms of the cases will return quickly or even do not improve.