Scoliosis Treatment Purpose Of Achieving Specific Structural Corrections

By Author: Nick Carter
Total Articles: 334
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This is supported by research which suggests that structural deviation of the nucleus pulposa can greatly affect the progression of scoliosis Physical rehabilitation has been demonstrated to be successful in the management of herniated nucleus pulposa. Physical exercises, postural remodeling, and proprioceptive neuromuscular re-education, combined with manual therapy that is performed with the purpose of achieving specific structural corrections (rather than simple mobilization of a spinal joint), are effective ways of altering the biomechanical forces affecting the spine and thus vertebral column loading.

As stated by several preeminent scoliosis researchers, the primary factors influencing progression of the scoliotic spine are biomechanical (shear forces and asymmetrical loading of the vertebrae leading to vertebral wedging as per the Heuter-Volkmann Law, often referred to as the 'vicious cycle' in discussions regarding the pathogenesis of scoliosis), so a spinal biomechanical approach to treatment with the goal of reducing and reversing these forces is logical and has been proposed by other authors.

This ...
... vicious cycle has been shown to develop in 3 dimensions, not merely in 2, and so biomechanical treatment aimed at reducing axial & sagittal deviation of the spine appears every bit as necessary as reduction of the lateral deviation. The CLEAR approach is the only system that re-trains the brain and spine to work together.

It has been well-documented that patients with scoliosis demonstrate a significant increase in neuroanatomical abnormalities of the corticospinal tract, as well as neurophysiological abnormalities, especially in the areas of vestibular function, proprioception, vibratory sensation, postural reflex mechanisms, abnormal reflex processing, and disordered postural equilibrium. Lateralization of neurophysiology also occurs more frequently in patients with idiopathic scoliosis (IS), and this can be correlated to the convexity of curvature.

However, it has been suggested that this laterality is a result, rather than a cause, of scoliosis. While many authors have suggested that brain asymmetry may play a role in the etiology of scoliosis, one recent study did "not support the concept of a generalized brain asymmetry in idiopathic scoliosis," but noted instead that the trend towards asymmetrical neurophysiology was "probably representing subclinical involvement of the corticospinal tracts secondary to mechanical compression. The goal of the chiropractic manipulative therapy provided by CLEAR doctors is to reduce this mechanical compression and thus restore normality.

Neuro physiological compensations may develop as a mal-adaptation to disordered spinal structure; similarly, disordered spinal structure may create muscle imbalances & exacerbate existing neuromuscular imbalances.

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