Internal Representation of Self – Re-educate the mind-body system to better perceive trunk position, know as egocentric space. This may be achieved by reducing; neurological interference from spinal subluxation patterns and poor sensori-motor processing and coordination.
Active inhibition – When neurological dysfunction arises from central origin, active inhibition of muscle compartments is evident, this over activity can be reduced with muscle stretching techniques which include Chiropractic procedures.
Activation – With improved sense of self, and reduced neurological interference, retraining of muscle activation patterns is more probable.
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Vestibular Rehabilitation For Scoliosis: Neurological connections between the eyes and the spine have long been neglected in non-surgical treatment of scoliosis, despite the many studies which identify vestibular and oculomotor dysfunction in the majority of patients with Scoliosis. Habituation training and vestibular enhancement exercises may be appropriate in patients with vestibular involvement in their Scoliosis. Therapies and exercises to improve the central neurological controls of posture may include home, computer or in office procedures. Following a functional neurological evaluation, including the use of state-of-the-art diagnostic equipment to evaluate vestibular function, a neurological retraining program is designed for patients individually. This is not a mandatory procedure, and is only offered when medically necessary.
Exercise Physiology Training For Scoliosis: Procedures utilized may include: Respiratory exercises using trunk positioning, sustained contraction exercises to influence muscle fiber changes, Active Isolated Stretch and Myofascial Release Technique for active inhibition of shortened musculature, Dynamic Vestibulospinal Rehabilitation training to influence new muscle recruitment patterns.
Dynamic Flexion Distraction of the Spine: The flexion distraction table is a special device designed to stretch the spine through a gentle, non-force procedure. It is mostly recommended in cases with pain and diminished ranges of motion. Spinal rotation and lateral flexion activity is often restricted and may lead to abnormal muscle recruitment strategies. The different spinal curves can be manually stretched while bringing the patient through a corrective movement strategy. Correct coupled motion is therapeutic and creates feedback though spinal sensory system. These procedures are designed to allow for greater correction with the use of a dynamic truncal orthosis.
Electrical Muscle Stimulation at 2500hz: This form of muscle strengthening physiotherapy has been utilized for many years in the treatment of athletes. In the case of Scoliosis, it may be used to to improve the ability to activate muscle groups which would tend to create corrective forces on vertebral segments. It may also stimulate and strengthen muscles which may be failing to support the spine in an elongated position. In order to achieve lasting correction in the adolescent patient, corrective postures sustained during the growth stage, using muscle support, create bone changes which are permanent. Adult patients can functional reduce their curvatures with proper muscle activation techniques, and therefore may also benefit from this type of physiotherapy. There may be added benefits in performing the therapy in a seated position, thereby influencing graviceptive sensorimotor systems during rehabilitation.
Nutritional Support: Exercise and physiotherapy procedures create free radicals which may be effectively neutralized with certain nutritional supplements. Postural tone may also be improved with the use of certain coenzymes and fatty acids.