Scoliosis Case StudyScoliosis Case Study

Emily GavlickEmily Gavlick

Description of IndividualDescription of Individual 1414 FemaleFemale 5’4”, 112 lbs. 5’4”, 112 lbs. BMI = 19.2 BMI = 19.2 Injuries:Injuries: scoliosis w/ neck, back, and left scoliosis w/ neck, back, and left

LE pain and limited ROM on left sideLE pain and limited ROM on left side Exercise History:Exercise History: does not have a RT does not have a RT

program; runs track (meets aerobic ACSM program; runs track (meets aerobic ACSM requirements) w/ some stretchingrequirements) w/ some stretching

Activity Preferences:Activity Preferences: willing to try RT; willing to try RT; prefers running outside to a treadmillprefers running outside to a treadmill

Description of IndividualDescription of Individual

Obstacles:Obstacles: current pain limits exercise current pain limits exercise time; has pain with standing for >45 mintime; has pain with standing for >45 min

Goals:Goals: decrease pain, increase stability to decrease pain, increase stability to back per RT, increase flexibility (left)back per RT, increase flexibility (left)

Time Constraints:Time Constraints: school, church school, church

Social Support:Social Support: parents willing to help parents willing to help

Misc:Misc: has access to gym at school has access to gym at school

What is Scoliosis?What is Scoliosis?

Lateral curvature Lateral curvature of the spineof the spine

Cause:Cause: – functional (b/c of functional (b/c of

another another problem)problem)

– neuromuscular neuromuscular (birth defects, (birth defects, cerebral palsy)cerebral palsy)

What is Scoliosis?What is Scoliosis?

30% of Americans have some severity30% of Americans have some severity

Risk factors:Risk factors:– Medical conditionMedical condition

– Age: adolescent form is most commonAge: adolescent form is most common

– Gender: 66% of those diagnosed are womenGender: 66% of those diagnosed are women

(progresses enough to need treatment)(progresses enough to need treatment)

– Genetic factors: hereditaryGenetic factors: hereditary

– Rhythmic Gymnastics: 10% more likelyRhythmic Gymnastics: 10% more likely

What is Scoliosis?What is Scoliosis?

Treatment Treatment Options:Options:

– BracingBracing

– Physical TherapyPhysical Therapy

– SurgerySurgery

Exercise PrescriptionExercise Prescription

Aerobic:Aerobic:– Runs every weekday with track teamRuns every weekday with track team

Resistance:Resistance: Should go to the gym at her Should go to the gym at her school twice a week, focusing on these school twice a week, focusing on these exercises:exercises:

– Machines(60% of 1RM):Machines(60% of 1RM): back extension, back extension, seated rows, lat pulls, leg extension / flexionseated rows, lat pulls, leg extension / flexion

– Other:Other: squats, lunges, straight leg lifts squats, lunges, straight leg lifts

Exercise PrescriptionExercise Prescription

Flexibility:Flexibility: focus on left side, 3 times per focus on left side, 3 times per week, static stretching, focus on these areasweek, static stretching, focus on these areas– Neck (flexion, extension, lat. flexion, rotation)Neck (flexion, extension, lat. flexion, rotation)– Back (same as neck)Back (same as neck)– LEs (groin, iliotibial band [ITB], tensor fasciae LEs (groin, iliotibial band [ITB], tensor fasciae

latae [TFL] )latae [TFL] )