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Journal of Physical Therapy and Sports Medicine
Volume 1, Issue 1
December 07-08, 2017 Rome, Italy
4
th
Euro-Global Physiotherapy Congress 2017
Euro Physiotherapy 2017
Biomechanical aetiology of the so-called
idiopathic scoliosis [adolescent idiopathic
scoliosis – AIS (1984/1995–2007)] role of
“standing ‘at ease’ on the right leg” and
“gait” in development of deformity
Introduction
: The biomechanical aetiology of the
so-called idiopathic scoliosis [adolescent idiopathic
scoliosis (AIS)] was the subject of research from 1984
(scholarship in Invalid Foundation Hospital in Helsinki)
and next intensive in Poland from 1995 to 2007/2017
(T. Karski). The results of research were presented from
1995 in many Congresses and Symposia in Poland and
abroad. First lecture was presented in Orthopaedic
Congress in Hungary (T. Karski, Szeged, 1995). First
publication was in Germany in 1996 – in Orthopädische
Praxis.
Material
: In 2016 the whole material gathered 2250
cases. Patients were two to 60 years old. Control group
360 persons.
Explanation of Biomechanical Aetiology
: The
development of scoliosis in points: A/ Asymmetry of
hips movements – smaller adduction in straight position
of right hip joints as one of symptoms of “Syndrome of
Contracture” according to Prof. HansMau, B/ Permanent
standing ‘at ease’ on the right leg and influence
appearing during gait, C/ The asymmetry “of time of
standing right/left leg” and asymmetry of movement
of hips and pelvis – during gait - makes asymmetry in
development of spine – in result scoliosis. There are
three groups and four types of scoliosis connected with
special “model of hips movement” (2006). Every type
of scoliosis starts to develop in 2nd–3rd year of life of
children. New classification–three groups and four types
- as important information for physiotherapy for causal
prophylaxis and for therapy: “S” I etiopathological (epg)
scoliosis double curves. Gibbous of the right side is
influenced by the gait and the permanent standing at
ease on the right leg stiff spine. 3D. progression “C”
II/A epg scoliosis influenced by the permanent standing
at ease on the right leg. One curve flexible spine and
1D no or slight progression “S” II/B epg scoliosis.
Influenced by the permanent standing at ease on the
right leg, plus- laxity of joints or/and incorrect exercises
in previous treatment. Flexible spine 2D or mix moderate
progression “I” III epg scoliosis influenced by the “gait”
only. Stiff spine no curves or small. No progression. No
included till now to scoliosis.
Physiotherapy
: All previous extensions, its mean
muscles strengthening exercises were incorrect and
harmful, caused only bigger curves, bigger rib hump
and made the spine more stiff. All stretching exercises
for spine and hips are proper for treatment and for
prophylaxis. The prophylactic exercises should be
introduced in small children in age 3–5 years. Very
important in therapy are: karate, taekwondo, aikido and
standing ‘at ease’ on the left leg.
Tomasz Karski
Vincent Pol University, Poland
Tomasz Karski, J Phys Ther Sports Med 2017