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Care Pathway

ASSESSMENT

Seeing a certified scoliosis health professional is key to receiving the right treatment at the right time.

 

Our initial consultation does not require a referral. Physiotherapists at our clinic begin with correctly diagnosing and evaluating the patient, to make treatment decisions regarding their scoliosis.

 

Therefore our assessment includes a thorough discussion of your history and symptoms and postural examination including observing the curvature of the spine including asymmetries of the trunk, shoulders, pelvis and lower limb. In addition to postural evaluation, our team focus on evaluation of the musculoskeletal system with gait analysis and functional movement pattern testing. Quality of life, mental health and pain is measured using the SRS-22 Questionnaire.

 

Specific to scoliosis, is the measurement of trunk inclination using a device called a Scoliometer which is placed on the spine in forward bending. Examination of imaging, specifically a low-radiation EOS radiograph is required to measure the angle of the scoliosis known as Cobb Angle, which forms an important part of the decision - making process.

 

The management of scoliosis should involve collaboration of a care team to ensure appropriate care is received and any further investigations made. We may refer you to our network of scoliosis specialists.

 

TREATMENT PLANNING 

There are many factors to consider when deciding the best treatment/s regarding your care.

 

The treatment decision is based on our clinical expertise, patient preferences, current best-practice and researched treatment options such as observation, education, scoliosis specific exercises, bracing and surgery.

 

 Our physiotherapist follows the International Guidelines on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) applying the Practical Approach Scheme (PAS).

Our physiotherapist will collaborate and communicate with your specialist, doctor, and any other treating practitioners with your consent.
 

 

TREATMENTS

Physiotherapy can be used for all spinal curvatures for ​all ages and at any stage of your journey whether watching and waiting, in brace, or before or after surgery.

 

Every scoliosis is different, and there is no recipe. It is important that your treatment is individualised to you and is curve-specific. All treatments consider the three-dimensional nature of your scoliosis and the pathomechanism as lessening progression is one of the key clinical goals along with addressing any patient specific goals.

Our clinic offers:

specialist scoliosis physiotherapy (private and group)

- curve-specific massage/ manual therapy

- intensives

- online classes

- bracing for scoliosis and hyper kyphosis

- pre/ post surgical rehabilitation

 

The treatment promotes correction of your asymmetrical posture, addresses symptoms, improves muscle symmetry, builds strength and improves postural habits and improves quality of life.

 

OUTCOMES

Our clinic regularly reviews your outcomes utilising reliable and valid outcome measures and chooses them based on your goals.

 

Our treatment programs comprise re-assessment of the following: Cobb angle and other radiographic measures (where applicable), Scoliometer/Inclinometer (spinal rotation or forward flexion), Photographs and postural evaluation system, Gait analysis, Functional Movement Patterns, Visual Analog Scale (pain levels) and Scoliosis Research Society Questionnaire (quality of life).

Repeat EOS imaging is often requested by us or your specialist at particular intervals to assess curve stability (Cobb able and rotation) and spinal alignment.

 

LIFELONG CARE

Ongoing care is important when managing scoliosis as most curvatures will need management throughout life/ at different stages of your life.

 

Our treatment programs are designed with the ability to move into group classes delivered in-clinic and virtually. For those growing, we often review 6-8 weekly, while for adults we review 3 monthly.

 

It is important your program is continued to achieve the desired long-term effect and to maintain technique and motivation and compliance. Complimentary treatments such as hands-on treatment of pain/ tightness/stiffness are available.