New Tests for Early Screening of the So -Called Idiopathic Scoliosis

Table of contents

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I. Introduction a) New tests for scoliosis n the diagnosis of so-called idiopathic scoliosis we should use widely known old tests such as Adams & Meyer test, symmetry or asymmetry of waist test, but also new tests like -the side bending test for scoliosis (Lublin test), a test checking the habit of standing 'at ease'-on the right versus on the left leg, Dunkan Ellytest to discover the flexion contracture of hips making "anterior tilt of pelvis", pelvis rotation test (a new test since 2006), the adduction of hips test (similar to Ober test).This "adductions test" is deciding in new classification of scoliosis, explain character of scoliosis, place and character of curves, stiffness or flexibility of spine. All tests are presented below.

List of the old and new tests (Fig. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10) and clinical changes enabling an early discovery of scoliosis. The list of the new tests and symptoms (doctor's/examination questions and answers) are important to recognize an early stage of scoliosis: Test of adduction of both hips (in extension position of joints -like the Ober test). Important is also checking the flexion contracture of the hips and the external rotation contracture of the right hip. The are three models of movements of right / left hip and in consequence three groups and four types of scoliosis. Below we describe tests using for early discovery of scoliosis (Figures 1 -10

Figure 1.
position / contracture of spine. B. Anterior tilt of pelvis. C. Laxity of joints New rehabilitations exercises. Proper solution to the problem of scoliosis is an early prophylactics based on the new test for discovery of scoliosis and new exercises in context of the biomechanical etiology. The new rehabilitation exercises should remove the contracture in the pelvis, the hips and in the whole spine. The flexion -rotation exercises should be performed by very young children, already at 3 and 4. It is also important to change the standing, sitting and sleeping positions. The results of such treatment has proved beneficial in years 1985 (beginning of research about scoliosis problems) till 2014 (research with last observations). This matter is describing in details in third lecture / article. Literature: see article about etiology of scoliosis and www.ortopedia.karski.lublin.pl I
Figure 2. Figures:
Figures:
Figure 3. Figure 1 :Figure 3 :Figure 5 :
135Figure 1 : Test of adduction of hips in straight position of joint
Figure 4. Figure 7 :Figure 9 :
79Figure 7 : Standing test on free (at ease)
Figure 5. Figure 10 :
10Figure 10 : Additional causes of scoliosis connected with CNS -tests (Central Nerve System)
Figure 6.
Figure 7.
Figure 8.
Figure 9.
Figure 10.
4. Permanent standing 'at ease' test -checking the
habit of standing -on the right versus on the left
leg. The length of time (cumulative time) is deciding
in children with scoliosis. The standing on the
right leg is only one of causative influence in I epg
and II/A & II/B epg groups.
5. The symmetry or asymmetry of the waist test (an old
test, but still very important).
6. Presence of an illnesses (e.g. rickets). Rickets and
general laxity of joints -increase oncoming of
scoliosis.
7. Anatomical anomalies of the spine (spina biffida
occulta, pectus infundibuliforme, rickets). If present,
the proper development of the spine is endangered.
8. Body build type -asthenic and picnic (bad), athletic
(good).
9. Willingness to participate in sports, if yes -good, if
no -bad.
Additional causes of scoliosis and presented
tests -connected with CNS (central nerve system) (
also called Karski or Lublin test, it is a modified
Adams/Meyer test -more sensible as Adams test. A
specially -in "C" II/A scoliosis and II/B group of
scoliosis show very early beginning of deformity.
3. Rotation movements of the body test (new test
since 2006).
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Appendix A

    Notes
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    New Tests for Early Screening of the So -Called Idiopathic Scoliosis
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    Date: 2014-01-15