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| Can leg length discrepancy cause or worsen scoliosis? Leg length discrepancy (LLD) is a common orthopaedic condition among children and adults, with a prevalence of 90% in the general population and 40% among athletes.
LLD can be associated with several musculoskeletal disorders, including scoliosis and resultant degenerative spinal changes. However, the degree of LLD required to cause such disorders is still debated. Should scoliosis due to LLD, which is not a true scoliosis, be treated?
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Ibrahim Agung shares his experience
In each number of our newsletter, we present the experiences on how scoliosis is treated worldwide through an interview with one of our Online Master course participants. They are fellow doctors, physiotherapists, and orthopaedic technicians coming from all over the world.
This month's interview is with Dr. Ibrahim Agung, Physical Medicine and Rehabilitation Specialist (Physiatrist), Subspecialty in Musculoskeletal, from Indonesia.
"It is especially challenging for us, physical medicine and rehabilitation specialist to manage spinal diseases due to the lack of facilities and manpower, which are concentrated mainly on the large cities such as Jakarta, Bandung and Bali. In Dr. Cipto Mangunkusumo Hospital, a national referral hospital, we always provide holistic treatment as a team that includes physiatrists, physiotherapists, orthotists prosthetists to treat a wide range of spinal disorders..."
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Our green June: all the initiatives carried out!
The month of June is internationally dedicated to scoliosis and is represented with a green ribbon.
Isico also dresses in green during the month of June and spreads the knowledge of scoliosis as much as possible about what can be done in everyday life while wearing the brace and offering useful information to patients.
Here's how we coloured green this special month, find out with us what you missed: |
| A summer dedicated to SEAS!
For our international SEAS courses, it will be a summer of intense commitment, with our director of physiotherapy, Michele Romano, engaged in several countries and continents for a total of over 100 participants.
We start with the SEAS course in Brazil from July 7 to 9. The local teacher there is Isis Navarro, a SEAS-certified physiotherapist, supported by Michele Romano, who connects remotely to supply additional information and support the local host.
We continue in Serbia, in Novi Sad, from July 11 to 13, holding a SEAS Level II course, postponed from 2020 due to the pandemic; then it will be the turn of Turkey, where he will preside over two courses from July 18 to 26. Finally, he will fly to South America, holding for the first time a SEAS course in Argentina from August 4 to 6. |
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| Seventh "Concorsetto": a success, the prize-ceremony took place live
The new edition of our Concorsetto, the national competition dedicated to scoliosis, was a success, with over fifty works received and a lot of enthusiastic participation. In May, we dedicated one of our Facebook live broadcasts, Isico on Air, to this event, and we awarded the winners of this seventh edition.
During the live broadcast, conducted by our physiotherapist Marta Tavernaro, the winners also had the opportunity to celebrate the award with their attending physicians and therapists, but it was also a fantastic general moment of sharing.
All the works are visible on the website dedicated to the competition and in the short video launched on the occasion of Green June. |
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World Health Assembly - present also Prof. Negrini: historic resolution on rehabilitation
Prof. Stefano Negrini, our scientific director, was present as director of Cochrane Rehabilitation at the 76th World Health Assembly in Geneva (officially representing all the Countries in the world), which approved the historic resolution "Strengthening rehabilitation in health systems", developed under the leadership of Israel and co-sponsored by all the 20 countries in the Executives. It is the first resolution on rehabilitation.
Prof. Negrini, also participated in the panel in a side event to underline the importance of this decision: "The resolution calls for the expansion and integration of rehabilitation into health systems as part of universal health coverage (UHC), underlining the importance of rehabilitation at all levels of health care, including in emergency response - underlined Prof. Negrini - There has been an overwhelming emphasis that rehabilitation should be available to the entire population and should be integrated into health care planning and implementation. It was an exciting time for all: its approval marks a significant milestone and sets the stage for major progress in the years to come".
The comment was released immediately after the meeting in Geneva by Prof. Negrini in a short video.
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| Dr. Zaina in Bosnia and Herzegovina
Our specialist, Dr. Fabio Zaina, was in Banja Luka, Bosnia and Herzegovina, in mid-June to hold a course on our Sforzesco brace at the Clinic "Dr Miroslav Zotović", an important national rehabilitation centre. Furthermore, still in Bosnia and Herzegovina, he was a speaker at the national ISPO congress (International Society for Prosthetics and Orthotics), where he reported about braces in the treatment of scoliosis in adults and children.
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Michele Romano reports on SEAS in China
Isico will also participate in the "International Forum of Rehabilitation Medicine", scheduled in Nanjing from July 7 to 9.
Our Director of Physiotherapy, Michele Romano, was invited to report on our Scoliosis Exercise Approach (SEAS) within an event dedicated to spinal health and the prevention and management of scoliosis in children and adolescents.
Before the conference itself, Romano will be involved in a pre-meeting, during which two of our physiotherapists, Alessandra Negrini and Luca Selmi, will also intervene remotely with online presentations. |
| Prof. Stefano Negrini awarded at the ISPRM conference An award that recognises his long commitment as a man of science and research as well as a doctor was given to our scientific director, Stefano Negrini, during the ISPRM international conference, which took place a few weeks ago in Cartagena, Colombia.
During the event Prof. Stefano Negrini held one of the 8 keynote lectures in the plenary session on New Perspectives on Evidence in Rehabilitation: From History to the Future.
And he was rewarded with an important acknowledgement for his extraordinary career with the ISPRM Senior Researcher Award: "An exciting moment for the work done so far but also an enormous satisfaction not only personally but also for the whole research group that over the years has been by my side - said Prof. Negrini".
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| A video-commentary about a review on treatments for chronic low back pain without radiculopathy
Dr Fabio Zaina, author of the published study Benefits and Harms of Treatments for Chronic Non-Specific Low Back Pain Without Radiculopathy: Systematic Review and Meta-analysis, highlights in a video-commentary that the aim of this review was to compare the benefits and harms of treatments for the management of chronic low back pain without radiculopathy, but at the moment there is uncertainty about the benefits and harms of all the interventions reviewed due to the lack of trials conducted in patients...
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A brace? Nothing to fear!
Unfortunately, scoliosis has to be treated in adolescence, which is already a very tricky and delicate phase in which youngsters often feel torn between wanting to be independent and wanting to fit in and belong.
We have all been through it and know how difficult this period of growing up can be. It’s not easy being the parent of an adolescent either. Sometimes we struggle to understand our children’s problems as they seem so far removed from our own. This particular challenge, though, is one they need to overcome by themselves. |
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Skiing, playing a musical instrument, dancing or even jumping in the air - is it possible when wearing a brace? Yes, it is; the hundreds of patients who participated during the past 1q years in our Concorsetto, the national ISICO competition dedicated to brace wearers, proved it.
The videos and images of these kids are the best encouragement for those preparing to follow a demanding therapy such as that for scoliosis, and who are living the fear of not being able to practice a sport or play an instrument. For our monthly appointment on our Youtube channel find out how to climb like Maria... |
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Scoliosis and Yoga
According to the existing scientific evidence, Physiotherapy Scoliosis Specific Exercises (PSSE) should be used as the first step in the conservative treatment of mild and mild-to-moderate scoliosis. The aims are to stop or limit the progression of the curve in puberty, to prevent respiratory dysfunction and vertebral pain, and to improve the appearance of the patient. The exercises are based on the fundamental concept of active self-correction, according to which the patient, through specific exercises, learns to counteract the deformity, in the three planes of space, that his/her spine is tending to assume.
This brings us on to the other key feature of these exercises, namely the fact that they are ‘tailored” to “fit” the single patient. After all, every case of scoliosis is unique and must therefore be addressed through personalised and individual physiotherapy plans. A further characteristic of these exercises is that they are integrated into the patient’s everyday activities.
Yoga, on the other hand, has not yet been scientifically proven to have any effectiveness in the conservative treatment of scoliosis. Yoga is one of a number of alternative movement techniques that in some cases, especially in the United States, are also used as a form of treatment for health problems.
Yoga consists of exercises or repetitions of certain positions that have absolutely nothing to do with the concept of active self-correction and, moreover, are not specifically ‘tailored’ to the individual patient. The only possible similarity between certain yoga positions and the specific physiotherapy exercises we have mentioned is that yoga is intended to have an increasing stabilising effect, but this, too, remains to be scientifically proven. |
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Can the proximal humeral ossification system (PHOS) effectively guide brace weaning in patients with adolescent idiopathic scoliosis? Prudence Wing Hang Cheung, Jason Pui Yin Cheung
Eur Spine J. 2023 Jun;32(6):2185-2195.doi: 10.1007/s00586-023-07693-6. Epub 2023 Apr 26 |
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