Proprioceptive Stimulation. An Effective Tool for Reversing Postural Distortions and Eliminating Chronic Pain
Prof/Dr Rothbart's Research Website
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Spinal X-Rays - Supine vs Standing
Anterior -posterior xrays of a long standing AIS patient. From a supine to standing position, the right thoracic curve increased by 14 degrees.
Xrays for a patient with a spinal deformity should be taken with the patient standing. The apparent deformity can be decreased by 10 degrees or more when the patient is supine (e.g., eliminating the impact gravity has on the spine). This effect is most apparent when examining thoraco-lumbar and lumbar curves, particularly in girls with generalized ligamentous laxity.
A diagnosis of a structural scoliosis is made when the curve is greater than 10 degrees with concomitant rotation.
The key physical sign of a fixed structural scoliosis is a positive Forward Bend Test (See Figure below). The ribs follow the spinal rotation - the prominence on the convex side is from the costal elements. In the lumbar region, a positive Bolster Sign is noted (erector spinae muscles on the convex side are more prominent)
Courtesy of:
A diagnosis of a structural scoliosis is made when the curve is greater than 10 degrees with concomitant rotation.
The key physical sign of a fixed structural scoliosis is a positive Forward Bend Test (See Figure below). The ribs follow the spinal rotation - the prominence on the convex side is from the costal elements. In the lumbar region, a positive Bolster Sign is noted (erector spinae muscles on the convex side are more prominent)
Courtesy of:
Prof/Dr Brian A Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot Structure and the PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Inventor and Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain
