MND-SOCILIOSIS
SUMMARY
1. Prevention & management of scoliosis is one of the major goals, occurs with increasing age and advancing disability.
2. Whilst the child is ambulatory, scoliosis is uncommon, however once chair-bound scoliosis progresses rapidly. Most develop collapsing, paralytic type of scoliosis.
3. Appropriate wheelchair priscription:
- Symmetrical seating-posure with adequate upper and lower extremity support is required
- Sling-seats should be avoided as they promote asymmetric pelvic rotation
- Solid foam-padded seating cushion is required
- Children tolerate sitting-support orthosis until the curve > 40o
4. Beyond 40o curvature requires surgical correction, should be done before ventilatory capacity (VC) drops below 50% of expected age-adjusted values.
5. There is greater post-operative morbidity & mortality once VC drops below 50%
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
