11 Subtle Signs Of Scoliosis To Watch Out For

You’d think back pain would be the most obvious sign of scoliosis, but there are plenty more subtle, seemingly unrelated symptoms to watch out for, too. Most of them don’t seem like a big deal, on paper. But since a curvature of your spine can impact the rest of your health by throwing your whole body out of alignment, experts say paying attention these potential signs is important.

“Scoliosis is … a term used to describe a spinal deformity, which presents as a sideways curve in the spine,” Dr Kevin Lau, chiropractic doctor and director of Scoliosis & Spine Correction Center. “A typical spine is perfectly vertical, as if a line was drawn with a ruler on a piece of paper. But when scoliosis occurs, the spine can curve both ways, creating an S shape.”

Some people with scoliosis have a mild case, and thus don’t notice a curve, or any resulting symptoms. But if your curve is more severe, it can lead to pain, discomfort, walking issues, and even breathing issues. If you notice any of the subtle symptoms below, talk with your doctor. They will do an X-ray to determine if you do, in fact, have scoliosis, and prescribe some helpful treatment options from there.

1. One Of Your Shoulders Is Higher Than The Other

An easy way to spot scoliosis is by simply looking in the mirror, standing up straight, and checking to see if one of your shoulders appears to be higher than the other. “The appearance of uneven shoulders is a common symptom of … scoliosis sufferers,” says Anand. It often begins in childhood during a growth spurt, where the curvature of the spine shifts the natural alignment of the shoulders. “As a result, one shoulder blade appears more prominent than the other,” he says. Or, one shoulder may be higher.

2. Your Rib Cage Pops Out More On One Side

Along with uneven shoulders, you might notice that your rib cage pops out more on one side, causing an “uneven” look to your body. “This is due to the abnormal curve of the spine,” Dr Kevin Lau, chiropractic doctor and director of Scoliosis & Spine Correction Center. “When a scoliosis is present, the spinal curve shifts laterally, or to the side. This creates a change in the associated structures, such as the pelvis and the ribcage, giving the uneven appearance.”

3. One Of Your Legs Seems Shorter Than The Other

If your spine is curved, it may “cinch” up one side of your body, causing one leg to appear shorter than the other. As Dr Lau says, you might notice that your pant legs always seem to be uneven, or that one hem trails on the floor, while the other doesn’t. This is, again, may be due to the shift in your spine, and the resulting unevenness in your body.

4. Your Shirts Are Always Wrinkly On One Side

Of course, clothing wrinkles don’t automatically mean scoliosis, but if you catch yourself constantly smoothing the back of your shirts, it could be a very subtle sign of scoliosis. For example, you’ll see a lot of wrinkles … on the low back on the right side, then some bunching up higher up on the back on the left side.
This could be due, in part, to the fact scoliosis may cause a “hump” in your back, where one side sticks out further than the other. If that hump is causing your shirt to rub on on your chair all day, but only on one side, you’ll likely notice more wrinkles in that area.

5. One Sleeve Is Always Longer Than The Other

If you haven’t noticed much of a difference in your pant legs, you might notice that one shirt sleeve is always longer than the other, regardless of the size you buy.
“This could be due to a number or reasons,” Dr Lau says. “First off, depending on the location of the curve, your shoulders may be uneven with one being higher or lower than the other. The location of the curve may also cause winging of the scapula or shoulder blade. Winging occurs when the scapula does not lay flat along the rib cage and sticks out slightly. These postural changes may cause the appearance that one sleeve is shorter than the other, or in the case of winging that the shirt appears tighter one one side compared to the other.”

If you feel like you’re constantly tugging on one sleeve, a trip to the doctor (and an X-ray) can help you figure out if it’s all due to scoliosis, which then can be treated right away.

6. Your Shoes Wear More On One Side Than The Other

Since a curved spine shifts your pelvis, it can throw your whole gait out of alignment, causing you to walk unevenly. “This change in the hips can … effect the wear on a patient’s shoes,” says Dr Lau. “Because of the change in length of the leg, the stride associated with their gait may either lengthen or shorten, causing increased wear and tear on the shoe itself. Look for scuffs on the toes or excessive wearing at the back of the heel.”

7. It Feels Awkward To Carry A Purse Or Backpack

If your back is curved, and one side of your body is lower than the other, it can cause subtle changes in how your clothes hang, as well as how you carry a purse or backpack. For instance, instead of noting that one shoulder is higher than the other … it may be noted that a purse or backpack strap continually slides off one shoulder and not off the other due to a shoulder imbalance.

So take note if you have a preference for holding a bag on one side and not the other, or are constantly readjusting your bag as you walk. And if you think scoliosis is to blame, speak with your doctor to find out more.

8. Sometimes You Feel “Off” When You Walk

Again, due to the gait issues associated with scoliosis, you might notice that you feel “off” while walking or running. Or, you (or a friend, or a doctor) might also notice that you don’t swing your arms in a common way.

When walking, a person with scoliosis will not swing their arms equally. Often in scoliosis because of both the rotation and the decreased arm-to-waist space on the convex side or the side that curves outward, it can affect arm swing with gait and running tasks.

If anything of this rings true, be sure to speak with a doctor, who can better confirm your suspicions and give you a diagnosis.

9. You Have Chronic Muscle Pain

If your body is even slightly out of alignment, it can lead to some unpleasant aches and pains — and possibly ones that have yet to be treatable.

Over time, scoliosis can cause muscular imbalances around the spine that can create chronically tight or weak muscles. Oftentimes, these muscles are not as responsive to treatment. So if you’ve tried everything to feel better, and can’t quite get to the bottom of things, have your doctor check for scoliosis. It may be why you’ve been feeling so bad.

10. You Always Lean To One Side While You Stand

While it’s comfortable to bend your knee and lean a bit while you stand, take note if you’re constantly putting more weight on one leg than the other. “Scoliosis creates pelvic imbalances which often facilitate asymmetrical standing with more weight on one foot, or always standing with one foot behind the other,” says Dr Kevin Lau. ‘To be consistent with scoliosis, it must always be the same leg that you have increased weight bearing through.”

11. It’s Been Slightly Difficult For You To Breathe

If you feel a little bit uncomfortable when you take a deep breath, or sometimes feel a bit “smothered,” it could be due to an uneven spine. “You might struggle to take a deep breath as the scoliosis might limit your rib cage expansion,” If that’s the case for you, reach out to a doctor.

There are plenty of ways to manage scoliosis, and plenty of ways to feel better. “Most mild scoliotic curves can be conservatively managed with chiropractic care, physical therapy, or postural braces, or a combination of all of the above,” Dr Lau says. “Manual chiropractic adjustments, stretches, and strengthening exercises in conjunction with a supportive brace can help to reduce the effects of the curvature in adults and can help minimize the advance of the curve in adolescents.”
And the earlier you can catch these signs, and begin treatment, the better. “Since the skeletal system stops growing between 25 to 30 years of age, it is important to prescribe exercises that can help reduce pressure on the muscles and bones associated with the spinal column.” Speak with your doctor if you are experiencing any of these signs consistently, and they will help you manage your symptoms.

Effektive therapeutische Kontrolle des Krümmungsverlaufs durch Kalzium- und Vitamin D-Supplementierung bei idiopathischer Skoliose bei Jugendlichen - eine randomisierte, doppelblinde, Placebo-kontrollierte Studie.

Knochenabstrakt (2017) 6 OC8 | DOI: 10.1530/ Knochenabs. 6.OC8
Ziele: Die jugendliche idiopathische Skoliose (AIS) ist verbunden mit einer geringen Knochenmasse. Diese Studie zielte darauf ab, den therapeutischen Effekt und seine Determinanten der Ca+Vit-D-Supplementierung zur Verbesserung der Knochenfestigkeit und zur Verhinderung des Krümmungsverlaufs bei AIS zu bewerten.

Methoden: Dies war eine randomisierte, doppelblinde, Placebo-kontrollierte Studie zur Rekrutierung von AIS-Mädchen (11-14 Jahre alt, Gerberstadium 50 nmol/l (N = 29) wurde kein Unterschied im Krümmungsverlauf festgestellt. Für diejenigen mit Basislinie diätetischer Kalzium-Einnahme ≤ 1000 mg/Tag (N = 109), 19,0% Fortschritte in Gruppe 3 im Vergleich zu 54,3% in Gruppe 1 (P=0,001). Für diejenigen mit Kalzium-Einnahme von >1000 mg/Tag (N=23) wurde kein Unterschied im Krümmungsverlauf eruiert.

Tabelle 1 Mittlere Veränderungen der Parameter der Serum 25(OH)Vit-D-Spiegel und der Finite-Elemente-Analyse (FEA) bei 2 Jahren für Gruppe 1, 2 und 3§.

Fazit: Die Ergebnisse dieser Studie liefern starke Hinweise darauf, dass eine Calcium+Vit-D-Supplementierung die Knochenfestigkeit bei AIS verbessern kann. Seine therapeutische Wirkung auf die Verhinderung der Krümmungszunahme korreliert mit einem Anstieg der FEA-Parameter, einem niedrigen Basiswert von 25(OH)Vit-D und niedriger diätetischer Kalzium-Aufnahme.

Finanzierungsquelle Pfizer Inc (IIRGrant: WI174540). (ClinicalTrials.gov-Identifier: NCT01103115).

Offenlegung: Die Autoren erklärten, dass keine Interessenkonflikte bestehen.

5 Überraschende Fakten zu Skoliose bei Erwachsenen

Sie könnten durchaus mehr Optionen und Kontrolle haben, als Sie denken.
Skoliose bei Erwachsenen könnte beeinflussbarer sein, als Sie meinen. Ärzte können Ihnen diverse Behandlungsmöglichkeiten anbieten und Sie können sich auch selbst unterstützen. Hier sind fünf Dinge, die Sie vielleicht überraschen werden, wenn Sie von der Skoliose bei Erwachsenen hören.

Überraschung Nr. 1: Wenn bei Ihnen Skoliose diagnostiziert wird, werden Sie wahrscheinlich keine Operation benötigen.
Bei diagnostizierter Skoliose fürchten viele Menschen, dass eine große Operation der einzige Weg sein wird.
“Nur wenige betroffene Personen mit Skoliose benötigen eine große rekonstruktive Operation”, sagt Chiropraktiker Dr. Kevin Lau. “Viele Menschen mit Skoliose können ihre Symptome ohne jede Art von Operation gut bewältigen.”

In vielen Fällen zielt die Behandlung der Skoliose eher auf die Linderung der Symptome als auf die Fixierung der Kurve in der Wirbelsäule ab.
“Erwachsene Skoliose-Patienten werden zunächst so behandelt, als würden wir einen Patienten mit einer geraden Wirbelsäule behandeln, der Rückenschmerzen hat”, sagt Dr. Lau. Die Behandlung kann eine physikalische Therapie zur Stärkung und Stabilisierung der Wirbelsäule beinhalten. Es können auch entzündungshemmende Medikamente oder Epidural-Injektionen zur Schmerzlinderung in Betracht kommen.

Menschen, die keine Schmerzlinderung durch Medikamente oder Physiotherapie erhalten können, benötigen möglicherweise eine Wirbelsäulen Dekompression.
“Wenn Sie eine Operation wegen Skoliose in Betracht ziehen, sprechen Sie mit Ihrem Arzt und erfahren Sie, wie viele Wirbelsäulenverkrümmungen er oder sie jedes Jahr durchführt”, sagt Dr. Lau. “Sie wollen sich bestimmt vergewissern, dass Ihre Operation von jemandem durchgeführt wird, der auf diese Art von Verfahren spezialisiert ist.”

Überraschung Nr. 2: Das Ausmaß oder die Lage der Verkrümmung Ihrer Wirbelsäule sagt nichts darüber aus, ob Sie Symptome haben werden oder nicht.
Mit zunehmendem Alter beginnt sich Ihre Wirbelsäule zu degenerieren. Wenn sie schwächer wird, kann sie auch beginnen, sich zu krümmen. Manche Menschen haben vielleicht nie irgendwelche Symptome. Andere können Beinschmerzen, Taubheitsgefühl oder Kribbeln beim Gehen und/oder Rückenschmerzen haben.

“Wenn man eine Person von der Seite betrachtet, sieht man, dass die Wirbelsäule drei natürliche Kurven hat: eine im unteren Rücken, eine in der Mitte des Rückens und eine am Hals. Wir neigen dazu, die Krümmung im unteren Rücken mit zunehmendem Alter zu verlieren. Das ist es, was Probleme schafft und Symptome verursacht”, sagt Dr. Lau.

Überraschung Nr. 3: Erwachsene können eine von zwei Arten von Skoliosen haben
Ärzte erkennen bei Erwachsenen zwei Arten von Skoliose. Eine davon ist die Skoliose-Form, die Ärzte auch bei Teenagern erkennen. Diese wird als idiopathische Skoliose bezeichnet. In einigen Fällen nimmt die Krümmung zu und beginnt im Erwachsenenalter Symptome zu verursachen. In anderen Fällen wird sie erst im Erwachsenenalter diagnostiziert.

Die zweite häufige Form der Skoliose bei Erwachsenen ist die degenerative Skoliose. Bei diesem Typ führt der normale Verschleiß des unteren Rückens während des Alterungsprozesses zur Entwicklung einer Verkrümmung in der Wirbelsäule.

Überraschung Nr. 4: Rauchen verursacht Rücken- und Nackenbeschwerden
Zusätzlich zur Behandlung der Skoliose gibt es etwas, das Sie zu Hause tun können, um Ihre Symptome zu mindern. “Das Wichtigste, was man tun kann, ist, nicht zu rauchen”, sagt Dr. Lau. “Rauchen ist die häufigste vermeidbare Ursache für Rücken- und Nackenprobleme.”

Überraschung Nr. 5: Auch mit Skoliose ist Sport-Training möglich
Obwohl vielen Menschen mit Skoliose geraten wurde, ihre Aktivitäten einzuschränken, vertritt Dr. Lau eine andere Ansicht. “Je intensiver Menschen mit Skoliose körperlich aktiv sind, desto geringer ist die Wahrscheinlichkeit, dass sie symptomatisch sind”, sagt er. Bei vorhandenem Übergewicht kann ferner eine Gewichtsabnahme die Minimierung von Skoliose-Symptomen unterstützen. Es ist auch wichtig, die Knochendichte zu überwachen und sich bei Osteoporose behandeln zu lassen.

칼슘과 비타민 D 보충제를 청소년기의 특발성 척추측만증에 사용하는 효율적인 치료적 통제 – 위약 효과 통제를 통한 임의적 이중맹검법 시험

Bone Abstracts (2017) 6 OC8 | DOI: 10.1530/boneabs.6.OC8

목표: 청소년기의 특발성 척추측만증(AIS)은 낮은 골질량과 연관되어 있습니다. 이 연구는 뼈의 강도를 개선하고 AIS의 만곡도 악화를 예방하는 데에 있어 칼슘 및 비타민 D 보충제의 치료적 효과 및 그 결정 요인을 평가하는 데에 목적을 둡니다.

방법: 본 실험은 위약 효과 통제를 통한 임의적 이중맹검법을 시행한 것으로 AIS 소녀들을 모집하여 진행되었습니다 (대퇴 경부 BMDZ-점수<0 및 코브 각도(Cobb angle)≥15°인 만 11–14 세, 태너 스테이지(Tanner stage)50 nmol/l였던 이들은 (N=29), 주목할 만한 만곡도 악화 상의 차이가 존재하지 않았습니다. 시작 시점에 영양 상의 칼슘 섭취≤1000 mg/day였던 이들은 (N=109), 그룹 3에서 19.0%가 악화된 데에 비해 그룹 1에서는 54.3%가 악화되었습니다(P=0.001). 칼슘 섭취>1000 mg/day 였던 이들은(N=23), 만곡도 악화 상의 주목할 만한 차이가 존재하지 않았습니다.

표 1 Mean changes on 혈청 25(OH) 비타민D 수준과 그룹 1, 2, 3에서의 2년 후 유한 요소 분석(FEA) 변수§.

결론: 본 연구의 결과는 칼슘+비타민D보충이 AIS 상의 뼈의 강도를 개선시켜줄 수 있음에 대한 강력한 증거를 제공합니다. 만곡 악화를 예방하는 치료적 효과는 FEA 변수 상의 증가,시작 시점의 낮은25(OH)비타민D 수치와 낮은 시작 지점의 영양 상의 칼슘 섭취와상관 관계를 가집니다.

자금 지원처Pfizer Inc (IIR허가:WI174540). (ClinicalTrials.gov-식별코드: NCT01103115).

공시: 저자들은 어떠한 이해 관계도 갖지 않습니다.

特発性脊柱側弯症においてのカルシウムとビタミンD補充を用いた効果的な進行予防治療-無作為化二重盲検プラセボ対照研究

Bone Abstracts(2017)6 OC8 | DOI:10.1530 / boneabs.6.OC8

目的:思春期の特発性脊柱側弯症(AIS)は、骨量の低下と関連しています。この研究は、 AIS患者の骨強度を改善し、湾曲進行を予防する上でのCa + Vit-D補充の治療効果を研究します。

方法:この無作為化二重盲検プラセボ対照調査では大腿骨頚部BMDZスコアが0未満でコブ角≧15°のAISを持つ女性患者(11-14歳、タナーステージ 50nmol / l(N = 29)の患者には、湾曲の進行に差は見られませんでした。 1000mg /日(N = 109)のカルシウム摂取量を基準とした場合、グループ3で19.0%に対しグループ1で54.3%(P = 0.001)でした。 カルシウム摂取> 1000mg /日(N = 23)の患者には、湾曲の進行に差は認められませんでした。

表1:グループ1,2と3の2年間での血清25(OH)Vit-Dレベルおよび有限要素解析(FEA)パラメータの平均変化値。

結論:この研究の結果は、カルシウム+ Vit-D補給がAIS患者が効果的に骨強度を改善し得るという強力な証拠です。 湾曲の進行を防止する治療効果は、FEAパラメータの上昇、低いベースライン25(OH)Vit-Dレベルおよび低いベースライン食餌カルシウム摂取量と相関します。

資金調達元 ファイザー社(IIRGrant:WI174540)。(ClinicalTrials.gov-Identifier:NCT01103115)。

開示:著者は相反する利益を宣言しませんでした。

Kontrol terapeutik yang efektif terhadap progresi kurva menggunakan suplementasi kalsium dan vitamin D untuk skoliosis idiopatik remaja - uji coba secara acak tersamar ganda dengan kontrol plasebo

Bone Abstracts (2017) 6 OC8 | DOI: 10.1530 / boneabs.6.OC8

Tujuan: Adolescent Idiopathic Scoliosis (AIS) berhubungan dengan massa tulang yang rendah. Penelitian ini bertujuan untuk mengevaluasi efek terapeutik dan determinannya dari suplementasi Ca + Vit-D untuk meningkatkan kekuatan tulang dan mencegah perkembangan kurva pada AIS.

Metode: Ini adalah uji coba secara acak tersamar ganda dengan kontrol plasebo yang merekrut gadis-gadis AIS (usia 11-14 tahun, tahap Tanner 50 nmol / l (N = 29), tidak ada perbedaan pada perkembangan kurva tercatat. Bagi mereka dengan asupan kalsium diet awal ≥ 1.000 mg / hari (N = 109), 19,0% berkembang di grup3 dibandingkan dengan 54,3% pada Grup1 (P = 0,001). Untuk mereka dengan asupan kalsium> 1000 mg / hari (N = 23), tidak ada perbedaan pada perkembangan kurva tercatat.

Tabel 1 Rata-rata perubahan pada serum 25 (OH) tingkat Vit-D dan Analisis Elemen Hingga (FEA) parameter pada tahun ke-2 untuk grup 1, 2 dan 3§.

Kesimpulan: Hasil dari penelitian ini memberikan bukti kuat bahwa suplementasi kalsium + Vit-D dapat meningkatkan kekuatan tulang pada AIS. Efek terapinya pada pencegahan perkembangan kurva berkorelasi dengan peningkatan parameter FEA, tingkat vit-D 25 (OH) awal yang rendah dan asupan kalsium diet awal yang rendah.

Sumber Pendanaan Pfizer Inc (IIRGrant: WI174540). (ClinicalTrials.gov-Identifier: NCT01103115).

Pengungkapan: Para penulis menyatakan tidak ada kepentingan persaingan.

Contrôle thérapeutique efficace de la progression de la courbure à l'aide de suppléments de calcium et de vitamine D pour la scoliose idiopathique de l'adolescent - un essai aléatoire à double insu et contrôlé par placebo.

Abstracts osseux (2017) 6 OC8 | DOI : 10.1530/boneabs.6.OC8.

Objectifs : La Scoliose Idiopathique Adolescente (SIA) est associée à une faible masse osseuse. Cette étude visait à évaluer l’effet thérapeutique et ses déterminants dans la supplémentation en Ca+Vit-D pour améliorer la solidité osseuse et prévenir la progression de la courbure dans la SIA.

Procédés : Il s’agissait d’un essai aléatoire à double insu et contrôlé par placebo regroupant des filles de la SIA (11-14 ans, stade de Tanner < IV) avec des scores BMDZ du col fémoral < 0 et un Angle de Cobb ≥15°. 330 sujets ont été répartis au hasard dans le groupe 1 (placebo), le groupe 2 (600 mgCalcium+400 IUVit-D3/jour) ou le groupe 3 (600 mgCalcium+800 IUVit-D3/jour) pour un traitement de 2 ans. Les enquêtes au départ et sur deux ans sont incluses : (1) Analyse par Eléments Finis (AEF) sur HR-pQCT au rayon distal, (2) dosage du sérum 25(OH)Vit-D et (3) apport alimentaire en calcium. La ligne directrice du SRS a été suivie pour la dernière analyse de suivi de la progression de la courbe définie comme augmentation Cobb ≥°. La valeur P < 0,05 a été jugée statistiquement significative. Résultats : 270 (81,8 %) sujets ont participé à l'étude. Après deux ans, la hausse des paramètres de l'AEF était beaucoup plus importante dans le groupe de traitement (tableau 1). Au dernier suivi (N=132), 21-7% dans le groupe 3 et 24-4% dans le groupe 2 se sont améliorés par rapport à 46-7% dans le groupe 1 (P=0,012, 0,032). L'analyse de régression logistique intra-groupe a montré dans le groupe 3 que l'augmentation des paramètres AEF de la charge de rupture et le module apparent étaient des facteurs de protection significatifs contre la progression de la courbure (P=0,043 et 0,034 respectivement). Chez les sujets dont le sérum de référence est 25(OH)Vit-D≤ nmol/l (N=103), 16,2 % ont progressé dans le groupe 3, comparativement à 48,6 % dans le groupe 1 (P=0,003). Pour ceux qui ont 25(OH)Vit-D>50 nmol/l (N=29), aucune différence dans la progression de la courbure n’a été notée. Chez les personnes ayant un apport alimentaire de base en calcium ≤ mg/jour (N=109), 19,0 % ont fait des progrès dans le groupe 3, comparativement à 54,3 % dans le groupe 1 (P=0,001). Chez les patients dont l’apport en calcium est supérieur à 1 000 mg/jour (N = 23), aucune différence dans la progression de la courbure n’a été notée.

Tableau 1 Changements moyens des taux sériques de 25(OH)Vit-D et des paramètres de l’analyse par Eléments Finis (FEA) à 2 ans pour les groupes 1, 2 et 3.

Conclusion : Les résultats de cette étude fournissent des preuves solides que la prise de suppléments de calcium + Vit-D peut améliorer la solidité des os dans la SIA. Son effet thérapeutique dans la prévention de la progression de la courbure est corrélé avec l’augmentation des paramètres de l’AEF, un faible niveau de base de 25(OH)Vit-D et un faible apport de calcium alimentaire de base.

Source de Financement Pfizer Inc (IIRGrant: WI174540). (ClinicalTrials.gov-Identifier: NCT01103115).

Divulgation : Les auteurs n’ont déclaré aucun intérêt concurrent.

Control del efecto terapéutico de la progresión de la curvatura con suplementos de calcio y vitamina D para la escoliosis idiopática del adolescente: un ensayo aleatorizado doble ciego controlado con placebo

Resúmenes óseos (2017) 6 OC8 | DOI: 10.1530 / boneabs.6.OC8

Objetivos: la escoliosis idiopática en adolescentes (EIA) se asocia con una baja masa ósea. Este estudio tuvo como objetivo evaluar el efecto terapéutico y sus factores determinantes de la suplementación de Ca + Vit-D para mejorar la resistencia ósea y prevenir la progresión de la curva en EIA.

Métodos: se trató de un ensayo aleatorizado, doble ciego, controlado con placebo que reclutó niñas con EIA (11-14 años, estadio Tanner 50 nmol / l (N = 29), no se observaron diferencias en la progresión de la curva. Para aquellos con una ingesta dietética de calcio inicial <1000 mg / día (N = 109), el 19.0% progresó en el Grupo 3 en comparación con el 54.3% en el Grupo 1 (P = 0.001). Para aquellos con ingesta de calcio> 1000 mg / día (N = 23), no se observaron diferencias en la progresión de la curva.

Tabla 1 Cambios medios en los parámetros de 25 (OH) Vit-D en suero y análisis de elementos finitos (FEA) a los 2 años para los grupos 1, 2 y 3§.

Conclusión: Los resultados de este estudio proporcionan fuertes evidencias de que la administración de suplementos de calcio + Vit-D puede mejorar la fortaleza ósea en EIA. Su efecto terapéutico sobre la prevención de la progresión de la curvatura se correlaciona con un aumento en los parámetros de FEA, un bajo nivel basal de 25 (OH) Vit-D y una bajo nivel basal de ingesta dietética de calcio.

Fuente de financiación Pfizer Inc (IIRGrant: WI174540). (ClinicalTrials.gov-Identifier: NCT01103115).

Declaración: los autores declararon no tener intereses en conflicto.

Effective therapeutic control of curve progression using calcium and vitamin D supplementation for adolescent idiopathic scoliosis - a randomized double-blinded placebo-controlled trial

Bone Abstracts (2017) 6 OC8 | DOI: 10.1530/boneabs.6.OC8
Objectives: Adolescent Idiopathic Scoliosis (AIS) is associated with low bone mass. This study aimed at evaluating the therapeutic effect and its determinants of Ca+Vit-D supplementation in improving bone strength and preventing curve progression in AIS.

Methods: This was a randomized double-blinded placebo-controlled trial recruiting AIS girls (11–14 years old, Tanner stage50 nmol/l (N=29), no difference on curve progression was noted. For those with baseline dietary calcium intake ≤1000 mg/day (N=109), 19.0% progressed in Group 3 as compared with 54.3% in Group 1 (P=0.001). For those with calcium intake>1000 mg/day (N=23), no difference on curve progression was noted.

Table 1 Mean changes on serum 25(OH)Vit-D level and Finite Element Analysis (FEA) parameters at 2-year for Group 1, 2 and 3.

Conclusion: The results of this study provide strong evidences that calcium+Vit-D supplementation can improve bone strength in AIS. Its therapeutic effect on preventing curve progression is correlated with increase in FEA parameters, low baseline 25(OH)Vit-D level and low baseline dietary calcium intake.

Funding Source Pfizer Inc (IIRGrant:WI174540). (ClinicalTrials.gov-Identifier: NCT01103115).

Disclosure: The authors declared no competing interests.

Parents’ Roles in Helping Their Children with Scoliosis

Parents can find it overwhelming if their child is diagnosed with scoliosis. Both Mom and Dad may experience stress. And, they may have a hard time coping with emotional and financial problems. If you have a child with scoliosis, it is important to handle the situation with care.

What Is Scoliosis?
Scoliosis is a curvature of the spine. It often occurs during the growth spurt during the puberty period. In some cases, severe scoliosis can reduce the amount of space in one’s chest. As a result, the lungs don’t have enough space to function properly. Causes of scoliosis can be hereditary factors, birth defects, injuries of the spine or muscular dystrophy.

What Can Parents Do?

  • Research the Subject
  • If your adolescent or child has scoliosis, you need to be completely supportive. You should do your research. You can start to familiarize yourself with the symptoms, treatments, severity, and side-effects of the disorder. Even if you have feelings of uncertainty, don’t be afraid to ask the professionals for advice.

  • Understand your Child’s Emotional State and Situation
  • After initial feelings of shock, children might feel fear. When they learn that they have scoliosis, they might worry about how the disease will affect their social life. It might be scary for children to receive a different treatment because of scoliosis. As a parent, it is important to make them feel loved.

    Always remind your child that they are not different from other people. Make sure that you don’t let them feel isolated. Bring their closest friends to your house. You can also organize a family gathering. Encourage your child to interact with his or her cousins, uncles, aunts and other members of the family.

    If your child has a prominent spinal curve, he might worry about being seen in public. It is your duty as a parent to make your child comfortable in his own skin.

  • Be Decisive and Start Treatment as Early as Possible
  • Scoliosis needs treatment as soon as possible. About 70% of scoliosis progression occurs during the 3 years of puberty growth spurt. Doctors do not recommend watching and waiting when your child has scoliosis. A small curve can grow into a more chronic and bigger curve in a in less than 3 weeks! Look for early signs and symptoms of scoliosis. Make arrangements to see your doctor right away.

    If you suspect that your child has scoliosis, look for imbalances in the eyes, hips, or shoulders. It is very important to detect scoliosis early, especially if the disease runs as a hereditary factor in your family.

  • Look for Alternative Treatments
  • If you want safer and more effective treatment, don’t be afraid to look into alternative medicine. Many hospitals and medical practitioners apply invasive surgeries that are risky and once done your affected lifelong. You might want to look for better answers and make sure that your child receives the best non-invasive treatments first.

    What Makes Dr. Lau Different?
    Doctor Lau has known that he would dedicate his life to studying scoliosis since his brother was diagnosed with it and he saw how much pain he suffered. After receiving his Doctor of Chiropractic degree from RMIT University in Melbourne, Australia, he received a Master of Science Degree in Holistic Nutrition from the Clayton College of Natural Health in Birmingham, Alabama, and his thesis connected the importance of diet to the healing process of scoliosis. He practiced as a chiropractor and nutritionist in Singapore for many years before becoming the Clinic Director, Chiropractor and Nutritionist at the Scoliosis & Spine Correction Clinic in Singapore. He is a worldwide expert and has patients who come to him from all over the world. To date, he has treated millions of patients who are suffering from scoliosis as of this date.

    Dr. Lau has studied the causes of scoliosis around the world. He also studied the treatments administered to patients with the disease including:

    1. The scoliosis protocol, which does not involve drugs, injections, use of a brace, surgery or maneuvers that twist or turn the patient’s head. It includes specific physical therapy exercises, specialized chiropractic adjustments and balance training exercises. Radiographic measurements are taken, and the patient undergoes a detailed, scoliosis-specific physical exam.

    2. Pilates, a method of exercise that consists of low-impact flexibility and muscular strength and endurance movements and emphasizes proper posture alignment, core strength and muscle balance.

    3. Yoga, a group of physical, mental, and spiritual practices or disciplines to develop a non-surgical approach to scoliosis.

    4. The Schroth method, which is a treatment using conservative scoliosis exercise in a three-dimensional approach to elongate the trunk and correct imbalances of the spine.

    5. Bracing, using the Gensingen Brace, which is the only brace in the world that allows for the maximum amount of in-brace correction and works by addressing the problem area from three dimensions.

    6. Nutrition and diet to address the root causes of growth factors which could contribute to scoliosis.

    The ScolioLife System
    Doctor Kevin Lau can help you combat scoliosis through his holistic approach. Most doctors generally wait and see when it comes to the development of scoliosis. Dr. Lau is different. He believes that parents and children should be proactive when it comes to the treatment of this disease. Dr. Lau involves both parents and child in the decision of doing interventions and treatments to decrease the spine curves and significantly reduce the physical symptoms of scoliosis. This empowers the child and his parents and can make a big impact on the child’s life.

    Dr. Lau incorporates the best of the ideas he has studied and used into one program that he calls the ScolioLife System. The focus of his program is not only on the spine curve. The program encompasses the whole spine as well as the child’s entire nervous system, as well as bracing, nutrition and diet. ScolioLife fixes the root cause of the diseases directly. This can bring long-lasting results as well as less pain.

    You may expect setbacks and difficulties along the way, but his approach will produce results in the long run.

    Conclusion
    No one wishes to have a diagnosis of scoliosis, or any diseases, for that matter. But, if your child is diagnosed with it, do your research, read the studies, and seek a consult with professional specialized in scoliosis. Talk to your doctor and don’t be afraid to seek alternative treatments apart from a conventional brace or surgery. With your support and love, this diagnosis should not prevent your child from being the best person that he or she can be.