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| Do youngsters with scoliosis walk differently?
In recent years, many studies have been conducted analysing gait and postural control during walking. Some of these have included gait analysis in youngsters affected by scoliosis.
The first thing to emerge from the literature is that the type of scoliosis does not influence gait. Indeed, no differences in the variables analysed were found between patients with adolescent idiopathic scoliosis and ones with congenital scoliosis...
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Sport is important if you have scoliosis Absolutely right! The World Health Organisation has stressed the importance of regular physical activity, and this is even more important if you are affected by scoliosis.
In adolescents, regular sporting activity (at least twice a week) has been seen to have a protective action and reduce the risk of worsening the curve, both in brace wearers and in patients who follow a purely exercise-based treatment.
Other studies have shown that scoliosis in school-age children tends to be associated with low levels of physical activity or irregular physical activity. So, all in all, it is crucial to keep active. |
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SEAS: finished two courses in Brazil and Malaysia; Turkey is on the doorstep The month of October kicked off with a SEAS level 2 course in Porto Alegre, Brazil, from the 13 to the 15.
The courses are performed by Isis Navarro, a Seas-certified physiotherapist, in different locations in Brazil. For these training moments, Michele Romano, head of physiotherapy at Isico, connects live online to give tips and hints, and replies to doubts or unclear topics.
After Brazil, our SEAS courses touched Malaysia for the first time: Michele Romano held two SEAS 1 courses in Kuala Lumpur from October 20–25 for more than 40 physiotherapists.
From 3-5 November, we will return to Ankara, in Turkey for a SEAS 1 course. |
| Master Online: registration open!
Isico just opened the registration for the IX Edition of the Online Master Course "Principles and Practice of Scoliosis Conservative Treatment - PPSCT". The Early bird registration deadline is December 17th; the course starts on January 2024.
Isico is keen to share its extensive clinical and scientific experience with the course participants hoping that this will result in increased availability of good quality conservative treatment with a high success rate worldwide.
Find out more about the course, besides you can watch as well a free sample lesson. |
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Stanford University has identified the best researchers in the world: ISICO is part of it!
Isico, with its specialists, is still in the “hall of fame” of the world of researchers: Prof. Stefano Negrini, our scientific director, has risen to 52nd place in the world among those involved in rehabilitation research, first among Italians.
That is to say that Prof. Negrini is among the best researchers and scientists in the world in the field of rehabilitation. In the general ranking of all branches of scientific research, he is in 37,206th place overall. |
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| Who came to visit us?
With great pleasure, we hosted some weeks ago at our headquarters in Milan, Luke Stikeleather, Founder, President, and Chief of the National Scoliosis Center from Fairfax, USA.
In the photo, he is with Prof Stefano Negrini, Scientific Director of Isico, and Eng. Alberto Negrini, CEO of Isico. |
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| 18th EMRSS Course in Syracuse:
a presentation by Prof. Stefano Negrini In addition to being our scientific director, Stefano Negrini will be at the XVII EMRSS (Euro Mediterranean Summer School) Course being held these days in Syracuse, Italy, as Cochrane director.
During the course, whose theme is "Cervical Spine Disorders", Prof. Negrini on October 31st will focus on "When cervical curve straightening and inversion are real and not fake issues? The impact of sagittal balance on the neck posture".
For more info please visit the website. |
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| Isico Pills: low back pain and pregnancy
Watch the short video about Low back pain and pregnancy presented by our PT Marta Tavernaro for our Isico Pills Format designed for expert professionals, namely, doctors and therapists, available with English subtitles and share it with #isicopills on social networks. |
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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 from all over the world.
This month's interview is with Dr Luh Karunia Wahyuni, a physiatrist from Dr. Cipto Mangunkusumo National Central Public Hospital, Indonesia.
"We always work in a team, with orthopaedic specialist, spine specialist, therapist, orthotic prosthetic and of course the patients themselves as the core. Education about their condition is crucial...". |
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| Can we be sure that this brace works?
A brace is a tool used to prevent the progression of scoliosis. Braces can be made of different materials: plastic (with metal parts), partly leather, or entirely elastic and fabric.
Finally, numerous models with different names exist, such as the Cheneau, Sforzesco, PASB, Lapadula, Maguelone, and so on, not to mention variants of these models.
All this adds up to a real maze of terminology that the parents of a child or teenager recently diagnosed with scoliosis or a spinal disorder suddenly find themselves trying to understand.
Why is it all so confusing? It is not confusing, it is just that there exist different models... |
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We know how important it is to share experiences and get comfort from those who are going through the same difficulties in a tiring and demanding therapy like that with exercises and braces. For this reason, a few months ago, we collected short testimonies from some of our patients participating in a summer camp organised by Isico.
Below, you can find one of these
I’m Alice - and I’ve been wearing a brace for more than two years. When I first got it, I was in my first year of High-School, and at the time I was allowed 8 brace-off hours a day. Since I didn’t want to have to give up my dance and music, I started wearing my brace to school right from the start. I’ve never had any problems at school. |
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| ISYQOL: the Chinese Version
The latest revision of our ISYQOL (Italian Spine Youth Quality of Life) questionnaire is a Chinese version published recently in the journal Healthcare: "Cross-Cultural Adaptation and Psychometric Properties of the Traditional Chinese Version of the Italian Spine Youth Quality of Life (ISYQOL) Questionnaire".
In recent years, several studies have been published with adaptations and validations of the original Italian version in different languages (in addition to Italian and English, we have Chinese, Polish, Korean, Arabic, Persian, French, Spanish, and Greek versions).
How was ISYQOL developed? It started several years ago when we asked our patients to express in a questionnaire their assessment of the impact of wearing a brace on their daily lives.
From these questionnaires, the next step was to develop an online model made available to everyone, where, in ten questions, the patient himself can evaluate his own well-being with regard to spinal pathologies (kyphosis, scoliosis, or other)
As mentioned in this study, the reported prevalence of AIS in teenagers aged between 10 and 18 years ranges from 0.47% to 5.2% globally and is 2.4% in Eastern China... |
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Can a back become bent again once the treatment is finished?
In our experience, documented in data we have published, it is certainly not true to say that spines treated for scoliosis, once the treatment is over, almost always go back to being as bent as they were before, if not more so. If everything has been done correctly, the result will generally be stable, at least in the medium term.
Any deterioration after the end of therapy can depend on various factors, which may act individually or together: – the exercises weren’t done – the wrong exercises were done
– the brace treatment was ended too soon – the brace treatment was ended too quickly
For example, in a study we published, we showed that, with braces of comparable quality, worn for the same amount of time, patients who do the right exercises will have a substantially stable result after leaving the brace, whereas those whose exercises are not sufficiently specific will experience a deterioration of a few degrees, and those who do not do exercises will worsen by 5° or even as much as 10°.
The end of brace treatment is a crucial and delicate phase. As with the exercises, the use of the brace should be brought to an end extremely gradually. The spine must be allowed to become accustomed to being unsupported very gradually, especially in the presence of a very severe curve.
Finally, it must be remembered that what happens in adulthood also depends on the end result obtained: those whose curve is under 30° at the end of treatment typically remain stable, those with a curve greater than 50° generally find that the condition tends to worsen gradually over time, while final curves of between 30° and 50° are associated with a risk of deterioration, and this risk increases the greater the curve is. This is another thing that needs to be taken into account.
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Effect of Lumbar Spine Mobility and Postural Alignment on Menstrual Pain in Young Women
Katarzyna Walicka-Cupryś, Agnieszka Renata Pelc, Mirosław Pasierb,
Sylwia Płonka, Agnieszka Pal, Nikola Rosowska Int J Environ Res Public Health. 2023 Jul 27;20(15):6458.doi: 10.3390/ijerph20156458. |
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16 October - 16 December | SOSORT | Submissions open for SOSORT 2024 abstracts
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