Dobomed Method, developed in 1979, by the Polish Dr. Krystyna Dobosiewicz (1931- 2007), is a conservative approach to Idiopathic Scoliosis, aimed at both deformity of the trunk and restoration of respiratory function. It has incorporated in its techniques both the position of the Klapp Method for the retraining of the normal 'kyphosis' of the thoracic spine and the technique of active asymmetrical breathing by Lehnert-Schroth (Lunes et al., 2010 , Berdishevsky et al., 2016). The mobilization of the primary bulges is carried out through a closed kinetic chain, in a symmetrical position of the pelvis and shoulders, emphasizing both the pelvis and the shoulders so that they are kept stable during the exercise and during the phase of inhalation and exhalation, respectively. active asymmetric respiration.
Recognizing possible congenital or neuromuscular scoliosis, referral and treatment options.
This 45-minute webinar discusses the features of the asymmetric infant. Children with asymmetric development are often referred to paediatric physiotherapist for assessment and treatment. These infants can suffer from asymmetry caused by intrauterine posture with resulting contractures at birth. Asymmetry can also be a sign of a neuromuscular condition. The early signs of an underlying congenital, infantile or neuromuscular scoliosis are described and assessment tools discussed. Assessment of young infants and babies include history taking and a thorough physical examination. As the congenital scoliosis can only be visualized by X-ray or MRI scan, referal is needed and appropriate medical therapy (serial casting, bracing, surgery) can be initiated. This medical treatment will not be discussed further.
The main focus of this webinar is the developing asymmetric infant and the assessment of possible underlying issues and signs of neuromuscular dysfunction or damage. Assessment can be carried out during therapeutic handling of the child addressing the issues caused by the asymmetry. Having a working knowledge of the testing possibilties is of importance in this process. Medical assessment and diagnostics can be time consuming and it is common practice to treat the child’s symptoms and dysfunction pending final diagnosis. Best practice is to build a multi-disciplinary team around every child. Presented are some findings from the Scoping Review on non-surgical treatment options. The various neuromuscular and genetic disorders presenting with scoliosis are discussed. Demonstrated are options to prevent hip migration and pelvic obliquity, and possible treatment possibilities.
1. Know first signs & symptoms and possible red flags of developing scoliosis.
2. Recognize differences Congenital and Neuromuscular scoliosis
3. Have basic understanding of treatment.