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Research has shown the importance of evaluating the
Cerebello-vestibular systems in patients with scoliosis.
Cerebello-vestibular dysfunction has been linked to abnormal spinal
curvatures. Treatment plans that target these areas has been shown to
improve balance, posture and spinal alignment. Video
Electronystagmography is the Gold standard in the assessment of these
systems as well as brain, brainstem and cerebellar control of eye
movements. This non invasive diagnostic test can objectively diagnose
between Cerebello-vestibular dysfunction, and cortical imbalances
which may be the underlying cause of abnormal curvatures of the spine.
After a diagnosis is made and a treatment plan is formulated, Dr. Gary
Deutchman, the Founder of the Scoliosis Care Foundation, will measure
and fit each patient for personalized bracing (if necessary). The
Scoliosis Care Foundation is a non-profit organization which conducts
research and aides in the development of new treatments for Idiopathic
Scoliosis.
Below are excerpts from peer reviewed journals which support the
evaluation and treatment of idiopathic scoliosis utilizing
Cerebello-vestibular testing.
A study of labyrinthine function in patients with adolescent
idiopathic scoliosis. I. An electro-nystagmographic study.
…Spontaneous nystagmus (SN) and positional nystagmus (PN) were found
in 24 out of the 47 patients with single curvatures and in only one
subject in the control group (P less than 0.001). .. Significant
differences were observed in the caloric response between right and
left scoliotic patients (P less than 0.05). The right convex patients
had a sensitivity dominance in the right labyrinth and the left convex
patients in the left labyrinth…
Acta Orthop Scand 1979 Dec;50(6 Pt 2):759-69 Sahlstrand T, Petruson
B.
Vestibular mechanisms involved in idiopathic scoliosis
… It appears, however, that, in children, a slight unbalance in the
activity of vestibular complex of both sides escapes the neuronal
mechanisms responsible for vestibular compensation and leads to the
spinal curvature which characterises Idiopathic Scoliosis.
Arch Ital Biol 2002 Jan;140(1):67-80 Manzoni D, Miele F.Dipartimento
di Fisiologia e Biochimica, Universita di Pisa, Via S. Zeno 31,
I-56127 Pisa, Italy
… The results indicated that subjects with adolescent
idiopathic scoliosis had a significantly decreased duration of
postrotatory nystagmus as well as irregularities in nystagmus form. The
recommendation was made that a neurological examination, including
assessment of vestibular function, be incorporated into screening
methods for scoliosis.
Jensen GM, Wilson KB. Phys Ther 1979 Oct;59(10):1226-33
….Significant differences were found between patients with right
convex curves and those with left convex curves in the distribution of
eye predominance and in labyrinthine sensitivity
Spine 1980 Nov-Dec;5(6):512-8 Sahlstrand T.
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