We ll put your spine back on the rail!!

Transcription

1 ScoliOlogic Best Practice Programs! The Scoliologic! Best Practice course program! by Anna Weiss ! We ll put your spine back on the rail!!

2 The Scoliologic! Best Practice course program! The official Scoliologic! course program (I, A and B) is designed for Physical Therapists, Physicians and Chiropractors to allow the acquisition of the skills necessary to guide their scoliosis patients professionally, to diagnose curve patterns and to apply pattern specific exercises for the treatment of scoliosis.! Attendees of the A-Level courses after participation in the course are able to treat their patients properly, however treatment security increases drastically when professionals have attended the B- Level course with the experience of the treatment of patients with different curve patterns as well.! In conservative treatment of scoliosis during growth brace treatment has to be regarded as the primary treatment (Fig. 1.). Therefore, it is highly advisible to implement the Scoliologic! Best Practice bracing program as well.! The Scoliologic! Best Practice program is not compatible with low correction bracing or with the use of soft braces! There is no evidence from independent studies that soft braces do work. In the contrary, during the pubertal growth spurt the application of these braces is of very limited benefit as has been shown in two independent prospective controlled studies, one of them randomized.! Therefore the implementation of the Scoliologic! Best Practice bracing program is recommended.! Fig.1. As can be seen physiotherapy (Schroth) will only be able to prevent curvature progression in 50% (survival proportion 0,5) of immature girls at risk, while the Chêneau brace of the old standard can in 80%. With todays bracing technology we are at > 90%, while some soft braces have shown to have no beneficial effect during the growth spurt*.! *Werkmann M, Weiss HR: Rate of surgery in patients under treatment with a Chêneau light brace using the SRS inclusion criteria. SOSORT conference. Barcelona, May 2011.!

3 Scoliologic! Information course - Therapists only (I-course 1.5 days):! (Treatment demonstration by instructor, only)! Saturday:! 2 Lectures (Conservative management of patients with spinal deformities physiotherapy braces scientific evidence)! Patient demonstration! Sunday:! 2 Lectures (Indications, curve patterns, deformities of different etiologies)! Questions and answers! Scoliologic! A-Level course - Therapists only (A-Level course 2 days):! (Treatment performed and trained by the participants themselves without patients)! Saturday:! Lectures (Conservative management of patients with spinal deformities physiotherapy braces scientific evidence)! Physio-logic" (Standing, sitting and while walking)! Experiencial learning session (Workout of curve patterns)! Correction of the Activities of daily living (ADL) in standing and sitting! 3D-made-easy exercises + first ideas of Schroth! Sunday:! Lectures (Indications, curve patterns, deformities of different etiologies)! Whole 1st. Day program + First Schroth exercise! Whole program + 2nd. And 3rd. Schroth exercise! Whole program + 4th. And 5th. Schroth exercise! Examination! Fig. 2 and 3. The Scoliologic program is based on ADL corrections which are fostered with high correction exercises taken from the New Power Schroth concept. The correction of the sagittal profile is another important aim we easily can address when using the physio-logic approach.!

4 Scoliologic! B-Level course - Therapists together with patients (B-Level course 3-days):! (Treatment of patients performed by A-Level participants)! Monday:! Welcome physio-logic"!!!!90 min! Experiencial learning: curve patterns & physical examination!90 min! Scoliosis patterns and correction of ADL!!!90 min! ADL & Walking!!!!90 min! Tuesday:! Experiencial learning: Systematic self correction!!90 min! Systematic self correction & 3D-made-easy!!!90 min! Whole program + 3D-made-easy!!!90 min! Rehabilitation of walk!!!!90 min! Wednesday:! Whole program + Schroth I!!!!90min! Experiencial learning (Repetition)!!!90 min! Whole program + Schroth II & III!!!90 min! Whole program + Schroth IV & V!!!90 min! ""! The Scoliologic! Best Practice bracing program! Orthopedic technicians and CPOs are advised to follow an official I-course at first. After that individual arrangements for a Scoliologic! brace course can be made. It is advisable to calculate 7 workdays to follow the brace manufacturing, adjustment, application and professional brace checks. Within this time a certain amount of experience can be achieved so as to allow to start bracing at a certain professional level.! Official course language is English but can be offered in Russian language as well. Whenever translation to other languages is necessary the time schedule cannot be kept as planned, therefore the schedule must be considered as being 30% longer.! * A one day A-Level course containing the practical parts of the regular A-Level course can be made available to participants who have undergone the official Information (I-) course before.! Fig. 4. The Scoliologic program of bracing is based on the latest CAD / CAM technology. The Gensingen brace is a Chêneau derivate which is highly corrective and at the same time one of the most comfortable braces at this stage.! This brace in principle can be made available at any place in the world.!

5 Hans-Rudolf Weiss, MD! Orthopedic Surgeon, Physical Medicine & Rehabilitation! Senior Instructor for the ScoliOlogic Best Practice Programs Gesundheitsforum Nahetal Rehabilitation Services! Alzeyer Straße 23; Gensingen; Germany! Tel: 0049 (0) ! Fax: 0049 (0) ! I. Education: Physical Therapy School (University of Mainz, Germany ); Physical Therapy examination 1979; Studies of Medical Sciences in Regensburg, Mainz and Frankfurt; Examination 1985; M.D. 1986; Residency in Traumatology 1986; Residency in Orthopedic Surgery Orthopaedic Surgeon since 1992, Specialist for Chirotherapy and Physical Therapy 1992; Specialist for Physical Medicine and Rehabilitation 1996, trained in Psychosomatic Medicine 1996; Specialisation for Traditional Chinese Medicine (TCM) II. Professional Appointment: Medical Director, Orthopedic Rehabilitation Services "Gesundheitsforum Nahetal", Gensingen (formerly head of the Asklepios Katharina Schroth Centre) III. Editorial Board: a. Résonances Européennes du Rachis (Official Organ of the Société Internationale de Recherche et d`etude sur le Rachis SIRER) b. Pediatric Rehabilitation (Taylor & Francis) c. Scoliosis d. BMC Musculoskeletal Disorders IV. Society Board: a. IRSSD (International Research Society for Spinal Deformities) b. SOSORT (Society on Spinal Orthopedic and Rehabilitation Treatment) V. Founding Editor of: Scoliosis (Peer reviewed Pub Med listed open access journal) VI. Editor in Chief of: The Internet Journal of Rehabilitation, launch 2010 VII. Inventor and developer of new comfortable brace designs such as: physio-logic brace, spondylogic brace, kyphologic brace, USO, Chêneau light and Gensingen brace. VIII. Inventor and developer of new approaches of physical therapy such as: physio-logic exercises, 3D-madeeasy, specific ADL approaches and New Power Schroth Award: Best Clinical Paper at the 6 th biannual meeting of the International Research Society for Spinal Deformities (IRSSD), Vancouver, June 2004: H.R. WEISS, G. WEISS: Is natural history changed by SpineCor treatment during pubertal growth spurt in girls with IS? Guest editor of the special issue on scoliosis: Pediatric Rehabilitation 6, number 3-4, July December 2003 Guest editor of the special issue on scoliosis: Physical Therapy - Theory and Practice 1, 2011 More than 500 publications including 10 books and > 70 listings in Pub Med.