Adolescent Idiopathic Scoliosis Part 2: Clinical & Radiological Evaluation

Presented by Cindy Marti

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This course will provide an overview of clinical and radiological evaluation of AIS. Different curve pattern examples will be given using the Rigo Classification System as a foundation. Clinical evaluation tools will include postural assessment, use of Bunnell Scoliometer for measurement of angle of trunk rotation, and suggested respiratory assessments. Radiological evaluation will include education on Cobb angle and other spinal parameters.

Meet your instructor

Cindy Marti

Cindy Marti began her career at St. Elizabeth Hospital in Appleton in 1986. In 1989 she joined Milwaukee-based Competitive Edge Sports Medicine and became part of the management team in 1991. In 1994, after Competitive Edge became part of NovaCare, Cindy became General Manager of the Wisconsin region. In 1996, Cindy stepped…

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Chapters & learning objectives

Clinical Screening and Leg Length Discrepancy

1. Clinical Screening and Leg Length Discrepancy

This chapter will educate on screening for scoliosis using the Bunnell scoliometer and how the clinician should coordinate care in the event of a positive scoliosis screening. There will be examples of postural asymmetry seen in scoliosis. In addition, the learner will be introduced to research supporting the most valid and reliable methods for detecting leg length discrepancy and understand importance of correctly detecting and treating leg length discrepancy in scoliosis. Case examples of leg length discrepancy will be given.

Clinical Examination

2. Clinical Examination

This chapter will introduce the reader to scoliosis curve patterns and educate the learner on the fundamentals of how to clinically examine scoliosis using various objective measures such as photography, inclinometer, and respiratory measures. There will be an introduction to the use of surface topography for clinical tracking of scoliosis. There will be a video of a scoliosis patient examination.

Radiological Examination

3. Radiological Examination

This chapter will introduce the reader to how scoliosis is evaluated radiologically using standing x-ray. The learner will understand the Cobb angle as the key radiological measurement of scoliosis, and also be introduced to additional radiological measures such as vertebral rotation, sagittal and coronal imbalance, and Risser score for skeletal maturity.