What is Scoliosis?

Scoliosis is a condition characterised by a lateral curvature of the spine. It is frequently a progressive disease with the degree of curvature increasing over time which can lead to a number of secondary health problems.

Scoliosis can develop in anyone, at any point in life from infancy through old age. The upright human posture is reliant upon the continuous precise co-ordination between the central nervous system and the surrounding bone, muscle, cartilage and other soft tissue therefore any disease, injury or posture that results in failure or deterioration of any component can result in the development of scoliosis.

The prevalence of mild to moderate scoliosis in adolescents is 3000-5000 per 100,000 population, and in adults is as high as 12%.

The benefits of The Bambach for Scoliosis

• The hip joint is its position of maximal joint surface contact (closed pack position).
• Focus on pelvic control maintains an upright stable pelvis in its neutral position. In this position the spine, shoulder girdle, trunk, head and neck can function in their most stable position.
• Limbs are in a mid-range position which can minimise abnormal tone.
• A clear midline assists balance and symmetry.
• The individual sitting upright is in an active dynamic posture rather than a passive collapsed position.
• The Individual has greater control of sensory inputs which can trigger unwanted motor responses.
• Partial weight bearing can be encouraged through to standing from a half-sitting position.
• Dynamic sitting facilitates muscle activity which ensures the stimulation of normal and symmetrical growth of bone and soft tissue.
• Facilitation of independence in sitting and other motor activities.
• Trunk and head control are easier in the natural position so that functional activities, such as swallowing and speech are improved.
• Thoracic, abdominal and pelvic spaces are maximized resulting in improved lung and internal organ function and circulation.
• With the upper body stable and free to move in this upright posture, eye contact, communication and social interaction are a great deal easier.
• Self care activities, such as meals, washing and dressing, writing, computer work, hobbies and playing games, are also more easily performed.

Bambach understands the problems associated with Scoliosis

There are several problems associated with the development of Scoliosis:

• Increased back pain
• Decreased mobility and function
• Decreased pulmonary (lung) function
• Decreased exercise capacity
• Impaired quality of life

The primary aim of scoliosis management is to stop curvature progression. This will limit the associated problems and prevent further deformity which can inevitably require surgical intervention.

Posture plays a crucial role in this process as studies suggest that postural imbalance alone can cause severe scoliosis with vertebral rotation and wedging of the vertebrae and intervertebral discs.

It is suggested that spinal deformity may be still reversible providing that any postural imbalances are addressed and the individual is facilitated in maintaining a symmetrical, balanced posture.