(4) New examination for the discovery of the early stages of scoliosis - see also "Scoliosis in English" - click on the link on the left.

 

Examination for the discovery of the early stages of scoliosis:  

 

1/ Test of adduction of both hips (in extension position of joints). Limited adduction of the right hip - "three models of 'hip movements' - deciding about the "types of scoliosis - I epg, II/A epg, II/B epg, III epg.

 

2/ Often plus flexion contracture of hips/right hip (Elly-Dunkan test, or Staheli test or Thom test), often plus external rotation contracture of the right hip.

 

3/ Shape of the spine (of the whole body) in flexion, round shape - good, stiff and straight "line of spine" - the beginning of scoliosis.

 

4/ "Bending test for scoliosis" - Adams/Meyer Test.

 

5/ "Side bending test for scoliosis" - Karski/Lublin Test => it is modified "Adams&Meyer Test".

Opinion about "Karski/Lublin Test" in "Letters from abroad" > letter from Bratislava/Slovak Republic/Prof. L. Rehak & Dr Peter Tisovsky: "...this side bending test for scoliosis is better - we see increasing of the sensitivity and specificity of the tests...". We use this test in Slovakia since 2000 - Prof. Milan Kokavec a kol. "Vybrane kapitoly z detskej ortopedie" (Book in Slovak language) ", Bratislava, 2003.

 

6/ Rotation movements of the body - comparison of internal rotation / versus external rotation - of hips in "standing position" of child with feet close together (new test - 2006).

 

7/ "Standing at ease" - on the right leg [scoliosis] or on the left leg [safe for spine].

 

8/ Symmetry or asymmetry of the waist  - clinical picture different in I epg "S" double scoliosis - with stiffness of spine and with gibbous costalis [other name of "S" deformity in I epg: "lordoscoliosis"], different in II/A "C" one curve scoliosis and in II/B "S" double scoliosis (thoracic secondary). In this last group (II/B "S") the spine deformity is without stiffness of spine and without gibbous costalis or minimal [other name of "S" deformity in II/B epg: "ky(i)phoscoliosis"]

 

9/ Illnesses (e.g.rickets).

 

10/ Anatomical anomalies of the spine (spina biffida occulta, pectus infundibuliforme). If present - not safe for proper development of spine.

 

11/ Body build type - asthenic and picnic (bad), athletic (good).

 

12/ Willingness/intention to participate in sports, yes / take part in sport - good, no take part in sport - bad.