week 13- Schroth PT, Pectus carinatum

postural correction, correction of breathing patterns, correction of postural perception

3 corrective principles of Schroth PT

orthotic bracing (usually Rigo-Cheneau)

what is Schroth PT used in conjunction with?

into concavity of spine

how should a Schroth PT patient be breathing?

passive

does bracing provide active or passive correction?

active

does Schroth PT provide active or passive correction?

reduce scoliosis

goal of Schroth PT in coronal plane

reduce rotation

goal of Schroth PT in transverse plane

reduce hyperkyphosis

goal of Schroth PT in sagittal plane

hanging, supine, side-lying, seated, prone

what positions is Schroth PT done in?

postural, pelvic, breathing

what kind of exercised does Schroth PT involve?

lifelong commitment, need to go to PT, rewiring brain to breathe differently is probably hard

issues with patient compliance with a Rigo-Cheneau brace

ADLs

do modern Schroth PT programs focus more on exercise done in PT, home exercise, or ADLs?

pectus carinatum

also referred to as “pigeon breast”

pectus carnatum/excavatum

anterior chest wall deformities associated with abnormal growth and development of the costal rib cartilages and sternum

pectus carinatum

presents as a protrusion tilt or convexity of the sternum and ribs (typically asymmetrical)

pectus excavatum

known as “funnel chest”

pectus excavatum

inward tilt of sternum, creating the appearance of a cavity

excavatum

is pectus carinatum or excavatum more common?

males

is pectus carinatum more common in males or females?

post-op, congenital, idiopathic, connective tissue disorders

causes of pectus carinatum

11-15

during what age does pectus carinatum usually appear?

respiratory issues, pain at costochondral junction, self-esteem

problems caused by pectus carinatum

during growth spurt

when does severity of pectus excavatum usually increase?

fatigue, shortness of breath, tachycardia, heart palpitations

complications of pectus excavatum

PT, surgery

how to treat pectus excavatum

chrondro-gladiolar

pectus carinatum that affects the inferior costal cartilage and/or body of the sternum

chrondro-gladiolar

which type of pectus carinatum is more flexible and response better to orthotic intervention?

asymmetric chrondro-gladiolar PC

combo of unilateral protrusion and contralateral depression

chondro-manubrial

kind of pectus carinatum that affects the superior portion of the rib cage and manubrium and is more likely to be symmtrical

chrondro-gladiolar

which kind of PC is most common?

orthosis, exercise, surgery if servere

treatment paths for pectus carinatum

dynamic chest compressor full-time

orthosis used to correct pectus carinatum

pectoralis

exercise of which muscle group may improve the appearance of pectus carinatum?