Describe the key points to assess during examination of a patient with spinal deformity secondary to neuromuscular disease

• Assessment of level of function. Can the patient sit independently? Is the patient ambulatory?

• Assessment of general health status. Is there a history of seizures, frequent pneumonia, or poor nutrition?

Figure 7-4. A, Flatback syndrome. B, Normal sagittal plane alignment.
Figure 7-5. Neuromuscular scoliosis. A, Long sweeping curve with associated pelvic obliquity and loss of sitting balance. B, Assessment of curve flexibility.

Figure 7-6. Severe spondylolisthesis associated with sagittal plane decompensation.

• Evaluation of head control, trunk control, and motor strength. Does the underlying neuromuscular problem result in a spastic, flaccid, or athetoid picture?

• Assessment of curve flexibility. Curve flexibility can be assessed by grasping the head in the area of the mastoid process and lifting the patient from the sitting or standing position.

• Is pelvic obliquity present? Is it correctable with traction and positioning?

• Evaluation of the hip joints for coexistent pathology, including contractures.

• Is the patient's underlying neuromuscular disorder associated with any other organ system problems? For example, Duchenne muscular dystrophy is associated with cardiomyopathy.

• Documentation of pressure sores and areas of skin breakdown.

Was this article helpful?

0 0
How To Win Your War Against Back Pain

How To Win Your War Against Back Pain

Knowing the causes of back pain is winning half the battle against it. The 127-page eBook, How To Win Your War Against Back Pain, explains the various causes of back pain in a simple manner and teaches you the various treatment options available. The book is a great pain reliever in itself. The sensible, practical tips that it presents will surely help you bid good-bye to back pain forever.

Get My Free Ebook

Post a comment