Adult scoliosis can be reduced through specific SEAS exercises: a case report

<p>Abstract</p> <p>Background</p> <p>It has been known since many years that scoliosis can continue to progress after skeletal maturity: the rate of progression has shown to be linear, and it can be used to establish an individual prognosis. Once there is progression there is an indication for treatment: usually it is proposed a surgical one. There are very few papers on an alternative rehabilitation approach; since many years we propose specific SEAS exercises and the aim of this study is to present one case report on this approach.</p> <p>Case presentation</p> <p>All radiographs have been measured blindly twice using the same protractor by one expert physician whose repeatability error proved to be < 3° Cobb; the average measurement has been used. In this case a 25 years old female scoliosis patient, previously treated from 14 (Risser 1) to 19 years of age with a decrease of the curve from 46° to 37°, showed a progression of 10° Cobb in 6 years. The patient has then been treated with SEAS exercises only, and in one year progression has been reverted from 47° to 28.5°.</p> <p>Conclusion</p> <p>A scoliosis curve is made of different components: the structural bony and ligamentous components, and a postural one that counts up to 9° in children, while it has not been quantified in adults. This case shows that when adult scoliosis aggravates it is possible to intervene with specific exercises (SEAS) not just to get stability, but to recover last years collapse. The reduction of scoliotic curve through rehabilitation presumably does not indicate a reduction of the bone deformity, but rely on a recovery of the upright postural collapse. This reduction can decrease the chronic asymmetric load on the spine and, in the long run, reduce the risks of progression.</p

Specific exercises performed in the period of brace weaning can avoid loss of correction in Adolescent Idiopathic Scoliosis (AIS) patients: Winner of SOSORT's 2008 Award for Best Clinical Paper

<p>Abstract</p> <p>Background</p> <p>Exercises are frequently performed in order to improve the efficacy of bracing and avoid its collateral effects. Very frequently there is a loss of correction during brace weaning in AIS treatment.</p> <p>Aim</p> <p>To verify the efficacy of exercises in reducing correction loss during brace weaning.</p> <p>Study Design</p> <p>Retrospective controlled study.</p> <p>Population</p> <p>Sixty-eight consecutive patients (eight males), age 15 ± 1 and Cobb angle 22 ± 8° at start of brace weaning.</p> <p>Methods</p> <p>The start of brace weaning was defined as the first visit in which the wearing of brace for less than 18/24 hours was prescribed (according to our protocol, at Risser 3). Patients were divided into two groups according to whether or not exercises were performed: (1) EX (exercises), included 39 patients and was further divided into two sub-groups: SEAS (who performed exercises according to our institute's protocol, 14 patients) and OTH (other exercises, 25 patients) and (2) CON (controls, 29 patients) that was divided into two other sub-groups: DIS (discontinuous exercises, 19 patients) and NO (no exercises, 10 patients). Complete brace weaning was defined as the first visit in which the brace was no longer prescribed (ringapophysis closure or Risser 5, according to our protocol).</p> <p>ANOVA and Chi Square tests were performed.</p> <p>Results</p> <p>There was no difference between groups at baseline. However, at the end of treatment, 2.7 years after the start of the weaning process, Cobb angle increased significantly in both the DIS and NO groups (3.9° and 3.1° Cobb, respectively). The SEAS and OTH groups did not change. Comparing single groups, OTH (with respect to DIS) had a significant difference (P < 0.05).</p> <p>Conclusion</p> <p>Exercises can help reduce the correction loss in brace weaning for AIS.</p

Tópicos de Probabilidade através da Resolução de Problemas

Este artigo tem por objetivo apresentar uma proposta para o ensino de alguns tópicos do conteúdo Probabilidade por meio da Resolução de Problemas, voltada para o trabalho com alunos de Ensino Médio. A perspectiva da Resolução de Problemas adotada é como ponto de partida para o ensino de conceitos matemáticos, conforme apresentado por Onuchic e Allevato (2009), e, por isso, são destacadas algumas ações e sugestões para o desenvolvimento de uma prática em sala de aula nessa perspectiva. Na proposta são apresentados os enunciados de problemas escolhidos, de acordo com os conceitos a serem introduzidos, e para cada um deles são indicadas possíveis resoluções e encaminhamentos que podem ser adotados pelo professor a partir de resoluções apresentadas com vistas à formalização dos conceitos. Entre as expectativas com a aplicação desta proposta podem ser destacadas a introdução de conceitos com compreensão e, além disso, maior participação dos alunos nas tarefas propostas e envolvimento com a sua aprendizagem

Treating a rare mid-term complication of transapical transcatheter aortic valve implantation (TAVI): a case report

We report the case of a patient who underwent transcatheter aortic valve implantation via left anterior mini-thoracotomy in whom a periapical subcutaneous collection appeared in the anterior thoracic wall 18 months after the procedure. The tissue defect was efficaciously repaired via intercostal artery perforator flap, preserving the thoracodorsal and internal mammary arteries

Genome wide scan for somatic cell counts in holstein bulls

Mastitis is the most costly disease for dairy production, and control of the disease is often difficult, due to its multi-factorial nature. Susceptibility to mastitis is under partial genetic control and the industry uses indirect selection for decreased concentrations of somatic cells in milk to reduce mastitis. Background: Mastitis is the most costly disease for dairy production, and control of the disease is often difficult, due to its multi-factorial nature. Susceptibility to mastitis is under partial genetic control and the industry uses indirect selection for decreased concentrations of somatic cells in milk to reduce mastitis. Methods: A genome-wide scan was performed to identify genomic regions associated with deregressed estimated breeding values (EBVs) for somatic cell counts (SCC) in Holstein bulls. In total 1183 proven bulls of the Italian of Holstein population, were genotyped with the BovineSNP50 BeadChip (Illumina, San Diego, CA) and a whole genome association analysis was performed using the R package GenABEL. Results: Two chromosomal regions showed association with SCC, a region on chromosome 14 with high significance (P &lt; 5x10-6) and a region on chromosome 6 with moderate significance (P &lt; 5x10-5). Conclusions: Two regions with effects on SCC have been identified with good statistical support. A further study of these candidate regions will be performed to verify the results and identify the causal mutations

ANÁLISE COMBINATÓRIA E RESOLUÇÃO DE PROBLEMAS: UMA EXPERIÊNCIA EM UM CONTEXTO DE ESTÁGIO SUPERVISIONADO

O objetivo deste trabalho é apresentar o relato e as reflexões desencadeadas a partir de uma experiência&nbsp;vivenciada com alunos de 2º ano do Ensino Médio, no desenvolvimento de uma oficina sobre o conteúdo&nbsp;matemático Análise Combinatória por meio da Resolução de Problemas, tomando esta como estratégia&nbsp;metodológica para o ensino e a aprendizagem de Matemática. A preparação e implementação da oficina&nbsp;ocorreu no contexto do Estágio Supervisionado do curso de Licenciatura em Matemática da Universidade&nbsp;Estadual de Londrina (UEL). Mediante essa experiência, foi possível observar que trabalhar com estaestratégia metodológica oportunizou aos alunos se comunicarem entre si e com os futuros professores&nbsp;para apresentar suas ideias, discuti-las e argumentar a respeito visando à resolução dos problemas, se&nbsp;engajarem nas resoluções utilizando seus conhecimentos prévios e participarem ativamente das&nbsp;discussões que ocasionaram as sistematizações dos conceitos e das fórmulas. Além disso, propiciou aos&nbsp;futuros professores uma nova visão a respeito do conteúdo matemático em questão e de aspectos&nbsp;referentes ao seu ensino