A novel method to correct functional scoliosis

Functional scoliosis correction

Abstract

Objective

The study aimed to observe the effects of three known types of functional scoliosis caused by pelvic asymmetry on the spatial relationship of the upper cervical vertebrae. The study additionally assessed the use of a lesser known muscle energy technique for the alignment of atlas and axis subsequent to pelvic alignment.

Methods

A retrospective study of 104 patients (36 men, age: 13 to 86 years) with musculoskeletal complaints was undertaken. A Palpation Meter® was used to compare iliac crests and inferior scapular angles. The first and second cervical vertebrae were manually assessed. Patients performed self-correcting muscle-energy maneuvers for pelvic obliquity and for atlas and axis alignment.

Results

Reversible pelvic obliquity was found in 100 patients (96.2%). Iliac asymmetry was associated with anteriorly rotated ilium (53%) with apparent leg lengthening. Ilium upslip causing apparent leg shortening was identified in 47% of patients. A consistent pattern between the three distinct forms of functional scoliosis and the positioning of the two upper cervical vertebrae emerged.

Conclusions

Pelvic asymmetry affected the positioning of the upper cervical vertebrae. Reversible pelvic obliquity is a common but overlooked condition causing functional scoliosis and leg length differences that patients can be instructed to align themselves.