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Repetitive

              Repetitive

                  Repetitive                                   Motions Affecting the
                        R    epetitive
                        Repetitive Aging Scoliotic Spine





        Paula Allia, PT, DHSc, MTC, OCS

                              coliosis is a                                             asymmetry with some areas being
                              medical term                                              tight and compressed while other areas
                        Sthat explains                                                  are more stretched and weak. These
                        a lateral curvature                                             imbalances need to be counteracted
                        of the spine that                                               by using the other side in a similar
                        is not normal.                                                  manner to balance it out.
                        This curvature                                                     There are specific exercises that
                        can be functional                                               can be done to address imbalances.
        or structural. A structural curvature                                           First, if recognized early, a small lift
        involves a true lateral curvature that                                          can be used in the shoe to level the
        involves some degree of rotation. A                                             pelvis more so that the spine is more
        functional or non structural curvature                                          balanced at the start. This should be
        is usually due to a postural issue or                                           directed by someone who is familiar
        the body adjusting itself to a problem                                          with this problem. Second, discovering
        such as an acute herniated disc,                                                where the curvatures are and exercising
        muscle imbalances, or a leg length                                              the body appropriately can help
        discrepancy. Anyone may be subject to                                           mediate the overuse in one direction.
        these functional issues with aging. If a                                        Third, the areas on the concave side of
        functional curve is not addressed and                                           the curvature may need to be stretched
        corrected, it can, over time, become                                            out while the muscles on the convex
        more structural by abnormally fusing or                                         side need to be strengthened. It is
        degenerating.                                                                   important to attempt improved body
           Participating in sports many times involves repetitive   symmetry while creating spinal and pelvis balance for longevity.
        motions. Examples are swinging a golf club or tennis racket.   In addition to trunk modifications with scoliosis the lower
        There is repetition in all activities. Stronger movement to a   extremities may develop tightnesses and limitations in excursion
        more dominant side can occur. Over time, repetitive motions   and flexibility. Conversely, leg joints may be hyper mobile
        can cause imbalances and movements become compensated.     resulting in muscles being overstretched and not as controlling
        Even a small leg length discrepancy may cause compensatory   as they need to be.
        curvatures as well. The curvatures with repetitive activities have   Sitting to perform exercises can help the pelvis stabilize and
        various compressive components that lead to wear and tear and   also removes the leg length issues. First, it is important to have
        degenerative issues over time.                             good mobility in the ribs.  The ribs need the ability to rotate
           It is not uncommon for someone to have imbalances that   with every breath. Stretch the side that is concave and lean on
        lead to a functional scoliosis. Actually, with structural scoliosis,   the opposite arm to hold the position while supported for 30
        imbalances will also occur due to the altered movements of   second stretches. Adding slow but full deep breaths can allow
        the spine. The key is recognizing that the body symmetry is   better excursion for the ribs themselves. Soft foam rolls can be
        different.  Some of the common findings are:               used during workouts. Centering while lying down on a foam
           •   Leg length discrepencies                            roll can give you tactile feedback of your positioning.
           •   Ribs more prominent on one side versus the other       Considerations of which sporting activities that one
           •   One shoulder higher                                 performs regularly with a scoliotic curvature should be
           •   One side of the pelvis being higher than the other  considered. At the very least, make attempts to minimize the
           •   A sidebending in the spine with or without rotation  possible detriments by performing counteractive exercise. Keep
           The repetitive motions affect muscle balance. Some      moving, just be aware and take care of the body so that it lasts.
        muscles get worked more on one side of the body.  This causes   Here’s to your health!

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