ROJoson PEP Talk: SCOLIOSIS - Fundamentals

ROJoson PEP Talk: SCOLIOSIS - Fundamentals

1. June 29, 2024 1400H - 1500H Via Zoom SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management.

2. June 29, 2024 1400H - 1500H Via Zoom SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. Welcome all! MUTE yourself but always show your video picture. Sign in your name, FB account, or email address in the Chat Box! Include names of companions attending. Use the Chat Box to ask questions and make comments while the PEP TALK is on. There will be group pictures at start and end of PEP TALK – show your face in video.

3. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.

4. Reminder: 25 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

5. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!

6. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START PEP TALK PROPER IN 2 MINUTES! Pls. turn on your video! Show your face!

7. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. ROJoson PEP Talk I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health.

8. I started the PEP Talk on May 15, 2021 during the COVID19 Pandemic. There are 3 courses in the PEP Talk. I completed the Core Course on October 9, 2021.

9. From October 23, 2021 onwards, I have been tackling Health Disorder and Health Issue Courses. May 18, 2024 marks the start of YEAR 4 of ROJoson PEP Talk. How long the PEP Talk will last will depend on our enthusiasm , discipline and perseverance .

10. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. My PEP TALK today is entitled: SCOLIOSIS

11. Contents What month each year is declared as Scoliosis Awareness Month in the Philippines? What are main objectives of Scoliosis Awareness Month? What is scoliosis? What is its difference with kyphosis and lordosis? What are types and causes of scoliosis? What are the symptoms and complications of scoliosis? How to diagnose scoliosis? What are the options for laboratory tests for scoliosis? What are the treatment options for scoliosis? Why should children be screened for scoliosis? Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of ROJoson and writings of other health professionals . SCOLIOSIS

12. y June of each year has been declared as Scoliosis Awareness Month since 2018 through Proclamation No. 620 (Philippine Law). The Proclamation aims to raise PUBLIC AWARENESS, ENCOURAGE EARLY DETECTION AND INTERVENTION, and create a sense of community among individuals affected by scoliosis, with the Department of Health leading the promotion and organization of programs and activities in collaboration with non-government organizations, government agencies, local government units, and the private sector. SCOLIOSIS

13. What is a scoliosis? Scoliosis involves the spine or the backbone. Normally, when looked from behind, the spine appears straight, at times, with a little curve. In scoliosis, there is an abnormal sideways curve of the spine or backbone. The curves are often S- or C-shaped. The angle of the curves may be small, large, or somewhere in between. But anything that measures more than 10 degrees on an X-ray is usually considered scoliosis.  SCOLIOSIS

14. What is a scoliosis? vs k yphosis vs lordosis? SCOLIOSIS Today’s PEP Talk’s focus: SCOLIOSIS

15. Why is it important to raise public awareness and encourage early detection and intervention? Scoliosis is common. (estimated to be affecting 3% of the Philippine population; estimated to be 3 million Filipinos with scoliosis – latest – 2024) Scoliosis is a progressive disease with no known cure as majority are idiopathic (specific cause is not known). Scoliosis can lead to serious complications if not corrected early. A lot of Filipinos are not aware of the scoliosis disease and its importance. SCOLIOSIS

16. Who are usually affected by the scoliosis? Scoliosis can affect anybody anytime (although the cause is not specifically known). Thus, there is a classification by age of onset or detection: Infantile idiopathic scoliosis is found in children ages 0 to 3. Juvenile idiopathic scoliosis is found in in children ages 4 to 10. Adolescent idiopathic scoliosis is found in adolescents ages 11 to 18. Adult idiopathic scoliosis is found in patients older than 18. SCOLIOSIS

17. Who are usually affected by the scoliosis? However, scoliosis is most common in late childhood and the early teens, about 10 to 15 years old. Girls are more likely to develop it than boys. The condition can run in the family. SCOLIOSIS

18. What are the causes of scoliosis? Causes are related to types of scoliosis: Idiopathic scoliosis – the most common, with no known cause, genetics may play a role. Congenital scoliosis – present at birth due to abnormal spinal development in the womb. Neuromuscular scoliosis – associated with underlying neurological or muscular disorders like cerebal palsy or muscular dystrophy. Degenerative scoliosis – occurs in older adults due to age-related wear and tear of spine. Others – tumors, infections, injuries, etc. SCOLIOSIS

19. What are the causes of scoliosis? It’s worth noting that scoliosis is NOT caused by carrying heavy bags or backpacks, poor posture, and choice of mattress, which are common misconceptions. SCOLIOSIS

20. Is there a way to prevent scoliosis? There is no known way to prevent a scoliosis from developing. The best-known ways to prevent a scoliosis from worsening are early detection and prompt treatment. SCOLIOSIS

21. What are the symptoms of scoliosis or when is scoliosis suspected to be present short of laboratory diagnostic procedures? Scoliosis can cause discomfort, pain, and in severe cases, functional limitations. While most people with scoliosis have a mild form of the disorder, scoliosis may sometimes cause complications. SCOLIOSIS

22. What are the symptoms of scoliosis or when is scoliosis suspected to be present short of laboratory diagnostic procedures? Symptoms include the following: Shoulders are uneven (one shoulder blade more prominent than the other) The head is not centered directly above the pelvis One or both hips are raised or unusually high Rib cages are at different heights Waist is uneven The entire body leans to one side SCOLIOSIS

23. What are the symptoms of scoliosis or when is scoliosis suspected to be present short of laboratory diagnostic procedures? Symptoms include the following signs: Shoulders are uneven (one shoulder blade more prominent than the other) The head is not centered directly above the pelvis One or both hips are raised or unusually high Rib cages are at different heights Waist is uneven The entire body leans to one side SCOLIOSIS

24. What are the complications of scoliosis? BREATHING PROBLEMS- the rib cage may press against the lungs, making it more difficult to breathe BACK PROBLEMS- people who had scoliosis as children may be more likely to have chronic back pain as adults, especially if their abnormal curves are large and untreated APPEARANCE– as scoliosis worsens, it can cause more noticeable changes — including uneven hips and shoulders, prominent ribs, and a shift of the waist and trunk to the side SCOLIOSIS

25. What are simple maneuvers to check for scoliosis? Inspection on standing position Adams Forward Bend Test SCOLIOSIS

26. What are the laboratory diagnostic procedures that may be done for scoliosis? X-ray of the whole length of spine Computed tomography scan Magnetic resonance imaging SCOLIOSIS

27. What are the laboratory diagnostic procedures that may be done for scoliosis? X-ray of the whole length of spine Scoliosis is present when the spine has one or more abnormal curves of greater than 10° (Cobb Angle) as measured on the x-ray by a physician. Moderate – less than 40 ° Severe – More than 40 ° SCOLIOSIS

28. What are the laboratory diagnostic procedures that may be done for scoliosis? X-ray of the whole length of spine Scoliosis is present when the spine has one or more abnormal curves of greater than 10° (Cobb Angle) as measured on the x-ray by a physician. Moderate – less than 40 ° Severe – More than 40 ° SCOLIOSIS

29. What are treatment options for scoliosis? Depending on severity – mild, moderate, severe Observation Physiotherapy and exercises Braces - wearing a brace won’t cure scoliosis or reverse the curve, but it usually prevents the curve from worsening. Surgery (spinal fusion) Most cases of scoliosis are mild, but some spine deformities continue to get more severe as children grow. SCOLIOSIS

30. What are treatment options for scoliosis? SCOLIOSIS

31. What are treatment options for scoliosis? SCOLIOSIS

32. What are treatment options for scoliosis? SCOLIOSIS

33. What are treatment options for scoliosis? SCOLIOSIS

34. Why should children be screened for Scoliosis? Scoliosis often develops rapidly in pre-adolescence or adolescence. The condition is usually painless, so there may be no symptoms to indicate a developing scoliosis. SCOLIOSIS

35. When should children be screened for Scoliosis? Girls should be first checked around 10-12 years old. Boys should be first checked around 11-13 years old. Earlier detection and intervention have been shown to lead to better long-term outcomes for the patient. SCOLIOSIS

36. How to screen for scoliosis? Inspection the whole body for anything that will suggest scoliosis. Adams Forward Bend Test X-ray with Cobb Angle measurement SCOLIOSIS

37. How to screen for scoliosis? SCOLIOSIS

38. How to screen for scoliosis? SCOLIOSIS

39. SCOLIOSIS Summary Take Away Contents What month each year is declared as Scoliosis Awareness Month in the Philippines? What are main objectives of Scoliosis Awareness Month? What is scoliosis? What is its difference with kyphosis and lordosis? What are types and causes of scoliosis? What are the symptoms and complications of scoliosis? How to diagnose scoliosis? What are the options for laboratory tests for scoliosis? What are the treatment options for scoliosis? Why should children be screened for scoliosis?

40. SCOLIOSIS Take Away in relation to Patient Empowerment Be always in touch with reliable medical information on SCOLIOSIS. Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman , Kakayanan , Karapatan and Kapangyarihan to gain greater control over decisions / make better decisions on management of SCOLIOSIS as part of your health management.

41. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. This ends my PEP TALK today on: SCOLIOSIS

42. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.

43. Reminder: 25 OLETE Certificates = 1 Voucher for ROJoson Medical Consultation either Face-to-Face or Telemedical.

44. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!

45. SCOLIOSIS Empowerment objective - for laypeople to have an essential  understanding on SCOLIOSIS as part of their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START Q&A AND INTERACTIONS! Pls. turn on your video! Show your face!