Anatomy and Physiology of the disease?
Anatomy Scheuermann thoracic kyphosis is a structural deformity of the thoracic spine, defined by anterior wedging of at least 5° of 3 or more adjacent thoracic vertebral bodies.
What population is at risk or pre-disposed to this disease?
Usually presents in children aged 13-16 years old, occurs more commonly in boys.
What are the signs and symptoms of this disease?
Poor posture with increased kyphosis (usually noticed by parents).
Pain is a more common presentation if the disease affects the lumbar spine. Pain is usually worse on activity.
Kyphotic deformity may be progressive.
There may be tenderness above and below the apex of the kyphosis.
What are the short and long term complications of this disease?
• Chronic back pain.
• Progressive and permanent deformity.
• Neurological deficit.
• Cardiorespiratory problems.
What is the person to do to be healthier?
Participation in sporting activities (pain allowing) that encourage chest expansion is recommended. Swimming is ideal but any sport that holds the attention of a teenager is suitable.
Does massage help the person with this disease? How?
During times of increased pain patients will be advised to rest from their sporting activities. Prescribed exercises can be continued during these periods and some patients will benefit from short bursts of manual treatment by a physiotherapist – massage may provide significant relief during these times by