Figure 1: Newborn. Typical clinical symptoms of „Syndrome of Contractures and Deformities” (H. Mau & T. Karski). The symptoms are: (1) plagiocephalia, (2) wry neck, (3) limited abduction of the left hip (later dysplasia), (4) infantile scoliosis, (5) varus of the shanks, (6) limited adduction of the right hip. In such children in next years - through „standing” and „walking” can develop scoliosis

Figure 2: Infant. Typical clinical symptoms of ”Syndrome of Contractures and Deformities” (H. Mau & T. Karski). The symptoms are: (1) plagiocephalia, (2) wry neck, (3) limited abduction of the left hip (later can be dysplasia), (4) infantile scoliosis, (5) varus of the shanks, (6) limited adduction of the right hip. In such children in next years - through „standing” and „walking” can develop scoliosis

Figure 3A, 3A1, 3B and 3B1: Test of adduction of hips. One child. Two methods of examination: A & B in extension of the knee, A1 & B1 in flexion of the knee. Difference of adduction of hips typical for „C” II-nd/A or „S” II-nd/B scoliosis

Figure 4a, 4b and 4c: Additional causes in development of so-called idiopathic scoliosis in children with Minimal Brain Dysfunction (MBD). The are: straight position of trunk (Figure 4a), anterior tilt of pelvis and in result hiperlordosis in lumbar spine (Figure 4b), laxity of all joints (Figure 4c) as result of changed collagen

Figure 5a and 5b: Patient in age of 15 years. Scoliosis “S” I epg. Specific „model of hips movement”. The cause of spine deformity – gait and standing ‘at ease’ on the right leg. Two curves. Rib hump. Stiffness. 3D. ProgressionClassification

Figure 6a and 6b: Patient in age of 12 years. Scoliosis “C” II/A epg. Specific „model of hips movement”. The cause of spine deformity – standing ‘at ease’ on the right leg. One curve. No stiffness. 1D or 2D. No progression

Figure 7a and 7b: Patient in age of 16 years. Scoliosis „S” II/B epg. Specific „model of hips movement”. The cause of spine deformity – standing ‘at ease’ on the right leg plus general laxity of joints Two curves. No stiffness. 2D or 3D. No progression or slight

Figure 8a and 8b: Patient on figure 8a in age of 14, patient on figure 8b in age of 18. Scoliosis „I” III-rd epg. Specific „model of hips movement”. The cause of deformity – only gait. No curves or very slight. Stiffness. 2D or 3D. No progression

Figure 9: Example of „C” II-nd / A degenerative lumbar left convex scoliosis. Female patient – 66 y. Problems: back pain since 8 years with radiation to left leg. Transient “paretic equinus deformity of left foot”. Patient had the habit to stand ‘at ease’ only on the right leg. Examination: specific model of hip movements. Adduction of the right hip (in straight position) 20/15 degree, of left hip 40/35 degree. X-ray picture – view from backDiscussion

Figure 10: New tests in scoliosis examination to find asymmetry in position & function of joints. Scoliosis screening tests: (1) Adduction test (Ober test), (2) Adams test, (3) Lublin test, (4) Ely Duncan (Thom, Staheli) test, (5) Kneeling test, (6) Standing test, (7) Sitting test, (8) Rotation of pelvis test

Figure 11: Proper prophylactic and therapeutic exercises for scoliosis

Influence on spine as a causative factor
Character of Scoliosis
Model of right hip movement
Model of left hip movement
Curves Gibbous
Progression
Therapy Prophylaxis
Scoliosis
“S” I epg
Standing on the right leg and walking
Stiff spine
Adduction 0 or (-) 5 or (-) 10 degrees
Adduction from 30 to 50 degrees
Two curves &Gibbous
Progression
Recovering of right hip movements.
Flexion exercises for spine.
Standing on the left leg
Scoliosis
“C” II/A epg
Standing on the right leg
Flexible spine
Adduction from 20 to 30 degrees
Adduction from 30 to 50 degrees
One curve
No Progression
Flexion exercises for spine. Standing on the left leg
Scoliosis
“S” II/B epg
Standing on the right leg + laxity & former bad therapy
Flexible spine
Adduction from 20 to 30 degrees
Adduction from 30 to 50 degrees
Two curves & Gibbous slight
No Progression
Flexion exercises for spine. Standing on the left leg
Scoliosis
“I” III epg
Walking
Stiff spine
Adduction 0 or (-) 5 or (-) 10 degrees
Adduction from 20 to 0 degrees
No curves or very slight
No included to scoliosis till 1995-2007
Flexion excercises for spine. Standing on the left leg