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Marcia Monroe

New York State University, United States

Title: Iyengar yoga and movement re-education in the management of adult Idiopathic scoliosis: a case report

Biography

Biography: Marcia Monroe

Abstract

INTRODUCTION:

Adolescent idiopathic scoliosis is a lateral curvature of the spine measuring at least 10 degrees via Cobb angle measurement and with the presence of vertebral rotation. Intervention options include surveillance only, surveillance in addition to exercise, bracing, and surgery. Generally, curve magnitudes exceeding 45-50degrees fall into surgical range, an intervention wherecosts and benefits must be carefully weighed. Of emerging interest has been a greater push to improve management of adults with spine deformity, to include adults with AIS persistent into adulthood, as well as adults with onset of scoliosis in after skeletal maturity.

OBJECTIVE:

The objective of this poster presentation is to describe the use of a modified Iyengar Yoga practice in the management of a 57-year-old woman with idiopathic scoliosis. The patient had been diagnosed with idiopathic scoliosis and recommended for spinal fusion during her early adolescent years. The subject reported that the prognosis for not undergoing the surgery was the continuation and growth of the curvature, affecting breathing, equilibrium, and gait as well as expectations of a limited functional life with episodes of acute pain and major health implications. She instead chose to work with conservative therapy, using the Milwaukee brace that did not work as she could not breathe and have a spatial orientation. She also was under specific physiotherapy sessions for scoliosis during

a period of one year. She then opted to work with somatic movement reeducation techniques, Iyengar Yoga and swimming.

METHODS:

The poster will demonstrate through a sequenceof pictures, descriptions, and updated x-rays,Iyengar Yoga management strategies over a period of eighteen years.

RESULTS/DISCUSSION:

The subject has been studying and teaching world wide Iyengar Yoga classes reinforced by her background on somatic movement based on motor development and biomechanics.