What is Brain Lateralization?
In a study published in SPINE 1995, researchers tested linguistic processing, a higher cortical function, and concluded children with scoliosis had an entire brain dominance lateralized to one side, unlike unaffected children in the control group. This study demonstrates the need for advanced neuro-diagnostic testing and clinical correlations which leads to meaningful neurologically based rehabilitation.
Adolescent Idiopathic Scoliosis and Cerebral Asymmetry. An Examination of the non-spinal perceptual systems. SPINE 1995 Aug 1;20(15):1685-91.
|Dr. Lamantia Speaks at SOSORT|
Dr. Lamantia presenting a report on the importance of vestibular rehabilitation at the 2007 International Conference on Conservative Management for Spinal Deformities at Northeastern University
A comprehensive neurological examination is recommended although it is not mandatory to be fitted with an orthosis. Our approach to the non-surgical management of scoliosis is focused on neuro-muscular re-education of the postural support systems. The evaluation may include a sensory/motor exam, vestibular screening/evaluation, oculomotor screening/evaluation, movement analysis, neurocognitive asseessment, neurophysiological evaluations.
Neurological patterns of dysfunction have been reported by researchers, however typical orthopedic management neglects most functional analyses and appropriate rehabilitation. In the event neurological imbalances are revealed, further testing, neuro-diagnostic imaging and appropriate therapy programs may be prescribed.