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Caris Madden
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Physiotherapist
Physiotherapist

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Caris recently delivered a series of talks to the year 6 students at Dunsborough Primary School, and the year 4 and year 6 students at Our Lady of the Cape Primary School, covering a number of topics including postural awareness and scoliosis screening techniques.

Below is some information about scoliosis you may find useful.
 
What is Scoliosis?

Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty (most common in girls aged 9-14). While scoliosis can be caused by conditions such as cerebral palsy, the cause of most scoliosis is unknown.

Scoliosis is 8 times more common in girls.  If you are female and your mother has suffered from scoliosis you are 20 times more likely to suffer from scoliosis.  About 1 in 10 to 1 in 20 girls develop a certain degree of scoliosis in early adolescence.  Adolescent idiopathic scoliosis is present in 2 to 4 percent of children between 10 and 16 years of age. It is defined as a lateral curvature of the spine greater than 10 degrees accompanied by vertebral rotation.


How to Test for Scoliosis



1.  Adam’s Forward Bend Test:  with the person leaning forward with straight knees, hands hanging down to the floor, look for a raised rib-cage on one side. A “rib hump” is a hallmark of scoliotic curves greater than 10 degrees.


2.  Standing up straight, with feet together and arms by side, look from behind for one shoulder sitting higher than the other, one shoulder blade sticking out more, or one hip sticking out more than the other.



Medical Assessment

If a child appears to have a scoliosis an x-ray may be ordered to assess the angle of the curve (Cobb angle).  Evaluation of growth potential is assessed using the Tanner scale (sexual maturity rating) and the Risser grading system (measuring the stage of skeletal growth).  Tanner stages 2 to 3 occur just after the onset of the pubertal growth spurt and correlate to the time of maximum progression of scoliosis.  Risser grade is directly correlated with the risk of curve progression.


Treatment


There is no cure for idiopathic scoliosis.  Only 10 percent of children presenting with scoliosis have curves that progress and require medical intervention.

Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the curve (Cobb angle) is getting worse. In many cases, no treatment is necessary. Some children (0.2%) will need to wear a brace to stop the curve from worsening. Others may need surgery (0.1%) to keep the scoliosis from worsening and to straighten severe cases of scoliosis.  If untreated severe scoliosis can cause log-term back pain and breathing difficulty.


Contact us at Dunsborough Physiotherapy Centre if you require further advice, or want us to assess your child for scoliosis.  We are able to refer for x-rays as appropriate to assess the degree of scoliosis.

Phone:  97553600
website:  http://www.dunsboroughphysio.com.au
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Tennis injury?......torn calf?....tennis elbow?...back pain?   Caris is a keen tennis player and is skilled in the treatment and management of tennis-related injuries.  Give us a call at Dunsborough Physiotherapy Centre for an appointment:  ph- 97553600, or visit our website:  http://www.dunsboroughphysio.com.au  for more info.
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Suffering from arthritic pain and dysfunction?   Caris has trained as a facilitator of the Osteoarthritis of the Knee Program, run by the Arthritis Foundation of WA.  Give Dunsborough Physiotherapy Centre a call to find out how Caris can help you to manage your condition.  ph:  97553600 or visit our website:  http://www.dunsboroughphysio.com.au
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Caris Madden: one of the team of physiotherapists at Dunsborough Physiotherapy Centre with a wealth of knowledge able to treat your condition effectively and give you strategies to prevent further injury.
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The team at Dunsborough Physiotherapy Centre are keen surfers, involved in surfing, body-boarding and stand-up paddle-boarding.  Caris is a keen stand-up paddle-boarder and understands the mechanisms of injury for a number of conditions associated with stand-up paddle-boarding.  If you are suffering from a stand-up paddleboard related injury call us at Dunsborough Physiotherapy Centre: ph- 97553600 or visit our website for further information:  http://www.dunsboroughphysio.com.au
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Netball injury?  Caris is a keen netballer and is well versed in the management of injuries commonly incurred during netball.  Caris is also involved in the SPRIG (stretch pro-actively to prevent injury to growth-plates) program aimed at reducing injury rates in children and adolescents involved in junior sport.  If you are suffering a netball-related injury call us at Dunsborough Physiotherapy Centre for an appointment:  97553600.  Visit our website for more information: http://www.dunsboroughphysio.com.au
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Dunsborough Physiotherapy Centre welcomes Caris Madden to the team.  Caris is another experienced physiotherapist who has recently joined the physio team at Dunsborough Physiotherapy Centre.
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