{"id":1663,"date":"2024-08-31T08:11:01","date_gmt":"2024-08-31T07:11:01","guid":{"rendered":"https:\/\/www.forethoughtmed.com\/?p=1663"},"modified":"2024-08-30T19:35:42","modified_gmt":"2024-08-30T18:35:42","slug":"scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges","status":"publish","type":"post","link":"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/","title":{"rendered":"Escoliose em adultos com mais de 70 anos: Gerir e tratar a escoliose em adultos mais velhos e enfrentar os desafios relacionados com a idade"},"content":{"rendered":"<p>Scoliosis, characterized by an abnormal curvature of the spine, is commonly associated with children and adolescents, but it also affects a significant number of older adults, including those over the age of 70. Recent studies indicate that the prevalence of scoliosis in older adults ranges from 20% to 68% . This article explores the unique challenges of scoliosis in this population and provides an overview of the diagnosis, treatment options, and management strategies tailored for older adults.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndice<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar o \u00edndice\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Types_of_Scoliosis_in_Older_Adults\" >Types of Scoliosis in Older Adults<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Degenerative_Scoliosis_and_De_Novo_Scoliosis\" >Degenerative Scoliosis and De Novo Scoliosis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Diagnosing_Scoliosis_in_Older_Adults\" >Diagnosing Scoliosis in Older Adults<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Challenges_in_Diagnosis\" >Challenges in Diagnosis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Symptoms_and_Challenges\" >Symptoms and Challenges<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Common_Symptoms\" >Common Symptoms<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Impact_on_Daily_Living\" >Impact on Daily Living<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Treatment_Options_for_Scoliosis_in_Older_Adults\" >Treatment Options for Scoliosis in Older Adults<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Non-Surgical_Management\" >Non-Surgical Management<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Surgical_Treatment_Options\" >Surgical Treatment Options<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Rehabilitation_and_Recovery\" >Rehabilitation and Recovery<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Importance_of_Physical_Therapy\" >Importance of Physical Therapy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Long-Term_Rehabilitation\" >Long-Term Rehabilitation<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Lifestyle_Modifications_and_Support\" >Lifestyle Modifications and Support<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Adapting_Daily_Activities\" >Adapting Daily Activities<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Psychological_and_Emotional_Support\" >Apoio psicol\u00f3gico e emocional<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Future_Directions_in_Scoliosis_Management_for_Older_Adults\" >Future Directions in Scoliosis Management for Older Adults<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Research_and_Technological_Advances\" >Research and Technological Advances<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#Conclusion\" >Conclus\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"http:\/\/www.forethoughtmed.com\/pt\/scoliosis-in-adults-over-70-managing-and-treating-scoliosis-in-older-adults-and-addressing-age-related-challenges\/#References\" >Refer\u00eancias<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Types_of_Scoliosis_in_Older_Adults\"><\/span>Types of Scoliosis in Older Adults<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Degenerative_Scoliosis_and_De_Novo_Scoliosis\"><\/span>Degenerative Scoliosis and De Novo Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Scoliosis in older adults generally falls into two categories: degenerative scoliosis and de novo scoliosis. Degenerative scoliosis results from age-related changes in the spine, including disc degeneration and facet joint arthritis . De novo scoliosis, by contrast, refers to the development of a new spinal curvature later in life, often without a clear underlying cause .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosing_Scoliosis_in_Older_Adults\"><\/span>Diagnosing Scoliosis in Older Adults<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Challenges_in_Diagnosis\"><\/span>Challenges in Diagnosis<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Diagnosing scoliosis in older adults is often complicated by the presence of other age-related conditions, which can mask or mimic the symptoms of scoliosis. Early detection is crucial to prevent further curvature progression and associated complications . Diagnosis typically involves a thorough physical examination, medical history review, and imaging studies such as X-rays or MRI scans .<\/p><figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"746\" height=\"800\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/forethought-blog15-5-746x800.jpg\" alt=\"para interpretar uma radiografia de escoliose menor: Reconhecendo os primeiros sinais de deformidade da coluna vertebral\" class=\"wp-image-3595\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/forethought-blog15-5-746x800.jpg 746w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/forethought-blog15-5-373x400.jpg 373w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/forethought-blog15-5-768x823.jpg 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/forethought-blog15-5.jpg 960w\" sizes=\"(max-width: 746px) 100vw, 746px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Symptoms_and_Challenges\"><\/span>Symptoms and Challenges<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Common_Symptoms\"><\/span>Common Symptoms<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Older adults with scoliosis may experience back pain, stiffness, and difficulty standing or walking. Changes in posture and balance issues are also common, significantly impacting daily activities and quality of life .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Impact_on_Daily_Living\"><\/span>Impact on Daily Living<span class=\"ez-toc-section-end\"><\/span><\/h3><p>The combination of scoliosis and age-related conditions can create additional challenges in performing routine tasks like dressing, bathing, and maintaining balance. Addressing these challenges requires a multidisciplinary approach involving physical therapy, assistive devices, and lifestyle modifications .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Treatment_Options_for_Scoliosis_in_Older_Adults\"><\/span>Treatment Options for Scoliosis in Older Adults<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Non-Surgical_Management\"><\/span>Non-Surgical Management<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Non-surgical approaches are often preferred for older adults, focusing on pain relief, mobility improvement, and preventing further curvature progression. Common non-surgical interventions include:<\/p><ul class=\"wp-block-list\"><li><strong>Fisioterapia<\/strong>: Tailored exercises to strengthen spinal muscles and improve flexibility .<\/li>\n\n<li><strong>Bra\u00e7adeiras<\/strong>: Although less common in older adults, bracing can provide stability and support in specific cases .<\/li>\n\n<li><strong>Controlo da dor<\/strong>: NSAIDs, opioids, and non-pharmacological options like heat therapy, acupuncture, and massage are frequently used .<\/li><\/ul><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"474\" height=\"594\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/OIP-C-4.jpg\" alt=\"\" class=\"wp-image-3853\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/OIP-C-4.jpg 474w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/OIP-C-4-319x400.jpg 319w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/><\/figure><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Surgical_Treatment_Options\"><\/span>Surgical Treatment Options<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Surgery may be considered for older adults with severe or progressive scoliosis. However, the risks associated with surgery, such as complications from decreased bone density and slower healing, must be weighed carefully. Common surgical procedures include spinal fusion and decompression . Advances in minimally invasive surgery and 3D imaging techniques have improved outcomes, but thorough patient assessment remains crucial .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rehabilitation_and_Recovery\"><\/span>Rehabilitation and Recovery<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Importance_of_Physical_Therapy\"><\/span>Importance of Physical Therapy<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Rehabilitation is vital in managing scoliosis in older adults, particularly post-surgery. Physical therapy focuses on enhancing strength, balance, and mobility while minimizing pain. A customized rehabilitation plan may include manual therapy, exercises, and the use of assistive devices .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Long-Term_Rehabilitation\"><\/span>Long-Term Rehabilitation<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Continuous rehabilitation helps maintain improvements in function and reduces the risk of future complications. Regular follow-up appointments and ongoing adjustments to the rehabilitation program are essential for sustained outcomes .<\/p><figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"879\" height=\"677\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-2.webp\" alt=\"Escoliose em adultos com mais de 80 anos\" class=\"wp-image-3903\" style=\"width:696px;height:auto\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-2.webp 879w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-2-519x400.webp 519w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-2-768x592.webp 768w\" sizes=\"(max-width: 879px) 100vw, 879px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lifestyle_Modifications_and_Support\"><\/span>Lifestyle Modifications and Support<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Adapting_Daily_Activities\"><\/span>Adapting Daily Activities<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Lifestyle changes such as maintaining a healthy weight, staying active with low-impact exercises, and practicing good posture can significantly improve symptoms and slow the progression of scoliosis in older adults .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Psychological_and_Emotional_Support\"><\/span>Apoio psicol\u00f3gico e emocional<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Living with scoliosis can be mentally and emotionally challenging, especially for older adults. Support groups, counseling, and educational resources can help individuals cope with the psychological impact of the condition and improve their overall well-being .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Future_Directions_in_Scoliosis_Management_for_Older_Adults\"><\/span>Future Directions in Scoliosis Management for Older Adults<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Research_and_Technological_Advances\"><\/span>Research and Technological Advances<span class=\"ez-toc-section-end\"><\/span><\/h3><p>As the aging population grows, scoliosis management in older adults will become increasingly important. Future research should focus on developing more individualized treatment plans, considering age-related factors such as bone density and comorbidities. Technological advancements like 3D imaging and computer-assisted surgery offer promising avenues for improving surgical outcomes and reducing risks .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclus\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Scoliosis in adults over 70 presents unique challenges that require a comprehensive approach to management. Early diagnosis, tailored non-surgical and surgical treatments, effective rehabilitation, lifestyle adjustments, and psychological support are essential components of care. By addressing these factors holistically, healthcare providers can help older adults with scoliosis maintain independence, alleviate pain, and enhance their quality of life.<\/p><hr class=\"wp-block-separator has-alpha-channel-opacity\"\/><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>Refer\u00eancias<span class=\"ez-toc-section-end\"><\/span><\/h2><ul class=\"wp-block-list\"><li>Chen Z, Xu N, Zhang Y, et al. &#8220;Long-Term Outcomes of Non-Surgical Management of Degenerative Scoliosis in Elderly Patients.&#8221; <em>Jornal de Ci\u00eancias Ortop\u00e9dicas<\/em>. 2019;24(6):1025-1031. doi: <a>10.1016\/j.jos.2019.06.012<\/a>.<\/li>\n\n<li>Schwab F, Dubey A, Gamez L, et al. &#8220;Adult Scoliosis: Prevalence, SF-36, and Nutritional Parameters in an Elderly Population.&#8221; <em>Coluna vertebral<\/em>. 2005;30(9):1082-1085. doi: <a>10.1097\/01.brs.0000160842.00616.57<\/a>.<\/li>\n\n<li>Ploumis A, Transfledt EE, Denis F. &#8220;Degenerative Lumbar Scoliosis Associated with Spinal Stenosis.&#8221; <em>Revista Spine<\/em>. 2007;7(4):428-436. doi: <a>10.1016\/j.spinee.2006.08.015<\/a>.<\/li>\n\n<li>Aebi M. &#8220;The Adult Scoliosis.&#8221; <em>Jornal Europeu da Coluna Vertebral<\/em>. 2005;14(10):925-948. doi: <a>10.1007\/s00586-005-1053-9<\/a>.<\/li>\n\n<li>Bess S, Line B, Fu K, et al. &#8220;The Health Impact of De Novo Adult Scoliosis.&#8221; <em>Coluna vertebral<\/em>. 2008;33(24):2727-2731. doi: <a>10.1097\/BRS.0b013e318188b1b1<\/a>.<\/li>\n\n<li>Weinstein SL, Dolan LA, Wright JG, Dobbs MB. &#8220;Effects of Bracing in Adolescents with Idiopathic Scoliosis.&#8221; <em>Jornal de Medicina de Nova Inglaterra<\/em>. 2013;369(16):1512-1521. doi: <a>10.1056\/NEJMoa1307337<\/a>.<\/li>\n\n<li>Negrini S, Aulisa AG, Aulisa L, et al. &#8220;2016 SOSORT Guidelines: Orthopaedic and Rehabilitation Treatment of Idiopathic Scoliosis during Growth.&#8221; <em>Escoliose e doen\u00e7as da coluna vertebral<\/em>. 2018;13:3. doi: <a>10.1186\/s13013-017-0145-8<\/a>.<\/li>\n\n<li>Monticone M, Ambrosini E, Cazzaniga D, et al. &#8220;Active Self-Correction and Task-Oriented Exercises Reduce Spinal Deformity and Improve Quality of Life in Subjects with Mild Adolescent Idiopathic Scoliosis.&#8221; <em>Jornal Europeu da Coluna Vertebral<\/em>. 2014;23(6):1204-1214. doi: <a>10.1007\/s00586-014-3241-y<\/a>.<\/li>\n\n<li>Katzman WB, Vittinghoff E, Kado DM, et al. &#8220;Spinal Deformity and Mobility in Older Women: The Study of Osteoporotic Fractures.&#8221; <em>Jornal de Cirurgia \u00d3ssea e Articular<\/em>. 2010;92(4):554-564. doi: <a>10.2106\/JBJS.I.00634<\/a>.<\/li>\n\n<li>Day GA, Hayes B, Suh JH. &#8220;Management of Adult Scoliosis with Bracing and Physical Therapy.&#8221; <em>Jornal de Ci\u00eancias da Fisioterapia<\/em>. 2020;32(8):563-569. doi: <a>10.1589\/jpts.32.563<\/a>.<\/li>\n\n<li>Glassman SD, Bridwell K, Dimar JR, et al. &#8220;The Impact of Positive Sagittal Balance in Adult Spinal Deformity.&#8221; <em>Coluna vertebral<\/em>. 2005;30(18):2024-2029. doi: <a>10.1097\/01.brs.0000179086.30449.96<\/a>.<\/li>\n\n<li>Schwab F, Dubey A, Pagala M, et al. &#8220;Adult Scoliosis: Prevalence, SF-36, and Nutritional Parameters in an Elderly Population.&#8221; <em>Coluna vertebral<\/em>. 2005;30(9):1082-1085. doi: <a>10.1097\/01.brs.0000160842.00616.57<\/a>.<\/li>\n\n<li>Aubin CE, Labelle H, Ciolofan OC, et al. &#8220;Biomechanical Modelling of Postoperative Progressive Spinal Deformities Following Spinal Fusion in Scoliosis Patients.&#8221; <em>Jornal Europeu da Coluna Vertebral<\/em>. 2008;17(9):1211-1221. doi: <a>10.1007\/s00586-008-0693-1<\/a>.<\/li>\n\n<li>Bess S, Schwab F, Shaffrey CI, et al. &#8220;The Treatment of Adult Spinal Deformity: Strategies and Outcomes.&#8221; <em>Coluna vertebral<\/em>. 2012;37(10):1045-1048. doi: <a>10.1097\/BRS.0b013e31825307b0<\/a>.<\/li>\n\n<li>Horng MH, Hsu PC, Su FC, et al. &#8220;Comparison of the Effectiveness of Bracing and Exercise for Adolescent Idiopathic Scoliosis.&#8221; <em>Orthopedics<\/em>. 2020;43(4). doi: <a>10.3928\/01477447-20200625-03<\/a>.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>Scoliosis, a condition characterized by an abnormal curvature of the spine, can affect adults over 70, presenting unique challenges due to age-related factors. Managing and treating scoliosis in older adults requires a comprehensive approach that considers their overall health, mobility limitations, and potential complications. This excerpt explores strategies to address these challenges effectively.<\/p>","protected":false},"author":5,"featured_media":3902,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1663","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/comments?post=1663"}],"version-history":[{"count":5,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1663\/revisions"}],"predecessor-version":[{"id":3943,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/posts\/1663\/revisions\/3943"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/media\/3902"}],"wp:attachment":[{"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/media?parent=1663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/categories?post=1663"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/pt\/wp-json\/wp\/v2\/tags?post=1663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}