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Elisha Osipov
Elisha Osipov

Curves Teens

Small curves usually don't cause problems. But a curve that gets worse can be bad for a person's health. Very large curves can damage the joints and cause arthritis of the spine. Large curves can make the ribs rub against the pelvis, causing pain. If the spine curves a lot, people might get lung problems.

curves teens


Most mild scoliosis curves don't need treatment. If you have a mild curve, you'll need to go for regular checkups to be sure it doesn't get bigger. Scoliosis is more likely to get worse while your bones are still growing. So your health care provider will want to keep an eye on you as you grow.

Some teens with severe scoliosis need a type of surgery called a spinal fusion. During the operation, an document.write(def_orthopedicsurgeon_T); orthopedic surgeonstraightens the spine as much as possible and holds it in place with rods and screws. The surgeon then puts in document.write(def_bonegraft_T); bone graftto join (fuse) some of the vertebrae together. That way, the curve can't get any worse.

When treatment is over, people with scoliosis are able to live full and active lives. As long as people get the right treatment as kids or teens, their spine usually won't continue to curve after they're done growing.

Methods: Percent fat was derived from the skinfold thicknesses of those aged 5-18 years from three cross-sectional waves of the National Health and Nutrition Examination Survey (NHANES) IV (1999-2000, 2001-2002, and 2003-2004; N=8269). The LMS (L=skewness, M=median, and S=coefficient of variation) regression method was used to create age- and gender-specific smoothed percentile curves of %BF.

Results: Growth curves are similar between boys and girls until age 9 years. However, whereas %BF peaks for boys at about age 11 years, it continues to increase for girls throughout adolescence. Median %BF at age 18 years is 17.0% and 27.8% for boys and girls, respectively.

Objectives: To create gender-specific reference curves for fat-free mass (FFM) and appendicular (limb) skeletal muscle mass (SMMa) in children and adolescents. To examine the muscle-to-fat ratio in relation to body mass index (BMI) for age and gender.

Methods: Body composition was measured by segmental bioelectrical impedance (BIA, Tanita BC418) in 1985 Caucasian children aged 5-18.8 years. Skeletal muscle mass data from the four limbs were used to derive smoothed centile curves and the muscle-to-fat ratio.

Results: The centile curves illustrate the developmental patterns of %FFM and SMMa. While the %FFM curves differ markedly between boys and girls, the SMMa (kg), %SMMa and %SMMa/FFM show some similarities in shape and variance, together with some gender-specific characteristics. Existing BMI curves do not reveal these gender differences. Muscle-to-fat ratio showed a very wide range with means differing between boys and girls and across fifths of BMI z-score.

Scoliosis is a sideways curve of the spine. Everyone has normal curves in the spine, and when looked at from behind, the spine appears straight. However, children and teens with scoliosis have an abnormal S-shaped or C-shaped curve of the spine. The curve can happen on either side of the spine and in different places in the spine. In most people, the cause of scoliosis is unknown.

For most children and teens, the cause of scoliosis is idiopathic. This means researchers and doctors do not know the cause. However, they think that a combination of factors plays a role in the development of the disease.

Doctors diagnose scoliosis by examining your child or teen and taking x-rays. This helps doctors develop a treatment plan, which depends on the location and severity of the curve. Children and teens with milder curves may just need to visit their doctor for regular check-ups. Others may require bracing or surgery.

Most children and teens with mild scoliosis do not have symptoms or pain. Sometimes, the child, teen, or a family member may notice changes in posture, which may be a sign of scoliosis. Other signs may include the following.

"Currently patients diagnosed with scoliosis are either monitored for progression, treated with a brace, or, in severe cases, offered surgery," explained Sanja Schreiber from the University of Alberta's Faculty of Rehabilitation Medicine. "Our study showed that 88 per cent of patients who did the Schroth physiotherapeutic scoliosis-specific exercises showed improvements or prevented progression in their scoliosis curves over six months compared to 60 per cent in the group receiving only standard of care."

The randomized control trial, recently published in PLOS ONE, studied 50 adolescents with scoliosis aged 10 to 18 years with curves of 10 to 45 degrees (Cobb Angle). After six months of Schroth physiotherapy, (30-45 minute daily home program and weekly supervised sessions), 88 per cent of patients either had improving curves beyond or remaining within 5 degrees of their baseline curve magnitude. The average curve in the control group deteriorated by 2.3 degrees. Overall, the difference between the Schroth and the control group was 3.5 degrees.

"The current standard of care for smaller curves is very much 'wait and see' while parents and patients demand a more proactive approach. I'd like to encourage them to 'try and see,'" Schreiber continued. "Try Schroth and see if it helps. Not only in our study, but also in my clinical practice, I've seen so many teens who have experienced pain improvement and feel better overall with Schroth exercises. Also, they feel they are in control of their scoliosis, because the Schroth method teaches them how to stand, sit, walk, and do other daily activities correctly, so that they can keep their best posture. It's just better quality of life overall."

Orthopedic doctors typically recommend scoliosis bracing for kids and teens who are still growing and have a curvature of 25 degrees or more. The primary goal of a scoliosis brace is to keep the curve from progressing to the level that surgery is required. Some patients achieve curve reduction with bracing.

Schroth therapy is a form of scoliosis-specific exercise developed in Germany in the late 1800s. When the spine curves from side to side, the muscles on one side of the back often become weaker while the muscles on the other side grow stronger. Schroth therapy combines strength-building and breathing exercises with posture awareness to balance the muscles and tissues of the back.

The most important thing to understand about curves is you cannot beat the laws of physics. Vehicles are heavy, and they have lots of inertia. This means if you are driving too fast on a curve, your vehicle is going to keep moving straight ahead instead of around the curve, no matter how much you try to steer it or slow it down to keep it in your lane. You will either run off of the road (on a left-bending curve) or go into the other lane of traffic (on a right-bending curve). You do not have to be traveling very fast for this to happen. If the curve is sharp and the road is wet or icy the most reduction in speed is needed.

Some sharp curves also have chevron warning signs placed throughout the turn; these are very helpful at night or in poor visibility conditions. Review the various types of curve warning signs shown in Chapter 2.

The new Boston Brace 3D from Boston Orthotics & Prosthetics uses an improved brace design with a unique shift/push combination of forces that move the spine into a corrected position. That means the right scoliosis brace, worn for the prescribed amount of time, may actually improve a spinal curve in children and teens.

With treatment using the Boston Brace Original, for curves that start at 25-30 degrees, the average curve reduction is 41-60% depending on the location of the curve. For curves of 31-35 degrees, the average curve reduction is 48-52%, and for curves of 36-40 degrees, the average curve reduction is 50-56%.

The Boston Brace 3D achieves even higher levels of curve correction. For single thoracolumbar curves, the average curve correction is 62% for the Boston Brace 3D compared to 55% for the Boston Brace Original. For single thoracic curves, the average curve correction is 57% for the Boston Brace 3D compared to 52% for the Boston Brace Original.

On that note, I wonder if NHL penalty boxes even still have that tool to check for illegal curves? I can't remember the last time I saw an official check a stick (or a skill player "switch" to a legal stick late in a game).

Warrior's pretty popular at the youth level these days, wacky "look at me" colour combinations clearly attract kids, and they too offer two different curves -- the W03 (Backstrom) and the W88 (Zetterberg).

Adolescents are growing, their brains are developing and their bodies are building bones and muscles. Their bodies should continue to gain weight through adolescence into early adulthood. Any significant change in eating or exercise behavior in an adolescent should be cause for concern, as should any weight loss. If a child falls off their historical growth curves it is important to take a hard look at their behavior. Concern about their weight, a reduction in the types of food they normally eat (e.g., cutting out sugar, reducing carbohydrates, becoming a vegetarian), and increasing exercise without increasing the fuel needed to exercise are all red flags that the weight loss or behavior is not healthy. For individuals with a genetic predisposition, weight loss can trigger the development of an eating disorder.

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