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Large scoliosis will allow these two lines to intersect forming the angle a, otherwise, if the curve is not large enough, strike perpendiculars to form the angle A Pulmonary Function Studies • If a thoracic scoliosis exceeds 50°–60°, abnormalities in pulmonary function tests (PFTs) may appear • The most common abnormality is a decreased vital capacity probably related to decrease in size of the hemithorax on the convex side of scoliosis a A FIGURE 10–10. Surgical fusion is used if the cervical scoliosis increases with growth PEDIATRIC REHABILITATION TRAUMATIC CONDITIONS Subluxation of the radial head (nursemaid’s elbow) (Figure 10–7) • The radial head and neck is displaced distal to the annular ligament, usually in children less than 6 years old • It results from longitudinal pull or sudden traction applied to the upper extremity; most commonly from children being lifted by the hand over a curb or object • Sudden onset of pain results, the child refuses to move the arm, hand function is normal and elbow X-ray usually reads as normal • Reduction usually is achieved by supination of the forearm FIGURE 10–7. Growth signifies increase in size. Exercises should improve endurance and strength PULMONARY/CARDIAC/CANCER REHABILITATION – Fall prevention and proper body mechanics are also components of the rehabilitation program – Physical modalities used to relieve pain—soft tissue massage, electrical stimulation (TENS) – Heat modalities, such as ultrasound, diathermy, microwave therapy—considered contraindicated in the presence of malignancy CANCER PAIN Cancer pain may result from direct tumor invasion, chemotherapy, peripheral neuropathy, plexopathy, postsurgical pain or procedure related pain or can be unrelated to any of these factors. In patients with spinal involvement, pain may be worse lying down and improves with sitting • Metastatic Bone Disease causes pain, pathological fractures, neurologic injury, and functional disability. When shopping for male enhancement products, read the label carefully. Walgreens.com offers male enhancement products from well-known brands as ExtenZe and Nugenix. 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