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Neuromuscular/Neurogenetic Scoliosis - Non-Surgical Treatment Options

Neuromuscular/Neurogenetic Scoliosis - Non-Surgical Treatment Options

Neuromuscular/Neurogenetic Scoliosis - Non-Surgical Treatment Options

This course includes
3:00:00 of Course Material (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in October 2021


The focus of this online pediatric physiotherapy course with Esther de Ru is the conservative therapeutic management of developing scoliosis in a growing child.

Esther will present about non-surgical therapeutic management of developing scoliosis in a growing child.  

Maintaining alignment, symmetry & mobility is key: based on science, influence gravity, expert opinion & patient feedback. 

The findings from the Scoping Review of non-surgical treatment options will be presented as well as the authors' experience of 40+ years working with this population. The age of onset of common neuromuscular and genetic disorders presenting with scoliosis was documented in the review.

Treatment can vary per diagnosis and per symptom (central hypotonia, spasticity, dystonia, muscle weakness, pain, scarring).

Awareness of the age of onset and bone growth related to soft tissue growth needs to be established. The need to counter gravity on the spine and thorax to preserve Quality of Life cannot be emphasized enough. Knowing the risk factors and taking the bone structure and effects of gravity on the growing spine, pelvis, and thorax into account is a must for every pediatric physiotherapist. 

A variety of interventions will be reviewed.

Preventative measures need to be taken on time because of the influence of gravity during sleep and in sitting. Demonstrated are possibilities to address pain, prevent hip migration, collapsing thorax, pelvic obliquity, and help maintain mobility.

Manners to address a number of multisystem symptoms (skin issues, colon dysfunction, breathing difficulties, bone mineralization deficits) will be discussed. The ‘wait and see’ approach is detrimental and vigilance for signs of further impairment is needed during the entire development from infancy to adulthood.

In this online course, the possibilities we have as pediatric physiotherapists are addressed.

The various assessment tools are shown and the necessity to scrutinize the X-rays is clarified. A number of practical treatment options are discussed and demonstrated. A number of treatment options are mentioned only, some are often addressed by colleague occupational therapists or orthotists.  

We further need to listen to parents, empower them, make them crucial members of our MD team, and not underestimate them and show them what they can do to help their child.


Learning objectives

After attending this course participants will:

  • Have a better understanding of the age of onset and bone growth related to soft-tissue growth.
  • Know the risk factors and the importance of preserving Quality of Life.
  • Know the basic assessment possibilities.
  • Know of a number of non-surgical treatment options taking the bone structure and effects of gravity on the growing spine, pelvis and thorax into account.
  • Be aware of the need to look at and implement early preventative measures.


What's included

By registering for this online course, you receive:

  • 1.5 hours of video lessons, broken down into short, digestible videos
  • Downloadable PDF of the slides
  • Downloadable reference list
  • Lifetime access
  • A certificate of completion

Please note: This course includes English closed captions which you can turn on/off in each video lesson.



This course is for all rehabilitation professionals working with children with neuromuscular or genetic disorders in danger of developing asymmetry in the spine and trunk. This includes but is not limited to, physiotherapists (physical therapists), occupational therapists, kinesiologists, and physiotherapy and occupational therapy assistants (PTA/OTA).

The instructors
Esther de Ru

Esther de Ru is a physiotherapist from the Netherlands whose passion and energy for all things related to pediatrics is stunning. Maybe best known for her work in elastic therapeutic taping, she is keenly interested in skin, our outer brain, using skin stretch and massage to enhance movement and address dysfunction. Her other passion is scoliosis management. She is certified in NDT Bobath, NDT/Mueller, pre-logopedia, Vojta, Sports, Orthopedic Manual Therapy, P.N.F., Bugnet, Sensory Motor Therapy & Motor Remedial Teaching. She developed the Skin Approach to Taping method and she has published on this topic.

As past chair of the Committee Practice of the IOPTP (International Organisation of Physical Therapists in Paediatrics) and international instructor and author, Esther emphasizes the need to work very hands-on in our profession.

Semi-retired, Esther travelled the world teaching and sharing her knowledge as a true clinician who values not only the evidence base, but the patient's experience and the intuitive wisdom that comes with real work in the real world. She has gained her experience working in four European countries. She is a respected international speaker, and provides mentoring to therapists world wide through the Clinical Excellence Online CEO WiredOn program.

Course Material included in this course
  • Neuromuscular/Neurogenetic Scoliosis: The Non-Surgical Treatment Options
  • Ask Ourselves Why
  • What Can We Do?
  • What the Research Tells Us
  • What Patients, Parents, and Experts Say
  • Where Do We Start?
  • What We Need To Do
  • Conclusion and References
  • Conclusion and Questions
  • 3D Model of Spine and Airway
  • Quiz
  • What's Next?
  • Feedback
  • Reference List
  • South Africa PT CEU Information
  • South Africa PT CEU Information

This course has been approved for 4 CPD units by the South Africa Society of Physiotherapists (SASP). If you are a physiotherapist in South Africa and would like the number of approved CPDs to appear on your certificate of completion, please follow the steps outlined in this help article. 

Once you have completed the course, a certificate of completion (including learning hours and course information) will be generated. You can download this certificate at any time. To learn more about course certificates on Embodia please visit this guide.

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