Wednesday, March 19, 2014

Postural Screenings



March 14, 2014

Dear Parent or Guardian:
             
The Memorial Middle School will be doing an annual Postural Screening during the months of March and April.  The Massachusetts General Law c.71, s.57 requires all public school systems in the Commonwealth to provide postural screening to all students in grades 5 through 9.  If a parent or guardian refuses to have a postural screening by the school, written documentation provided by the physician must be submitted to the school nurse (i.e. a recent physical).
             
The purpose of this screening is to find early signs of possible spinal problems in children in Grades 5 through 9.  It is not a diagnostic service but a program to identify young people who should have further medical evaluation.
             
If your child has any unusual findings, you will be notified and asked to take the child to a physician as a precaution.  The majority of students exhibit no findings.  If nothing unusual is found, we will not be contacting you again until the screening next year.
             
Female children are asked to bring a two-piece swimsuit or halter-top and shorts to school the day of the screening.  This type of clothing permits more accurate observation of the back. The screenings will be conducted beginning the week of March 24th, during physical education and health classes.
           
 If you have any questions, please contact me at 925-2040, Ext. 1106.  More information is provided below.

                                                                         Sincerely,


                                                                        Sharon M. Striglio, R.N.
                                                                        School Nurse
 

**Scoliosis screening will be done over the next couple of weeks in PE classes.**

Female students are asked to bring a two-piece swimsuit or halter-top and shorts to school the day of the screening.  This type of clothing permits more accurate observation of the back. The screenings will be conducted beginning the week of March 24th, during physical education and health classes.

Scoliosis Information Sheet
What is scoliosis?

Scoliosis is an abnormal curve of the spine (backbone). With scoliosis, the spine isn’t straight. Instead, the spine is crooked and curves to the side. If the spine is very crooked, the ribs or hips may stick out more on one side than the other side. Also, one shoulder may be lower than the other. Scoliosis may begin in childhood but often is not noticed until the teenage years. In most cases, the exact cause of scoliosis isn’t known. It seems to run in some families. Scoliosis is more common in girls than in boys.

How can I tell if my child has scoliosis?

In Massachusetts it is mandatory for schools to check for scoliosis. A child’s own physician should also
examine for scoliosis at regular check-ups. If scoliosis is suspected from a school screen, doctors will reexamine the spine by looking at it in different positions. Sometimes x-rays are needed to help show the
extent to which the spine is curved and to determine anticipated future spinal growth. These two factors
allow doctors to decide on a plan of treatment.

Does scoliosis cause any problems?

In most people, the curve in the spine is so small that it causes no problems. Scoliosis doesn’t usually
cause back pain. In severe cases, the curve may restrict the amount of space available for the lungs and
heart to work.

How is scoliosis treated?

In most cases, no treatment is needed. Once identified, doctors check the spine regularly to make sure the curve isn’t getting worse. Sometimes a brace is worn to keep the spine from curving. Newer braces are light and less bulky than old braces. Most braces fit under the clothes and are not visible. Manipulation of the spine cannot improve scoliosis nor prevent its progression.

Is surgery necessary?

If a brace doesn’t stop the spine from curving, surgery may be needed to prevent serious consequences.
During surgery, the bones in the spine may be moved and joined together to strengthen the spine, or a rod may be placed in the spine to straighten it. Surgery is usually successful and can be performed safely.

· Some of this information was adapted from the American Academy of Family Physicians Patient
Information handout, entitled, “If Your Child has Scoliosis” (May 1996).