Schroth Method For Scoliosis

Scoliosis is a common orthopedic condition in children and adolescents. It is a complex three-dimensional deformity of the spine, featuring lateral spinal curvature and a rotational deformity of the vertebrae and ribs. According to the Scoliosis Research Society, scoliosis can be classified into functional or Structural. Functional scoliosis can be compensatory, antalgic and static. Structural scoliosis can be classified as idiopathic, congenital, and neuromuscular. Idiopathic scoliosis is divided into three sub-groups according to the age of the patient at the time of diagnosis: infantile (age 0-3), juvenile (age 4-9) and adolescent (age 10 up to maturity). The diagnosis of adolescent idiopathic scoliosis is based on physical and radiological examination (Cobb’s angle) and has a prevalence in the general population of 1-3%. Scoliosis can be treated either conservatively or surgically depending on the severity of the disease. Conservative treatment includes the use of a brace and physiotherapeutic scoliosis specific exercises (PSSE) for mild curves. The brace is recommended for patients with curves between 25° and 40°. The Schroth method is a type of Physiotherapeutic Scoliosis-Specific Exercises (PSSE) program, that involves posture training and exercises effective in reducing pain and improving scoliosis curves, respiratory function, and overall quality of life in scoliosis patients. Treatment indications and goals of the Schroth method The main goals of the Schroth method are:

To reduce or delay the scoliotic deformity
To correct the patient’s posture
To improve the Cobb’s angle
To reduce or to eliminate the pain (if any)
To improve cardiopulmonary function
To avoid the application of bracing in small curve
To avoid surgery
To train the patient about the corrective postures in daily life
To encourage the patient to perform an exercise program alone at home.

Principles of correction method Schroth In the Schroth method there are pelvic corrections that are assumed prior to the execution of exercises that constitute the main principles of correction. These can ensure us that the pelvis is well aligned with the trunk. Particularly, the principles of pelvic correction are: Three- dimensional self-correcting attitude of scoliosis (3D self-correction), Self-elongation of the spine, rotational angular breathing (RAB) and stabilization. The method teaches you how to:

Correct spinal rotation and increase lung capacity with a rotational breathing technique.
Help restore normal spinal position with pelvic corrections, breathing technique, and stabilizing isometric contractions.
Improve your posture during routine daily living, not just during therapy.

Schroth developed over 100 exercises that are specifically designed for individuals with scoliosis and this treatment protocol had helped more than 50,000 since 1921.