An Exercise-Based Option for Scoliosis Management
Traditionally physical therapy has played a minor role in management of scoliosis in the United States. Patients are often given the "wait and see" approach when diagnosed. However, there is a growing focus on early scoliosis intervention in an effort to prevent curves from progressing.
In Europe, thousands of patients are treated annually using exercise and therapy. One of the leading European therapy approaches is the Schroth method. In 2005, Spinal Dynamics of Wisconsin became one of the first US clinics to have physical therapists certified in Schroth. Today, our conservative scoliosis management program continues to grow, and we are committed to being proactive in helping patients live optimally with scoliosis.
A proactive approach
Schroth is based on the principle that scoliosis has a postural component that can be improved by altering the forces that act on the spine. Patients are motivated to become more active in their own health. Curve-specific exercises are taught and repetitively practiced in multiple positions to challenge the body’s strengths and weakness. When exercises and posture are practiced consistently, spinal forces are changed and the body can achieve a more optimal position. When a brace is indicated, research shows better results when bracing is combined with therapy rather than bracing being used alone.
Conservative therapy for scoliosis is directed at interrupting the "vicious cycle" that acts upon the spine.
There is no known primary cause for scoliosis, but once present, abnormal spine curvatures can lead to a vicious cycle: Following an unknown trigger, spinal curvature creates asymmetric loading on the spine which may then drive the development of progressive spinal deformity. Specific exercises use muscle and joint forces to change the asymmetric loading and minimize the progression of the scoliosis curvature. In some cases, reduction of curvature may also be seen.
Although individual patients have unique treatment goals, some common goals and benefits of conservative management with Schroth therapy include:
- improved understanding and acceptance of scoliosis
- prevention of curve progression
- improved posture
- reduced pain
- increased strength and flexibility
- improved body mechanics
- improved breathing
- improved endurance and tolerance to activities
- enhanced cosmetic appearance
- prevention (or delay) of surgery
- enhanced psychological outlook
- avoidance of bracing, improved bracing compliance/results
- connection to others with scoliosis
What to expect . . .
Patients and families will be treated with compassion and respect. We encourage you to come in for a consultation, even if you are not sure the program is right for you. We will spend time getting to know you and help you understand your options. Whether your scoliosis is a newly diagnosed condition or one that you have known about a long time, therapy can benefit you. We sincerely look forward to being a resource of education and motivation for you.
Initially you can expect:
- therapist and patient/family introduction
- past medical history review
- musculoskeletal evaluation
- x-ray evaluation for classifying and understanding spinal curvature
- posture photos for understanding body shape
- explanation of evaluation findings
- discussion of patient goals and individual treatment options
Individual programs may then include:
- orientation of scoliosis and Schroth principles
- explanation of individual exercise rationale
- exercise coordination to encourage 3-D movement control
- hands-on cueing to facilitate corrected posture
- incrementally challenging exercises to counteract the forces of the curve
- active muscle facilitation to stabilize corrections
- directional breathing to “correct from within” and to improve vital capacity
- assistance with applying Schroth method in everyday living
- mentoring and coaching
- examples of success to serve as inspiration
- option of scoliosis group exercise to help you know you're not alone
- bracing consultation and fitting as recommended
- adjunctive physical therapy as needed
Team approach
Our therapists are excellent at working with your other health care practitioners to coordinate your overall care. If your current physician does not know about scoliosis-specific physical therapy, we are happy to provide information about our services. We are available to meet with professionals and offer in-services and demonstrations in an effort to increase the medical community’s awareness of conservative scoliosis management.
For more information . . .
We recommend that you read our in-depth informational booklet with specific details about our program for adolescents, adults and out-of-town patients.
Click here to access the booklet (PDF)
