What is scoliosis?

Scoliosis is a 3-dimensional curvature of the spine, where the spine not only curves sideways but rotates, causing 1 side of the back to appear more pronounced than the other.  Each person’s curve is different, that is why this program is tailor-made for each patient, with a strong education component that goes along with it.

There are different forms of scoliosis classified by when they occur in life:

  • Infantile scoliosis often comes along with birth defects and usually has poor outcomes, often needing surgery. 
  • Juvenile scoliosis occurs between the ages of 4 and 10.  Because the onset is so early the risk for progression is high.  Thus, according to the scoliosis research society (SRS), 95% of those with juvenile scoliosis will progress to the point of surgery. Clinically however, this has not been the case where families take a proactive approach and start very early.
  • Adolescent scoliosis is a sideways curvature of the spine which usually occurs between age 10 and 18.  The majority of these cases are considered idiopathic meaning there is ‘no known cause’.  Family history usually plays a role in the onset.  Early intervention is emphasized here and NOT watch and wait, as this is a lifelong condition that will not improve on its own.  The period of growth before skeletal maturity is the only time to make a significant difference with the Schroth method.  The less skeletally mature the patient is, the earlier they start, the better the outcomes. Once a curve of 15﮿ is reached, we recommend instruction in the Schroth protocols to offload the spine  and slow/halt progression of the curve.

Adam’s Test

The Adams test is 1 way that we evaluate the rotational component and is a good way for parents to monitor their children at home.  However a full spinal xray is required for an official diagnosis.

The 3-dimensional nature of scoliosis often means that there is twisting of the spine, affecting the ribs and lungs.  This component is addressed by rotational angular breathing as it help to derotate and deflect the spine and ribs.

Scoliosis can be classified as mild, moderate or severe.  Its never too late to treat scoliosis, but the ealier a person is in growth, the more flexible and pliable they are, thus a much better outcome.

The Schroth Best Pratice program includes the following:

  • Spinal mobilizations to keep the spine flexible
  • Activities of Daily living (ADL) instruction, where you are taught various postures
  • Physiologic® exercises
  • 3D made easy (simple schroth exercises with breathing to do throughout the day)
  • Power Schroth exercises (designed to strengthen core muscles and unload the spine)

These programs are tailored to the individual and education on your specific curve is emphasized.  For adolescents the program may range from 12-16 hours and for adults 8 to 12 hours. The program prescription varies according to the individual needs.