Scoliosis and Schroth Exercises

Scoliosis and Schroth Exercises: what approach is taken?

Scoliosis is a three-dimensional curvature in which deviation occurs simultaneously in the front-to-back, side-to-side and rotational planes of the spine; it affects roughly 2–4% of the population and is most often encountered in adolescence, in girls. Assessment is by examination and, where needed, a spinal radiograph; according to the degree of curvature, the physician plans observation, scoliosis-specific three-dimensional exercises, bracing or — rarely — surgery.

Areas of assessment and treatment

• Determining the degree of curvature by spinal radiography
• The Schroth three-dimensional exercise method
• Brace monitoring (on the recommendation of a specialist)
• Support from pool therapy
• Postural awareness and family education
• Monitoring of progress at regular intervals

What information is needed before starting the programme?

Previous spinal radiographs, the stage of growth and any brace recommendation are assessed. Because the spine is a three-dimensional structure, the same list of exercises is not used for everyone. Goals for everyday posture, breathing and movement control are set according to the characteristics of the curve and the person’s age.

Aligning brace and exercise follow-up

Where a brace has been recommended, the exercise and daily wear plan is carried out in step with the relevant specialist. Pressure on the skin, discomfort and changes in fit due to growth should be reported. At review, not only the outward appearance but also function, adherence to treatment and, where needed, change on imaging are assessed.

What is assessed at the first consultation?

Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.