Schroth Method Scoliosis Therapy Program
Schroth Method 3D Socliosis Exercise Therapy is a non-invasive and gentle treatment which can improve health related quality of life. 6 and 10 day 3D Schroth Method Scoliosis Therapy Programs can help juveniles, adolescents and adults who have idiopathic scoliosis.
Our programs are designed for patients and their family who are seeking an alternative, one on one, non-surgical, conservative treatment solution. Schroth Method therapy can help prevent curve progression; improve aesthetics; improve function and mobility; alleviate and eradicate pain; and importantly, avoid the need for spinal fusion surgery. Scoliosis can be managed.
Programs begin with an assessment of a patient's curvature and posture, from both a radiological and clinical perspective. We then teach the patient a customized program of 3D therapeutic exercises for their specific pattern of idiopathic scoliosis. 3D Therapy exercises performed during the program are documented in a Home Exercise Program (HEP) manual. A patient's HEP enables them to maintain their improved posture and body alignment, taking the asymmetrical loading off spine, which if not countered, on a daily basis, can lead to further curvature progression. Patients are encouraged to become conscious of their postural correction in all activities of daily life (ADL).
A Parent is always actively involved in our programs for their juvenile or adolescent daughter or son; we refer to these programs as Patient-Parent Programs. Patients and family members usually reside close by to our Clinic while participating in one of our programs.
For AIS patients, 3D Schroth Method scoliosis exercise therapy can be provided independently, or in conjunction with appropriate 3D asymmetrical Chêneau style bracing.
The absolute goals of the Schroth Method Scoliosis Therapy Programs adhere to the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) 2016 Guidelines:
- Avoid surgery,
- Improve aesthetics
- Improve quality of life
In providing conservative treatment to achieve these goals our focus is on:
- Stopping curve progression at puberty (or possibly even reducing it)
- Improving lung capacity and rib mobilization through corrective breathing.
- Preventing or treating spinal pain syndromes
- Improving aesthetics via postural correction
Residential Program Components
Our 6 and 10 day Schroth Method Scoliosis Therapy Programs comprise the following components:
- Part 1: Initial Assessment Consultation
- Part 2: Customised Scoliosis Exercise Therapy Sessions
- Part 3: Schroth Method Home Exercise Program Manual
- Part 4: Schroth Method Home Exercise Program Notes
- Part 5: Education in Activities in Daily Living
Part 1: Initial Assessment Consultation
The initial assessment consultation is an integral part of the program and includes 4 steps:
- X-Ray Review: Before commencing Schroth Method scoliosis exercise therapy with a patient, existing x-rays and reports are reviewed. It is essential that the patient presents at our Centre with a current set of x-rays, radiologist and orthopaedic specialist reports, as well as any other relevant medical history. X-rays need to have been taken in weight bearing (Erect) position, showing a Posterior-Anterior (PA) view of the full spine, and a Lateral (sagittal) view. X-rays highlight the radiological characteristics of the scoliosis curve pattern, any associated spinal degeneration, and enable the degree of curvature to be measured by the Cobb Angle method.
- Photography Review: A Therapist in our Centre photographs the patient while standing from 4 positions, front and back, and both sides. The photographs provide evidence of the clinical characteristics (what we see), establishing the three dimensional clinical characteristics of the patient’s scoliosis curve pattern, and trunk distortion. The radiological and clinical characteristics should concur with one another to correctly diagnose the patient’s scoliosis curve pattern.
- Measurements: In addition to measuring the scoliosis curvature by the Cobb Angle method, the Angle of Trunk Rotation (ATR) is verified by the Therapist using a Scoliometer. The patient’s vital capacity is measured using a Spirometer. The patient’s height is recorded on initial presentation, and any loss of function noted due to scoliosis progression.
- Awareness: In preparing patients for their program of Schroth Method scoliosis exercise therapy, patients are taught how to: describe their pattern of scoliotic posture in Schroth terminology; the need for postural awareness; how to make pelvic corrections relevant to their curve pattern; and how to stabilize corrected posture.
Part 2: Customised Scoliosis Exercise Therapy Sessions
A program of Schroth Method scoliosis exercise therapy is customized for patients based on their Major Idiopathic Curvature Type.
Scoliosis specific therapy exercises in the treatment of adolescent idiopathic scoliosis must provide:
- Three dimensional (3D) auto postural correction
- Training in activities in daily living (ADL)
- Stabilization of corrected posture
- Patient education
Patients perform their therapeutic exercises during the twice daily two hour sessions with the assistance of mirrors, and tactile cueing and feedback from the Schroth Therapist. Once patients have achieved optimal corrected posture for a specific therapeutic exercise, the Therapist takes a photograph of the patient performing the exercise.
Photographs taken are included in Schroth Method Home Exercise Program (HEP) notes, specifying the therapeutic goals of each exercise, and how to perform them.
The need for patients to be focused on positive corrective changes in postural alignment, made possible by each specific Schroth Method therapeutic exercise, is reinforced throughout daily sessions. Exercise therapy sessions are the precursor to consciously adopting a long term symmetrical, more physiological posture in ordinary activities in daily living (ADL). The benefit of adopting a symmetrical posture is that it can help prevent curve progression.
The effectiveness of Schroth Method scoliosis-specific exercise therapy is largely dependent on the ability and commitment of patients, and in the case of juveniles and adolescents, their parents as caregivers, to carry out the prescribed exercise program.
Parents accompanying their child/teenager patient to one our Programs are also coached in the Schroth Method. Coaching enables parents to provide support for the prescribed Home Exercise Program (HEP).
Part 3: Schroth Method Home Exercise Program Manual
The Schroth Method Home Exercise Program (HEP) Manual given to each patient includes:
- Their Pattern of Scoliosis
- Schroth Terminology
- Postural Awareness
- Pelvic Corrections
- Schroth Corrective Breathing
- Home Program Weekly Schedule
- Schroth Method Home Exercise Program (HEP)
Part 4: Schroth Method Home Exercise Notes
The notes for each Schroth Method Home Exercise is set out in the following manner and includes a photograph of the patient performing each exercise in an optimal corrected posture.
- Exercise Name - Helps facilitate the Schroth Method teaching process.
- Main Focus - Therapeutic goals of each specific exercise: postural alignment; muscle rebalance; endurance.
- Positioning - Basic 3D corrections for the whole body from the pelvis (including lower limbs) upwards. Positioning is different for each scoliosis pattern.
- Elongation - Active elongation of the spine upwards from the pelvis after achieving basic 3D corrections. Hold the corrections and exhale.
- Exercise - The ‘main part’ during which specific muscle tension and Schroth corrective breathing facilitate postural correction and 3D stabilization. After the initial exhale, continue Schroth corrective breathing cycles throughout each exercise.
- Sets and Repetitions - Exercises are repeated a number of times (sets). Each set includes a number of Schroth corrective breathing cycles (repetitions)
- Variations - In some instances, it’s possible to perform a specific Schroth Method exercise with the same main focus, but with different positioning: standing, sitting or kneeling.
Part 5: Education in Activities in Daily Living
Introducing Schroth Method therapeutic elements into ordinary activities in daily lifving (ADL) helps a patient reduce the asymmetric loading on the main scoliosis curve and lessens the risk of further progression.
Gaining awareness of the differences in postural alignment, by engaging in Schroth therapeutic scoliosis exercises, a patient develops a consciousness about postural correction, which with practice, becomes intuitive.
Patients develop a consciousness about postural correction in ADL through their participation in a program of Schroth customised scoliosis exercise therapy sessions. Training in ADL begins from the outset, during the rest interval between sets of Schroth therapeutic scoliosis exercises.
How patients: stand; sit; lay down on their front, back or side; walk; shower or dress; and engage in dynamic recreational activities such as sport or dancing, requires a conscious postural correction, ultimately an intuitive correction!. ADL is an intuitive element of the Schroth Method of Scoliosis exercise therapy.
6 Day Program
- 24 hour program scheduled over 6 days, plus 1 rest day
- Sunday to Saturday
- Rest Day: Wednesday
10 Day Program
- 40 hour program scheduled over 10 days, plus 2 rest days
- Week 1: Monday to Friday
- Rest Days: Saturday & Sunday
- Week 2: Monday to Friday
Day 1 of each program includes: 1 x 2 hour assessment consultation, plus a 1 x 2 hour scoliosis exercise therapy session.
Day 2 onwards for each program includes 2 x 2 hour scoliosis exercise therapy sessions - 1 morning and 1 afternoon.
All programs exclude travel and accommodation costs.
Home Exercise Program
After attending a Schroth Method Scoliois Therapy Program, patients are encouraged to perform their home exercise program on an ongoing basis to help maintain their improved posture in activities of daily living. Home exercise programs are usually structured around 20-25 minute sessions, 4 days per week.
Travel & Accommodation
The Scoliosis Therapy Centre is located south of Brisbane, Australia, at 7114 Marine Drive East, Sanctuary Cove, Qld 4212.
- Brisbane Airport to Sanctuary Cove: 75km (approx. 60 mins by car)
- Coolangatta Airport to Sanctuary Cove: 51km (approx. 48 mins by car)
For interstate patients, Jetstar, Qantas and Virgin Australia operate flights from all major interstate capitals to Brisbane and Coolangatta Domestic Airports.
For international patients, many operators fly from Asia and New Zealand to Brisbane and Coolangatta International Airports.
Sanctuary Cove is situated just north of the Gold Coast, a popular tourist destination for Australian and international visitors.
A wide range of accommodation options are available in nearby beachside towns, just a short drive (15 to 35 minutes) away from our Scoliosis Therapy Centre.
- Paradise Point
- Runaway Bay
- Biggera Waters
- Surfers Paradise
Within Sanctuary Cove there is also the Intercontinental Sanctuary Cove Resort Hotel, Click Here for details.
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