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Schroth Method

Schroth Method. A 3-D Treatment Approach to Treating Scoliosis According to the Principles of C.L. Schroth Michelle Dwyer, DPT Schroth and SEAS Certified for the Treatment of Scoliosis and Spinal Deformities. U.S. History- Challenging the Current Model.

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Schroth Method

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  1. Schroth Method A 3-D Treatment Approach to Treating Scoliosis According to the Principles of C.L. Schroth Michelle Dwyer, DPT Schroth and SEAS Certified for the Treatment of Scoliosis and Spinal Deformities

  2. U.S. History- Challenging the Current Model Parents- Too much “wait and see” Patients- Lack of knowledge regarding how to help themselves beyond bracing and waiting Therapists- Inadequately educated and equipped in scoliosis treatment Orthotists-Traditional bracing lacks 3-D corrections, resulting in flat back and other poor cosmetic changes Doctors- Is there a way to help patients sooner?

  3. Traditional PT Postural Awareness Stretching/ Strengthening Hip ROM Spinal Stability Body Mechanics

  4. Challenging the Traditional Model of PT Schroth Based PT - Barcelona Physical Therapy School SEAS - ISICO, Stephano Negrini MD, Milan, Italy Team Approach PCP/ Pediatrician, Orthotist, Orthopedic/Neurosurgeon, Other? Community Involvement Curvy Girls, Hope’s Closet, local meeting and support groups.

  5. Schroth ( BSPTS) Principles Primarily Adolescent Idiopathic Scoliosis Treatment Deformities in the Sagittal Plane ( Scheurmann’s, Hyper-Kyphosis and Hyper- Lordosis Curve Specific Cognitive, sensory- motor, kinesthetic, neuromuscular exercises to reduce scoliosis posture

  6. History and Goals • Germany 1921 • Inpatient • Spain 1968 • Outpatient • USA 2005 • First certified therapists • 2011 First US course held Steven’s Point, WI • Correct scoliosis posture • Reduce risk of progression • Strengthen asymmetrically • Improve respiration • Diminish functional limitations • Reduce pain • Improve body mechanics • Improve self image and quality of life

  7. Treatment Guidelines Precautions: Osteoporosis Post- Surgery Juvenile Hypermobility Syndrome (JHS) OsteogenesisImperfecta Spondylolisthesis Contraindications: Reactive Scoliosis (tumor, disease, etc) Inflammatory diseases- during active phase Psychiatric Issues

  8. Treatment Guidelines May be treated but with limitations: Syndromic and Neuromuscular Scoliosis Post – Surgery Adult Degenerative Scoliosis Infantile (Age 0-3), Juvenile (age 4-9) ** SRS Classification

  9. Treatment Guidelines Risk of Progression Factor Patient Age Risser Score Cobb Angle Age patient is first seen

  10. Assessment Screening- Adam’s Test Angle of Trunk Rotation- (ATR) Using Scoliometer >5 ° in sitting = + Screen Postural- Frontal, Sagittal and Aerial X- Ray- Cobb, Apex, Rotations, CSL, Risser Height Measurement – Sitting and Standing Vital Capacity Thoracic Function Pain Quality of Life – SRS 22, SRS 36, TAPS, QLSPD

  11. Schroth Exercises Semi-Hanging Sagittal Plane Prone on Knees-Transverse Plane Anterior Gravity Assisted

  12. Schroth Exercise Supine Gravity Assisted- Transverse Plane Standing 3D Correction

  13. Assessment Photos

  14. Assessment Photos

  15. In Brace Correction

  16. Pre/ Post Brace Comparison Pre Brace X-Ray In Brace X- Ray

  17. Sagittal Plane Correction Visit 1 Visit 3

  18. Exercises Using Schroth Principles

  19. Exercises Using Schroth Principles Visit 1 - Uncorrected Visit 3 - Corrected Posture

  20. Exercises – Sport Specific and In-Brace

  21. Sport Specific Training In Corrected Posture

  22. Case Study Visit 1 Visit 1

  23. Sagittal Visit 1

  24. Visit 2 Sagittal Plane Correction Sagittal Correction Psoas Stretch

  25. Stretching- Stabilization Supine Hamstring Stretch Scapular / Core Stability

  26. Sagittal Correction Visit 1 Visit 6 - 2 month follow up

  27. Patient Follow Up Visit 1 2 Month follow up

  28. PT Treatment Options • Local Program • Basic Program 2x wk- 8wks • Progression • Monthly, Quarterly, Bi-Annually • Until Risser 5 • Immersion Program • Basic Program for 5 consecutive days • Progression • First yr every 3 months • Bi-Annually to Risser 5

  29. Assistants

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