Advance Physical Therapy

Advance Physical Therapy

Certified Postural Restoration Center · C2 Advanced Schroth Certified Scoliosis Therapists (BSPTS)

Certified Postural Restoration Center · C2 Advanced Schroth Certified Scoliosis Therapists (BSPTS)

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The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: A randomised controlled clinical trial

July 27, 2015 by Jean Massé

It is always affirming to see support in the literature for the changes we see case by case at Advance Physical Therapy every day. Recently, a randomized controlled trial was conducted to evaluate the effectiveness of professionally administered, 3 dimensional Schroth exercise program for the treatment of scoliosis.

I think there are two key points from the study. The first is that when done correctly these exercises can reduce a scoliotic curve. The second, and perhaps more important point, is that no intervention is associated with a worsening of the scoliotic curve.

Improving scoliotic curves during pubertal growth, the time when most curves get worse, can make a tremendous difference in subsequent quality of life for patients. Surgery can often be avoided with effective conservative treatment.

We are passionate about raising awareness of this powerful and effective treatment for scoliosis and throwing out the old notion of “nothing can be done” or “wait and see”, as these will likely result in a worsening of scoliosis. The abstract is below.

ABSTRACT
The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: A randomised controlled clinical trial
Objective: To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with
adolescent idiopathic scoliosis.
Design: A randomised-controlled study.
Setting: An outpatient exercise-unit and in a home setting.
Subjects: Fifty-one patients with adolescent idiopathic scoliosis.
Interventions: Forty-five patients with adolescent idiopathic scoliosis meeting the inclusion criteria
were divided into three groups. Schroth’s 3D exercises were applied to the first group in the clinic and
were given as a home program for the second group; the third group was the control.
Main Measures: Scoliosis angle (Cobb method), angle of rotation (scoliometer), waist asymmetry (waist
– elbow distance), maximum hump height of the patients and quality of life (QoL) (SRS-23) were assessed
pre-treatment and, at the 6th, 12th and 24th weeks.
Results: The Cobb (-2.53°;P=0.003) and rotation angles (-4.23°;P=0.000) significantly decreased, which
indicated an improvement in the clinic exercise group compared to the other groups. The gibbosity
(-68.66mm;P=0.000) and waist asymmetry improved only in the clinic exercise group, whereas the results
of the other groups worsened. QoL did not change significantly in either group.
Conclusion: According to the results of this study the Schroth exercise program applied in the clinic
under physiotherapist supervision was superior to the home exercise and control groups; additionally, we
observed that scoliosis progressed in the control group, which received no treatment.
The full study is available by purchase. Click here for more information or search on the following:
The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: A randomised controlled clinical trial Clin Rehabil 0269215515575745, first published on March 16, 2015
Jean Masse PT, DPT, PRC, OCS, ATC
Jean Masse PT, DPT, PRC, OCS, ATC

Filed Under: blog, Postural Restoration, posture, Schroth Based Therapy, Scoliosis, scoliosis intensive program Tagged With: Barcelona Scoliosis Physical Therapy School, conservative treatment scoliosis, exercise for scoliosis, Schroth, Schroth based scoliosis rehabilitation, Schroth based therapy, scoliosis

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About Jean Massé

Jean Masse PT, DPT, PRC, OCS, ATC has never stopped working to understand the elegance of human structure and movement. She blends her passion for movement and function with patience, knowledge and consideration of each patient as an individual

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Advance Physical Therapy is a physical therapist owned practice offering quality rehabilitation to clients in Chapel Hill, Durham, Carrboro, Pittsboro, Cary and surrounding areas of the Triangle in North Carolina.

Our therapists are highly experienced in traditional physical therapy techniques and have specialized expertise in a variety of areas including Postural Restoration, Manual Therapy, Counterstrain, Schroth based Scoliosis Rehabilitation, Pediatrics, Sports Medicine, Orthotics and Personal Training.

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