There are many scoliosis exercises available around the world, many of which provide little value to the patient. Unspecific and specific exercises are distinguished. Many of the signs and symptoms of scoliosis may be significantly improved with specific physiotherapy. However, this has only been confirmed with the Schroth approach and, to a lesser extent, the Schroth Best Practices software. The aim of this research was to see how much correction could be made in terms of spinal curvature and trunk deformity.
Materials and procedures. This is a short-term prospective cohort analysis. 60 patients with idiopathic scoliosis who were routinely treated with the Schroth Best Practice programme at our department were prospectively monitored for at least two months. The average age was 16 years (11–19 years), with a thoracic Cobb angle of 23.5 degrees (6–56 degrees) and a lumbar Cobb angle of 21.2 degrees (6–52 degrees). The average ATR (Angle of trunk rotation) for the thoracic region was 8° (3–18°) and for the lumbar region was 7.9° (2–17°).
The end result. The duration of the follow-up was 2,9 months. The average thoracic Cobb angle decreased from 23.5° to 18.2° (-5.3°; p 0.05) during this period. The lumbar Cobb angle fell from 21.2 to 15.7 degrees (-5.5 degrees; p 0.01). The thoracic ATR decreased from 8 to 5.6 degrees (-2.4 degrees; p 0.01), while the lumbar ATR decreased from 7.9 to 5.7 degrees (- 2.2 degrees; p 0.01). A group of patients with Cobb angles greater than 30° had a correction of more than 9 degrees (p 0.01).
Conclusions: In terms of improving spinal curves and trunk deformity, the Schroth Best Practice programme is extremely successful. Curvatures greater than 30 degrees produce better results than curvatures of less than 30 degrees. Outpatient Schroth Best Practice seems to be more effective than comprehensive in-patient rehabilitation using the old Schroth standard, which is still in use today. This programme can be used as the primary mode of therapy in patients who have reached the end of their growth cycle or who have outgrown their current treatment. Bracing is recommended especially during periods of rapid development. This programme is used in conjunction with standard bracing in this case.
Author (s) Details
Sang Gil Lee
PSCE (Power Schroth Corrective Exercise) Center, Gusan building Seocho-daero 6-gil, Seocho-gu, Seoul, South Korea.
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