Monday, November 19, 2012

Introduction of Schroth Method

Schroth method is said to be an effective treatment for adolescent idiopathic scoliosis. Numerous studies indicated the efficacy of this approach especially in improving the respiratory function, decreased in Cobb angle, pain reduction and cosmetic improvement.

The result of studies done by Weiss and friends was as follows (Fusco et al, 2011):

From the result above, we can observe that not every case was successfully. There have unchanged cases and worsened Cobb degrees. No details are being describe on the worsened case, therefore, I have no idea how many degrees it got worsened.

Schroth method was introduced by Katharina Schroth in 1920. The original concept of the programme was designed for patients with large curvatures exceeding 70° or 80°, especially main thoracic curves. From durations of three months, the inpatient programme was then shortening to six weeks. Whereas, for small and moderate curves, the latest development of ‘New Power Schroth’ as part of the Scoliologic™‘Best Practice’ programme are said to cater to these needs .
Source: Weiss
“The three-dimensional (3D) scoliosis treatment is based on the principles of kinesthetic and sensorimotor, and its goals are to facilitate correction of the asymmetric trunk and posture” (Hennes & Turnbull). The emphasis of Schroth method is on specific postural correction, correction of breathing patterns to correct the collapsed areas of the trunk and correction of postural perception in diary activities maintaining. Mirror monitoring plays an important role in the original Schroth programme, it allows patients to aware of their posture and synchronizing the corrective movement with the visual input.

At the beginning of the treatment, patients will be assessed by physicians using Schroth classification where individual exercise program will be assigned later. Patients will then exercise for 6 to 8 hours a day including individual and group exercise. Massage and psychological counseling is provided, as needed. 


Source: Weiss


References:

C Fusco, MD, F Zaina, MD, S Atanasio, PT, M Romano, PT, A Negrini, PT, and S Negrini, MD, 2011, Physical exercises in the treatment of adolescent idiopathic scoliosis: An updated systematic review, Physiotherapy Theory and Practice, 27(1):80–114, Informa Healthcare USA, Inc.

Hennes A & Turnbull D, Rehabilitation in patients with spinal deformities: A description of the Schroth method.

Weiss HR, The method of Katharina Schroth - history, principles and current development, Scoliosis 2011, 6:17, http://www.scoliosisjournal.com/content/6/1/17

Borysov M & Borysov A, 2012, Scoliosis short-term rehabilitation (SSTR) according to ‘Best Practice’ standards - are the results repeatable? http://www.scoliosisjournal.com/content/7/1/1


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