Scoliosis Treatment: Schroth Method for 13 Year Old Female

The Schroth Method for Scoliosis

Scoliosis affects 6-9 million Americans. The primary age of onset for scoliosis is 10-15 years old, occurring equally male and female. At Park Sports PT, we treat scoliosis using the Scroth Method. This specialized form of treatment has shown to greatly ease pain and improve current and potential quality of health for younger and older patients.

One recent case here at Park Sports involved a 13 year old female named Kathy. Kathy was a highly energized, busy, and athletic young teen. She danced ballet, played lacrosse, and was a competitive swimmer. As is often the case, Kathy discovered she had scoliosis at a regular check up at her doctor’s office. As a result, her doctor monitored Kathy with x-rays every 6 months for a year. They determined that her spine displayed a curve progression over the 12 months. Kathy was also in pain and had to greatly reduce her activities.

Her Diagnosis.

The diagnosis Kathy received from her medical doctor was as follows:

Right Thoracic convexity with 11 degree Cobb angle
Left Lumbar convexity with 16 degree Cobb angle

Treatment at Park Sports PT.

Kathy and her family decided they wanted to pursue physical therapy. After researching Park Sports PT and visiting our clinics, Kathy began working with our Scroth Method specialist Dr. Kristin Romeo. One of the many aspects of Park Sports Kathy and her family liked was that Dr. Romeo is also an athlete and competitive soccer player and has a personal understanding as to how important body function and health is to athletic performance and everyday activity.

At the start of treatment, Dr. Romeo reviews all medical records pertaining to her patient’s scoliosis. She then performs her own examination, re-taking measurements and preparing her own evaluation. After Dr. Romeo performed these important tasks for Kathy, she designed a treatment plan and schedule.

Excellent results.

Kathy visited Park Sports PT 22 times over the course of three months. After these three months, Kathy was pain free and resumed her full slate of activities. In fact, her Left Lumbar convexity, which was 16 degrees when treatment began, was 11 degrees after three months. Kathy’s family purchased most of the Schroth equipment we used in her sessions at our clinic for home use to help Kathy continue her at-home plan.

If you or someone you know has been diagnosed with Scoliosis, the Schroth Method might be a perfect solution for less pain and better future health. For more information on the Schroth Method, Park Sports PT, and a consultation, please visit us HERE. Park Sports PT is a Participating Member of the Hospital for Special Surgery Rehabilitation Network.

Treating Scoliosis with The Schroth Method

The Schroth Method for treating Scoliosis

Park Sports PT offer patients who have been diagnosed with Scoliosis a highly experienced team focused on the Schroth Method. This specialized form of treatment has shown to greatly ease pain and improve current and potential quality of health for younger and older patients.

We treat a wide variety of patients at Park Sports PT and one case involved an active 67 year old female named Abby. Abby was used to playing tennis three times a week and walking three miles per day. Pain from her scoliosis rendered these activities impossible. As a result, Abby tried conventional physical therapy on two separate occasions, both leaving her in more pain and desperate for a solution. Consequently, these events lead her to seek the Schroth Method from Park Sports PT.

Patient Profile: Abby, 67 Year old Female

Abby met with our Schroth Method specialist Dr. Kristin Romeo. At the time of her evaluation, Abby presented with a L lumbar convexity of 42 degrees. Because of this, she was experiencing sever pain in her lower back, both hips, and pain in her neck region. She was in agony and questioned whether she would ever play tennis or walk more than a few blocks unaided again.

After conducting a thorough examination and reviewing all of Abby’s medical records pertaining to her Scoliosis, Dr. Romeo created a customized program of treatment for Abby. They met two times a week for eight weeks. After these eight weeks, Abby started to feel better. For example, she began to walk lengthy distances, first one mile, then two miles, pain free. Dr. Romeo focused on postural changes, specific breathing techniques based upon Abby’s posture and altered the way Abby sat and performed routine physical activities. By meticulously strengthening soft tissue, Abby was able to redefine and re-strengthen her posture.

As of this article, Abby is planning a tennis weekend and is confident she will be pain free.

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The Schroth Method for Scoliosis

The Schroth Method for scoliosis utilizes a three dimensional approach to elongate the trunk and correct imbalances of the spine. The goal is to develop the inner muscles of the rib cage in order to change the shape of the upper trunk and to correct any spinal abnormalities.

Developed by Katharina Schroth

The Schroth Method was originally developed by Katharina Schroth in Germany. The method uses customized exercises to return the body’s posture to a more natural position. It is standard treatment for scoliosis in many European countries, and is gaining trust and popularity in the United States.

Scoliosis Symptoms

Symptoms of Scoliosis vary. Pain does not always accompany scoliosis. As a result, scoliosis can present in a variety ways such as abnormal trunk lean, uneven rib cage/shoulders or even back pain. If you suspect scoliosis contact your primary care provider. Prior to Schroth treatment, an x-ray is needed as scoliosis can present differently externally due to overlying musculature and does not give us the full picture. So, knowing the bony anatomy allows us to monitor your progress and tailor your treatment to your specific curvature.

Treatment at Park Sports PT

Getting treatment at Park Sports PT means you are working with certified therapists trained in the Schroth Method. They are partners in your health and wellness. Your therapist will create a personalized plan just for you and your specific condition. Our treatment approach can treat scoliosis patients of all ages. It can also can be utilized to treat in all stages of scoliosis, including after surgery.

Throughout treatment, we look closely at the three-dimensional curve in the spine. We teach patients very specific ways to correct that curve or scoliosis posture. Once patients have recognized their corrected posture, we teach them breathing and muscle activation techniques to hold that correction. Essentially, we help train the motor neurons to sense when they’re in a corrected posture versus when they’re in their scoliosis posture.

The Schroth Method takes a lot of repetition and commitment from the patient to learn these techniques. That’s why home exercises are also recommend at least five days a week for a half hour each time.

Trial results show improved patient outcomes

Several trials have found that physical therapy scoliosis-specific exercises lead to improved patient outcomes. This includes less pain and improved muscular strength, muscular endurance and self-image. In one study, spinal deformity improved in 69 percent of patients who completed Schroth exercises. This compared to only 6 percent in patients who did not complete their exercises. The Schroth Method at Park Sports PT works.

Your Park Sports PT team will create a personalized plan and will help prepare you to work on your strength and posture at home. The result is long term care and a stronger and healthier body.

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If you or your child has any symptoms or have visited your primary care provider and are looking for treatment, contact us today to learn more. We are here to help.

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What is the Schroth Method?

Written by Kristin Romeo, DPT
Edited by Alex Ariza

What is Scoliosis?

Scoliosis is a three-dimensional abnormal curvature of the spine. Everyone’s spine has a natural curvature to it, however, if that curvature progresses beyond a certain degree it can be classified as scoliosis. Scoliosis occurs equally among genders but girls seem to be more likely to have scoliosis that has progressed to a level that requires treatment. There are an array of health issues that can accompany scoliosis such as abnormal breathing patterns, visible prominences and poor posture due to muscular imbalances.

What causes Scoliosis?

Scoliosis X-Ray — *X-ray image of a person with Scoliosis. Original Image Source: https://www.orthobullets.com/spine/2053/adolescent-idiopathic-scoliosis*

There are several different types of scoliosis, however, the majority of scoliosis cases are idiopathic, meaning it has an unknown origin. Idiopathic scoliosis typically begins at a young age and becomes more pronounced during periods of rapid growth.

What are the symptoms of scoliosis?

Pain does not always accompany scoliosis. Scoliosis can present in a variety ways such as abnormal trunk lean, uneven rib cage/shoulders or even back pain. If you suspect scoliosis contact your primary care provider to address your concerns. Prior to Schroth treatment, an x-ray is needed as scoliosis can present differently externally due to overlying musculature and does not give us the full picture. Knowing the bony anatomy allows us to monitor your progress and tailor your treatment to your specific curvature.

What is the Schroth Method?

The Schroth Method is a conservative form of scoliosis treatment designed to target the flexible, postural component of scoliosis. The method was created in Germany in the 1920’s by Katharina Schroth as a way to treat her own scoliosis. Since then the method has made its way across the globe, only recently in the US. Scoliosis specific exercises are targeted specifically to each patient’s curvature through the use of five principles of correction. Subtle postural corrections, spinal distraction and isometric tension help to increase muscle activation and strength in a neutral spinal alignment.

What can I expect during a session of Schroth method physical therapy?

On your first visit, you will be fully evaluated. We will take a look at your posture, your muscular imbalances, address any goals or concerns you may have and take a variety of measurements. You will be sent home the first day with the beginnings of a home exercise program. During your follow-up treatment sessions, we will be utilizing a variety of equipment such as a Schroth wall ladder, physioball, rice bags and Therabands. You will learn about the five principles of correction (1. Auto-elongation (detorsion); 2. Deflection; 3. Derotation; 4. Rotational breathing; and 5. Stabilization) and how to implement them into your home exercise program. We will discuss safe ways to lift, sit and postural corrections to integrate into your daily routine.

Do you or your child suffer from Scoliosis or Kyphosis? We can help. Schedule your evaluation today.

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Scoliosis Specialist in Brooklyn

Scoliosis affects 2-3% of the American population. The most common form being idiopathic scoliosis which affects children ranging from ages 10-15 years old. Idiopathic means the causes are unknown. It is typically detected by school screenings or a physician visit. Patients with idiopathic scoliosis rarely experience pain and the curve is usually minor enough that treatment isn’t needed, but this can change with time. If your child has scoliosis our certified Schroth therapists can help treat and teach your child how to counteract the imbalances caused from the abnormal curvature of the spine.

In this article, Park Sports founder and physical therapist Boris Gilzon, PT DPT, OCS, CHT describes how our therapists utilize conservative methods such as breathing techniques, exercise, and body awareness to address Scoliosis and Kyphosis.

Originally developed in Germany by Katharina Schroth in the early 1920’s, the Schroth method has become one of the most effective and safest approaches to treating Scoliosis.

The Schroth method focuses heavily on rotational breathing, stabilizing and balancing the spine, chest expansion, derotation and reduction of the spine’s irregular curvature, elongation of the spine, hands-on treatment to correct the body’s posture, and educating the patient on exercises and techniques they could use for life.

There are numerous Schroth Method exercise. The combination of exercises our physical therapists prescribe is based on each patient’s body and the curves of their spine.

Unlike most other exercises, which are completed on both sides of the body, scoliosis exercises are generally executed on one side only. This is in order to correct the imbalances of the spine by lengthening and strengthening the muscles in this area.

On the whole, the exercises consist of a combination of stretching, strengthening and breathing techniques, which follow this three-step exercise process:

First, make sure the pelvis is properly aligned
Then, do exercises to lengthen the spine, followed by breathing techniques to move the spine and ribs into the best possible posture
Finally, tense the muscles of the trunk, which will strengthen weak muscles and preserve the posture that has now been corrected

The benefits of the Schroth Method are highlighted in the findings of this recent study:

According to these results, Schroth PSSE (physiotherapeutic scoliosis-specific exercises) added to the standard of care were superior compared to standard of care alone for reducing the curve severity in patients with AIS (adolescent idiopathic scoliosis). Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198985/

So if you or your child are dealing with scoliosis, the Schroth Method may be your best option to address its symptoms and prevent the condition from progressing further.

Do you or your child suffer from scoliosis or kyphosis? We can help. Schedule your evaluation today.

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Scoliosis Treatment in Brooklyn

The clinicians at Park Sports Physical Therapy are experts in scoliosis treatment in Brooklyn. Below is some information on scoliosis and how we can help.

What is Scoliosis?

Scoliosis is a condition where patients present with a sideways curvature of the or backbone or spinal column.. These curves can be C-shaped, or more commonly, are S-shaped or C-shaped. Most patient develop idiopathic scoliosis, which means there is no known cause of this diagnosis.

How is Scoliosis Diagnosed?

The diagnosis of scoliosis is the result of a healthcare practitioner performing special tests, a physical exam, taking a thorough health history, and an x-ray of the spine. If the x-ray reveals a sideways curvature of 25 degrees or more and is consistent with the health history, exam, and special tests, the diagnosis is made. X-rays also provide additional value in that they help determine the direction, location, and shape of the sideways curvature.

Who Gets Scoliosis and What is the Cause?

As mentioned above, the cause of scoliosis, in most cases, is unknown. There are two ways that healthcare experts define scoliosis:

Structural – structural scoliosis is a situation where the bones of the spine become twisted and have formed a lateral curve and it is fixed or unchanged. Injuries, birth defects, infections, or diseases can cause this.
Nonstructural – this is a type of curve that is temporary. Identifying the underlying cause and treating us often effective

Scoliosis with an unknown cause typically shows up in kids during the age of 10-12 but people of all ages may develop scoliosis. Here are some patterns that are common with scoliosis:

Girls develop scoliosis more than boys
Scoliosis runs in families
It is rarely painful

Physical Therapist Directed Scoliosis Treatment in Brooklyn – It’s Our Specialty

Clinical research has demonstrated that exercise therapy can improve a scoliosis patient’s strength, endurance, and lung function. There is controversy as to whether exercise can slow or even reverse scoliosis. There is some evidence that a specific exercise approach as outlined here in this case study. https://scoliosisjournal.biomedcentral.com/articles/10.1186/1748-7161-8-S2-O10. As such, several of our physical therapists have been trained in the Schroth Method here in Brooklyn.

The Schroth Method is defined as follows (reference: https://www.schrothmethod.com/about-schroth-method):

Schroth Exercises are customized exercises for the patient’s scoliosis deformity.

The method teaches patients how to:

Correct spinal rotation and increase lung capacity with a rotational breathing technique.
Help restore normal spinal position with pelvic corrections, breathing technique, and stabilizing isometric contractions.
Improve posture during routine daily living, not just during therapy.

Try Physical Therapy/The Schroth Method Before Aggressive Treatments

Treatment for scoliosis is medical observation, bracing, and in severe cases, surgery. Before aggressive, invasive treatment, it makes sense to try a conservative, natural treatment approach.

For More Information, Give Us a Call

If you or a loved one has scoliosis, give us a call to learn more about our scoliosis treatment and the Schroth Method here in our Brooklyn offices.

You can contact us at one of our four locations for more information.

Garfield Place Clinic
325 Garfield Pl | Brooklyn, NY 11215
(718) 230-1180

Sixth Avenue Clinic
670 6th Ave | Brooklyn, NY 11215
(718) 369-2560

Clinton Hill Clinic
973 Fulton St | Brooklyn, NY 11238
(718) 622-0224

Union Street Clinic
808 Union St | Brooklyn, NY 11215
(718) 398-8800