Schroth method in Sivas

What is scoliosis-Specific Exercise (Schroth Method)?

Scoliosis-specific physiotherapy exercises differ from general back exercises in that they address the spine's sideways curve, rotation and changes in the sagittal plane together. The best-known method is the Schroth method; it involves classifying the person by curve type, taking a three-dimensional corrective position in front of a mirror with the therapist's guidance, rotational breathing directed into the collapsed side of the rib cage, and holding this position with muscle contraction. SEAS, Lyon and similar schools aim for the same goal with different techniques. According to international scoliosis guidelines, in growing children monitoring and specific exercise are recommended for mild curves, and exercise together with a brace for moderate curves; severe curves need surgical assessment. Research shows these exercises can slow progression of the curve in some patients and give small improvements in the Cobb angle and in quality of life, but the quality of evidence is moderate to low, and exercise does not replace a brace or surgery when they are needed. In adults, the aim is more to reduce pain and improve posture and function.

How is scoliosis-Specific Exercise (Schroth Method) done?

1. Doctor's examination and full-spine standing X-ray to measure the Cobb angle and bone maturity
2. Physiotherapist assessment of posture, curve type, flexibility and muscle imbalance
3. Teaching corrective positions specific to the curve type and rotational breathing
4. Progressing in sessions; a programme to do at home every day
5. Doctor's check-ups and X-ray monitoring at set intervals

Who is scoliosis-Specific Exercise (Schroth Method) suitable for?

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