The Schroth Method is a nonsurgical physical therapy approach to scoliosis treatment, using exercises that simultaneously rotate, elongate and stabilize the spine in a three-dimensional plane. The exercises are tailored to each patient’s spine curvature, gradually returning the spine to a healthy shape and position through breathing techniques, muscle synergy, stretching, posture and education. Therapists use x-ray imaging and other evaluation tools to create a customized and comprehensive treatment plan.
The specialized physical therapy focuses on:
- Restoring muscular symmetry and alignment of posture
- Breathing into the concave side of the body
- Teaching patients to be aware of posture
A Closer Look
Although the specific exercise regimen is different for each patient, Schroth Therapy includes three important components:
Muscular Symmetry
An abnormal spine curvature invariably affects the back muscles as well. Muscles on one side may weaken and atrophy while on the other side, the muscles may be overworked and prominent. Schroth exercises effectively address this, aiming to achieve muscular symmetry.
Rotational Angular Breathing
Asymmetrical body structure causes a distorted breathing pattern which may also further the cycle of curvature and rotation. This important component of Schroth therapy helps rotate the spine and reshape the rib cage and surrounding soft tissue. Patients are trained to change their breathing pattern: During the inhalation phase of exercise, patients breathe into the concave side of the trunk, which helps expand collapsed areas. During the exhalation phase the patient isometrically contracts the muscles to strengthen and stabilize the surrounding muscle structure.
Awareness of Posture
Schroth therapy is based on the concept of self-awareness. Patients are trained in developing a self-awareness of where their body is in space, how they are accustomed to holding their bodies, and how they need to change the way they hold their bodies.