Schroth Best Practice Method

Developed by Dr Hans-Rudolf Weiss, the grandson of Katharina Schroth, the Schroth Best Practice Method® is a form of non-surgical scoliosis treatment that aims to reduce the patient's Cobb angle. This is achieved via a carefully-chosen set of stretches and other exercises.

Schroth Best Practice therapy is effectively a simplified version of the acclaimed Schroth method, which was developed by Weiss's grandmother. The new method was developed based on more recent research, and it adds a number of easy-to-perform exercises to Katharina Schroth's original programme.

Many clinics, both in the UK and elsewhere, use the Schroth Best Practice Method® to treat scoliosis patients who do not wish to undergo spinal fusion surgery. The Best Practice programme is often used in conjunction with a Gensingen brace (also developed by Dr Weiss) to achieve the best possible results for the patient.

Do Scoliosis SOS use the Schroth Best Practice Method® to treat scoliosis?

If you're familiar with the work we do here at the Scoliosis SOS Clinic, you probably know that the principles of the Schroth method are a huge influence on our own approach to scoliosis treatment; for a time, we were actually the UK's only provider of Schroth-based scoliosis therapy. We believe that Schroth's exercises can be massively beneficial, and we've seen first-hand how effective they can be when it comes to reducing a patient's Cobb angle.

However, we decided some time ago that we shouldn't restrict ourselves to only treating patients using the Schroth method. Scoliosis is a complex condition that can manifest itself in many different ways, and we feel that the Schroth programme only addresses a portion of the overall problem.

So instead of continuing to treat patients using the Schroth method alone, we developed our very own therapeutic programme with a view to treating every aspect of scoliosis. We call it the ScolioGold method, and in addition to Schroth exercises, it consists of...

...and a wide variety of other proven non-surgical treatment techniques. The entire programme is specifically tailored to the needs of scoliosis sufferers, and if our patient testimonials are anything to go by, it's an extremely effective approach that gets real results.

Do you (or a loved one) suffer from scoliosis? Contact Scoliosis SOS now to book an initial consultation.

Pilates is a system of exercises devised by a German physical trainer named Joseph Pilates. It has become incredibly popular in the Western world, with countless Pilates classes available throughout the UK.

But is Pilates beneficial for scoliosis sufferers? It certainly can be - there is evidence that Pilates can help to improve balance and muscle conditioning, and some scoliosis patients also find that Pilates helps to relieve tension, improve posture and increase joint mobility.

This method of exercising is usually very safe, and while it's no substitute for an intensive ScolioGold treatment course, you may find that Pilates goes some way towards helping you cope with your spinal curvature. Today we will be looking at some helpful Pilates techniques for scoliosis sufferers and how you can perform them at home.

Pilates for Scoliosis - Seated Pelvic Tilt

Seated Pelvic Tilt on a Stability Ball

To perform this exercise:

  • Sit up straight on a stability ball with your feet flat on the floor and hold a support in front of you.

  • Slowly tuck your tailbone under, curving your pelvis beneath you. You should feel the ball roll forward slightly.

  • Release, then start again.

 

Pilates for Scoliosis - Side Bend

Side Bend

The side bend exercise focuses on the upper half of your back. Here's how to do it:

  • Raise one hand up over your head, towards the ceiling, then bend your knees.

  • Once you're in a bending position, take your other hand and rest it on the side of your hip.

  • Lengthen your body to one side, rest, and then bend to the other side. Repeat.

 

Pilates for Scoliosis - Neutral Pelvis

Core Activation

This exercise is very gentle and can be conducted by patients of all ages. Lie flat on your back on a soft mat to begin with, then follows these steps:

  • With your knees bent and feet flat on the floor (hip-width apart), find your 'neutral pelvis' as shown in the photos above. First, move your lower back as far as you can away from the mat...

  • ...and then press it as far as you can towards the mat. The midpoint between these two positions is your 'neutral pelvis'.
  • To engage your core, place your finger tips on the inside of your hip bone. Try to tighten your stomach muscles in towards the spine - your tummy should move away from your fingers.

  • Hold for six seconds, and then repeat.

Pilates for Scoliosis - Core Activation

These are just a few gentle Pilates exercises that can be completed every morning. Regularly completing this routine can help relieve tension and other symptoms of scoliosis, but if you're looking for a more specialised exercise routine to prevent long-term progression of your condition, we can provide this here at the Scoliosis SOS Clinic.

Contact us today for details, or click here to learn more about our ScolioGold treatment method.

Scoliosis SOS Physical Therapists

We at the Scoliosis SOS Clinic are very proud to announce that we recently had our first piece of research published in a peer-reviewed scientific journal. The article, Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom (Black et al, Scoliosis and Spinal Disorders 2017) was published online on the 27th September and can be read in full here.

What were we researching?

Put simply, we wanted to know how much UK physiotherapists know about scoliosis. In both Poland and the USA, it has been recognised that physiotherapy students have relatively little knowledge of idiopathic scoliosis, how it affects the human body, and how to factor a spinal curve into a patient's treatment regime; with that in mind, we wanted to measure UK students' familiarity with this condition.

To do this, we composed a 10-question survey and distributed it (via course leaders) to students at all UK universities that offer physiotherapy degrees. Questions on the survey included:

  • What is the definition of idiopathic scoliosis?
  • What causes idiopathic scoliosis?
  • When does idiopathic scoliosis commonly develop?
  • What percentage of scoliosis cases are idiopathic?
  • What physical activities are most/least beneficial for patients with scoliosis? (multiple choice question - options included yoga, swimming, martial arts, etc.)

In the end, a total of 206 students at 12 different institutions in England, Wales, Scotland and Northern Ireland completed our survey, giving us a good sample size to analyse.

What were our findings?

Of the students who responded to our survey:

  • 79% successfully identified when idiopathic scoliosis commonly develops
  • 54% knew when bracing is recommended
  • 52% correctly identified that the causes of idiopathic scoliosis are not known
  • 24% recognised that scoliosis is idiopathic in approximately 80% of cases
  • 12% knew the criteria for diagnosing idiopathic scoliosis
  • 7% were able to recognise the best treatment approach through physical therapy

Overall, just 7% of students surveyed were able to answer more than half of the questionnaire correctly. Based on this, our conclusion was that there is a clear lack of scoliosis knowledge among UK physiotherapy students - a lack of knowledge that has the potential to impact patients who receive information and treatment from physiotherapists in this country.

Click here to view more scoliosis research, or visit our ScolioGold page to learn about the exercise-based scoliosis treatment we provide here at the Scoliosis SOS Clinic.

Specialised scoliosis physiotherapy

Idiopathic scoliosis (which usually arises during puberty, when the body is going through a period of rapid growth) is often treated using a rigid back brace that prevents the spinal curve from progressing as the patient grows. It's important to note that the aim of this bracing treatment is not to correct / reverse the sideways curvature of the spine, but simply to stop it from getting worse until the body has finished growing.

And while bracing can be very effective in that respect, it does very little to assist in building up the muscle strength that will be needed to ensure spinal stability once the brace comes off.

In fact, bracing tends to have a negative effect on muscle strength.

Scoliosis braces typically have to be worn for over 20 hours a day in order to achieve the best treatment outcome. During the bracing period, the muscles around the spine are likely to become inactive because the brace is doing their job (i.e. supporting the spine) for them.

This often results in a weakening of the spinal muscles, which may lead to the patient becoming reliant on the support of the brace.

But physical therapy can help with this problem.

There is a lot of clinical evidence to suggest that bracing delivers better outcomes for the patient when combined with scoliosis-specific physiotherapy. A 2011 study1 found that combining these two approaches reduces the risk of future curve progression and thus the likelihood that spinal fusion surgery will eventually be required. It has also been shown2 that completing a scoliosis-specific exercise programme limits the reversal of spinal correction when bracing ends.

Not only are scoliosis-specific exercises recommended in the SOSORT 2011 guidelines for people with adolescent idiopathic scoliosis who are undergoing brace treatment, but several authors who developed scoliosis braces (such as the Milwaukee, Boston, Lyon and Chêneau braces) have proposed that scoliosis-specific exercises should be used to complement brace treatment. Indeed, the newly-developed Sforzesco and Gensingen braces are specifically designed to be worn in conjunction with exercise-based therapy.

In short: it's good to receive physiotherapy for your scoliosis even if it's also being treated with a brace. Integrating scoliosis-specific exercises with a bracing treatment helps to provide a more complete rehabilitation programme for growing patients with idiopathic scoliosis.

Links

  • ScolioGold Therapy - The Scoliosis SOS Clinic's own combination of proven exercise-based scoliosis treatment techniques
  • Contact Scoliosis SOS - Arrange an initial consultation (to be conducted at our clinic in London or via Skype / telephone)

 1. Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J,  Grivas TB, Knott P, Kotwicki T, Maruyama T, Minozzi S, O'Brien JP, Papadopoulos D, Rigo M, Rivard CH, Romano M, Wynne JH, Villagrasa M, Weiss HR, Zaina F: 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 2012, 7:3

2. Zaina F, Negrini S, Atanasio S, Fusco C, Romano M, Negrini A: Specific exercises performed in the period of brace weaning can avoid loss of correction in Adolescent Idiopathic Scoliosis (AIS) patients: Winner of SOSORT's 2008 Award for Best Clinical Paper. Scoliosis 2009, 4(1):8.

Purchasing your own gym ball (also known as a Swiss ball, exercise ball or stability ball) is a great idea if you have scoliosis and you want to build up your core strength by performing stretches and exercises at home. Here at the Scoliosis SOS Clinic, we've seen countless scoliosis sufferers make astounding improvements simply by following a specially-tailored exercise regime, and we very often use gym balls as part of our ScolioGold treatment courses.

If you have a curved spine and you'd like to work on your back muscles at home, here are 3 simple, beginner-level gym ball exercises for you to try:

Straight Leg Gym Ball Bridge

Straight Leg Gym Ball Bridge

This exercise can be used to activate your gluteal (bottom) muscles and strengthen your core.
  • To begin with, lie on your back with your legs straight and your feet resting on a gym ball. Ensure that you are lying in a straight line. (See image above left.)

  • Engage your core muscles: try to draw your navel in towards your spine.

  • Slowly lift your hips up towards the ceiling by squeezing the muscles in your bottom. Lift up until your body is in a straight diagonal line (see image above right). Be careful not to arch your lower back or flare your ribs.

  • Hold for 5 seconds, then slowly lower yourself back to the floor. Repeat 10 times

Walk Out Gym Ball Bridge

Walk Out Gym Ball Bridge

This is an alternative exercise to the commonly-completed floor bridge.
  • Start by sitting on a gym ball with your arms out in front of you.

  • Slowly walk your feet forwards and allow the ball to roll so that your upper body comes into contact with the ball.

  • Keep going until your knees are at a 90-degree angle and your body is in one straight line. You should now be lying with your back on the ball, looking up at the ceiling.

  • Squeeze the muscles in your bottom and be sure to keep your hips up and your pelvis tucked so that you do not arch your lower back.

  • Hold for 5-10 seconds, then slowly walk your feet back to the starting position. Repeat 10 times.

Gym Ball Balancing

Gym Ball Balancing

This exercise can be used to work on your core stability and postural balance.
  • To start with, sit on your gym ball with your feet hip-width apart and your knees in line with your hips. Place your hands on your hips. (If possible, perform this exercise while facing a mirror.)

  • Elongate up through your spine to ensure that you are not slouching. Check in the mirror to make sure your body is in a straight alignment. Engage your core muscles by drawing your navel to your spine.

  • Try to lift one foot up from the floor without letting any other part of your body move. Ensure that your pelvis does not rock from side to side. Keep your shoulders level.

  • Try to hold this position for 5 seconds, then change sides. Repeat 10 times on each side.

More Scoliosis Exercises:

Disclaimer: The above information should not be treated as medical advice and the scoliosis exercises described may not be suitable or beneficial for everyone. You should not begin any exercise routine without consulting a qualified health practitioner, particularly if you are pregnant, nursing, elderly, or if you have any chronic or recurring conditions. Any application of scoliosis exercises suggested is at the reader's sole discretion and risk. Scoliosis SOS accepts no responsibility or liability for any loss or injuries caused directly or indirectly through the performing of any exercises described. If you feel any discomfort or pain during exercise, stop immediately. Always consult your own GP if you are in any way concerned about your health or anything associated with it.
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