Scoliosis Management

Our Bespoke Physiotherapy Method for Scoliosis

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Incorporating Physiotherapy techniques, Pilates exercises with the Schroth Method Principles for Scoliosis

What is the Schroth Method for Scoliosis?

Widely considered to be a non-surgical treatment and management option for scoliosis patients, the Schroth Method for scoliosis management is a conservative three dimensional approach that develops the inner muscles of the rib cage in order to elongate and change the shape of the upper trunk which in turn, works to correct spinal imbalances and abnormalities.

Our Scoliosis Management Approach

Our unique approach to managing Scoliosis here at Core Fitness features a blend of Pilates and Physiotherapy exercises combined with the Schroth Method principles. Pilates is a well known modality for developing one’s mind-body awareness and strengthening the deep core muscles that work to support trunk stabilisation and this combination allows for specific exercises aimed at straightening, centralising and de-rotating the spine with corrective breathing techniques.

With scoliosis, in many cases, being a permanent structural change in the spine, we also place significant emphasis on establishing healthy movement habits as well as ongoing self-management; both of which are crucial to preventing re-exacerbation of your symptoms. Our physiotherapist will enable this process by prescribing and establishing a home routine of the exercises critical to maintaining your optimal strength, flexibility, core stability and postural support.

  • Pain reduction through a variety of techniques e.g. ultrasound, electrotherapy, manual release of tight muscles, supportive postural taping

  • Stabilisation of the spinal curves and mobilisation of stiff body parts

  • Optimisation of muscular strength and flexibility

  • Restoration of normal spinal range of motion and improvement of muscle strength, endurance and core stability

  • Tailored rehabilitation based on your functional goals and specific desired activities

  • Instruction of healthy movement habits i.e. maintaining proper static and dynamic posture

  • Recurrence prevention through self management techniques and establishing a tailored regular home exercise routine

  • Recommendations regarding workstation set-up, sleeping positions and schoolbag/ backpack use etc

FAQ

The treatment is suitable for scoliotic patients of all ages and can be utilized to treat all stages of scoliosis, including after surgery or metal implants.

We treat Adolescent Scoliosis and Adult Scoliosis cases differently. The main goal of Adolescent Scoliosis Management program is to decelerate the curve of the spine and strengthen the deep spinal muscles to hold the spine centre and upright. For Adult Scoliosis Management program, the key is to release muscle and joint tightness, as well as to prevent pain and wear and tear of the joints.

It is important to start the program with private sessions led by either a physiotherapist or Pilates instructor specialising in this area. The private sessions are tailored to correct the spinal curvature of each individual. This allows the patient to fully understand his/her spinal curves and learn specific techniques using various equipment to address the problems.

The exercises consist of a combination of stretching, strengthening, and breathing techniques. They are prescribed based on the curve patterns and severity, as well as the patients function and mobility. The goal is to create awareness of the new posture and alignment through position, repetitions and breathing. Exercises are designed to reduce the flat back and rib prominence and restore alignment of the pelvis. Exercise positions may be modified in order to create the optimal position for the patient. Various Pilates equipment are used to provide the body resistance and challenge in order to build core strength that will provide long term support for the spine.

The therapist guides the patient with tactile stimulus so the patient has an understanding of where they need to breathe and elongate to create muscle activation to correct the curve.

The exercises are tailored to each patient’s curves and can be done at home and as part of daily life. Once the patient is proficient with the exercises it will help halt curve progression, eliminate pain, and improve posture – for life. After a program of treatment you will have a comprehensive home exercise program specific to your curve type and needs.

If you have acute or chronic pain due scoliosis, you should see our physiotherapist first. Our physiotherapist will help you get rid of the pain and start teaching basic schroth exercises to decompress the spine. Once the pain is stable, you will be referred to the instructor for continuous training. Our instructors will focus on improving your alignment, posture, strength and awareness of maintaining a good alignment of the spine..

This mainly depends on the skeletal maturity of the patient. This method focuses on inhibiting curve progression, restoring muscular symmetry within the body, improving breathing, and creating postural awareness which in all gives an appearance of a straighter spine.

Traditional interventions rely heavily on bracing and surgery. The Schroth Method gives patients the ability to take an active role in improving the curvature of their spines.

This depends on the severity of the curve, the age of the patient, and the rate of progression of the scoliosis curve. However, many patients in the clinic feel and see their muscles working differently immediately after each exercise session.

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