The Schroth method

A non-invasive treatment for idiopathic scoliosis used successfully in Europe since the 1920s was established in the English-speaking world in the first years of the 21st century. Originally developed in Germany by scoliosis sufferer Katharina Schroth, this method is now taught to scoliosis patients in clinics specifically devoted to Schroth therapy in Germany, Spain, England, and, most recently, the United States. Physical therapists who do not specialise exclusively in Schroth therapy but who have received Schroth certification through the clinics in Spain and Germany offer Schroth therapy throughout Europe, parts of the Middle East, and the United States.

The Schroth method of physical therapy, combined with the Rigo-Cheneau bracing system (developed by Dr. Manuel Rigo of Spain and Dr. Jacques Cheneau of France), addresses scoliosis from a three-dimensional approach both to prevent progression of scoliotic curvature (in children) and reduce resulting pain as well as promote anatomical symmetry (in children and adults). Because each individual's curve is unique, and because scoliosis involves the rotation (twisting) of vertebrae--in different directions in different areas of the spine--as well as the side-to-side, S-shaped or C-shaped curvature, this three-dimensional approach seeks both to "untwist" (or de-rotate) and to straighten the spine by employing specialized equipment and exercises that elongate shortened muscles and strengthen overstretched, overtaxed muscles. The exercises are augmented by a technique called "rotational breathing," which expands collapsed portions of the rib cage, thus also helping to pull the spine out of its twisting and curving.

In children with immature skeletons and remaining growth potential, Schroth-method physical therapy is used in combination with the Rigo System-Cheneau brace not only to prevent progression of (and sometimes reduce) the condition but also to train and strengthen patients in holding their bodies in as corrected a position as possible after completion of the bracing treatment (i.e., when the skeleton has reached maturity). A patient's consistent practicing of an individualized Schroth program for one-half hour per day, after an initial intensive training period of two to six weeks, has been clinically shown to inhibit the mechanical forces, exacerbated by poor postural habits and gravity, that otherwise perpetuate the progression of the curvature over time (the so-called "vicious cycle"), even after the cessation of physical growth.