Advanced Care Physical Therapy is certified in the Barcelona Scoliosis Physical Therapy School (BSPTS) according to the Principles of Schroth. This active therapeutic approach is offered in our Williamsville clinic, under the direction of Julie Reinstein, Physical Therapist and Co-founder of Advanced Care Physical Therapy. Julie is also certified in the SEAS (Scientific Exercises Approach to Scoliosis) through ISICO ( Italian Scientific Spine Institute). The principles of SEAS are based on a specific form of auto-correction (termed active self-correction), that is taught individually to each single patient, and then associated with stabilizing exercises which include neuromotor control, proprioceptive training and balance. The exercises are also incorporated into daily living activities. The SEAS approach is also characterized by a cognitive-behavioural approach towards the patient and their family to maximize compliance to treatment.
Exercise treatment is the key to a good rehabilitation approach to scoliosis. The aim with SEAS exercises is to avoid or at least postpone bracing, and to arrive at the end of growth with a presumably stable curvature. When a brace has already been prescribed, exercises are mandatory in order to avoid all side effects of bracing, to increase its function, and to allow the spine to be stable during the weaning period and when the brace is discontinued.
Scoliosis is a complex 3D deformity of the spine and trunk which appears in apparently healthy children and can progress during any rapid period of growth, or later in life. Scoliosis is typically measured on a 2D x-ray using a limited line drawing on two vertebrae (the Cobb Method). Most scoliosis surgery is performed for cosmetic purposes based upon these measurements. The BSPTS Principles according to Schroth focuses on principles of correction with the main goal of stabilizing the spine to reduce further progression, and are not meant to “straighten” the spine. The Schroth Method Scoliosis exercise program is designed to train the patient on how to effectively improve the 3-dimensional deformity of the body, to treat the patient as a whole, reduce cobb angle measurement on the X-ray, and educate the patient and family members while keeping the goal of reducing the progression in mind.
The Schroth Method scoliosis exercise program is a unique Scoliosis exercise approach that has been scientifically validated for use in patients. In addition to scoliosis exercises, our therapist will make appropriate recommendations for manual therapy and will provide personalized one-on-one care to allow the patient, and often family members better manage all aspects of a scoliosis diagnosis.
“We are excited to offer these valuable treatment approaches to patients faced with scoliosis. We understand the challenges associated with a scoliosis diagnosis and are pleased to offer the BSPTS method according to the Principles of Schroth and the SEAS approach along with our manual physical therapy approach to improve function, reduce surgeries and educate patients and family members.” Julie Reinstein
Today, many physicians take a “wait and see” approach that gives the condition the opportunity to progress, so that the deformity of the spine continues to worsen throughout the individual’s lifetime. This 3D approach according to the Principles of Schroth is a multidisciplinary team approach for scoliosis patients who are still in the early stages of the condition, such as in Adolescent Idiopathic Scoliosis, as well as adult scoliosis patients with more advanced conditions.
A specific treatment plan and goals will be developed based on the individual presentation and curve classification. By taking a hands-on approach to treating scoliosis during the early stages, amazing corrections can be made. Numerous case studies indicate early intervention can reduce curvatures of the spine, and help to attain stabilization that will impact the individual’s deformity for the rest of their lives.
Breathing is an important component of the Schroth method scoliosis exercise program, focusing on the affected area during the inhalations and exhalations in order to reshape the rib cage while decreasing the rotation of the spine. The breathing techniques are practiced in conjunction with the postures that are effective for specific areas of spinal curvature. Certain exercises are appropriate for either lumbar or thoracic curvatures. Before participating in a scoliosis exercise program, you will need to schedule an evaluation. It is important to have current x-rays available, in order for us to evaluate your situation and determine the best approach to treating your scoliosis.
Many individuals feel their primary goal is to avoid surgery and therefore attempt a physical therapy treatment approach for their scoliosis diagnosis. There are numerous benefits that the Schroth scoliosis exercise method provides, including the reduction of rotation, an improvement in mobility and reduced pain. There are other options also available to you that are not invasive, unlike traditional scoliosis surgery.
The Schroth method scoliosis exercise program as well as SEAS is part of a comprehensive management strategy offered at Advanced Care Physical Therapy. Not all patients will be candidates for the Schroth method scoliosis exercise program so please call our office at 716-810-9693 to learn more about the program and options for treating scoliosis.
Decreased orthotic effectiveness in overweight patients with adolescent idiopathic scoliosis
Outcome of intensive outpatient rehabilitation and bracing in an adult patient with Scheuermann’s disease evaluated by radiologic imaging
Adolescent idiopathic scoliosis: current concepts on neurological and muscular etiologies
A specific scoliosis classification correlating with brace treatment: description and reliability
Kyphosis (Physical and technical rehabilitation of patients with Scheuermann’s disease and kyphosis)
Physiotherapy scoliosis-specific exercises – a comprehensive review of seven major schools
How To Free Yourself From Scoliosis Related Back Pain With Exercise
SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises