INTERNATIONAL SCHROTH THREE DIMENSIONAL SCOLIOSIS THERAPY PART 1
Based upon common physiotherapeutic principles the Schroth Therapy was founded by Katharina Schroth in 1920 and continuously refined through the experience of Schroth therapists from all around the world.
The use of postural exercises for scoliosis therapy is grounded in scientific principles that relate directly to known aetiologies and symptoms of spinal deformity.
ISST is using an individualized exercise program combining corrective behavioral patterns with physiotherapeutic methods. The 3D scoliosis treatment, based on sensorimotor and kinhetic principles its goals are to facilitate correction of the asymmetric trunk and posture and to teach patients to consciously maintain the corrected posture increasingly more in daily living activities.
Main elements of the treatment approach are the correction of reversible spinal dysfunctions, scoliosis specific passive mobilization, active 3D stabilization, Corrective Breathing, postural control, remedial education with a particular ADL aspect, developing a straighforward and safe home exercise program.
Braces, if indicated and prescribed, are included in the therapeutic process helping patients to accept this useful therapeutic tool and use it also as therapeutic equipment to improve the quality of exercises, especially for the home exercise program.
In the ISST- training we will enlighten various scoliosis specific theoretical aspects in combination with functional parts of the therapy approach.
The course leads from the surface of scoliosis understanding to a more sophisticated and comprehensive clinical reasoning regarding the conservative management of scoliosis.
Goals and Summary
- The ISST training enables physical therapists to provide a sufficient conservative treatment for patients with spinal deviations mainly for idiopathic scoliosis and kyphosis.
- The goal is to prevent surgery, decelerate or stop the progression and develop effective coping strategies for the patients to improve their social participation and activities in their daily living. This has also a positive effect on the general HQL (health related quality of life) for children, adults and elderly patients suffering from scoliosis and kyphosis.
- The training enables PT´s to understand the biomechanical conditions of the asymmetric postural aspects and asymmetric loading of the spine leading to functional and structural adaptations and a further risk of progression.
- Specific physical therapy indicated for patients in a brace and patients reported for surgery or after surgery.
Therapists learn to define their role as team players in an interdisciplinary network of physicians, surgeons, orthopedic technicians (orthotists), parents, patients, psychologists.
- Basics: Aetiology, biomechanical concept, vicious cycle-concept, progression, postural imbalance, function and structure, brace, surgery
Medical assessment: Visual-manual examination, a therapy protocol, X-ray evaluation, scoliometer, functional tests
- Classification: Schroth, King, Rigo, Lenke
- Specific mobilisation: Passive, assistive, active specific manual techniques: side bending, tilt, side shift, derotation, sagittal realignment
- Breathing therapy: Corrective breathing: a specific internal detorsional force to reverse scoliotic features and mobilize restrictive chest dysfunctions
- 3D stabilization: Exercises in the treatment of idiopathic scoliosis, from positioning to auto-self-correction
- Activities of daily living: Posture variations, natural approaches for leisure, helping to avoid progression and reduce asymmetric loading – instructions for working with Basic Tension and balancing exercises
- Sagittal correction: Correction in the sagittal plane, easy to apply and essential for spinal stability especially in the lumbar area
- Exercises with the brace: Multidisciplinary concept including bracing