The Schroth Method of Treatment for a Patient Diagnosed with Scoliosis: A Case Report

Background/Purpose: Structural scoliosis is the lateral deviation of the spinewith vertebral rotation and rib deformity. This can result in asymmetrical loading of the spine and consequentially structural instabilities and secondary impairments. Treatment will depend on symptoms and functional impairments. Conservative methods are embraced internationally. The Schroth method is three dimensional approach utilizing sensorimotor and kinesthetic principles as well as rotational angular breathing to achieve an optimal alignment. The purpose of this case report is to describe the physical therapy intervention utilizing the Schroth method approach for the treatment of a patient diagnosed with scoliosis. Case Description: The patient was a 62 year old female formally diagnosed with scoliosis as an adult. She presented with complaints of pain in the right scapula, low back and right hip which increased after prolonged activity and complained of shortness of breath with extended functional activities. According to the Schroth method, she was classified as having a left 4-curve scoliosis with left hip out. Interventions included patient education, soft tissue mobilization, positioning, stretching, Schroth exercises and a home exercise program. Outcomes: The patient completed 18 outpatient physical therapy sessions. At discharge, her right scapular, hip and low back pain was eliminated and she reported the ability to self-manage muscular soreness. Her lower extremity strength increased and she reported asymptomatic IADL’s. Her maximal expiration increased from 2000 ml to 2750 ml. Discussion: Secondary impairments resulting from structural scoliosis may result in functional limitations which may impact patients’ quality of life and independence. Conservative approaches may facilitate a patients’ return to functional pain free independence.