Our Program Other Services History of Schroth-based Method
Non-Surgical Kyphosis and Scoliosis Treatment Programs
Our program is modeled after the outpatient program used at the E. Salva Institute for Rehabilitation of Spinal Deformities in Barcelona, Spain. This 40 year old clinic in Spain is directed by Dr. Manuel Rigo MD, PhD, a world renowned professor and Physician specializing in conservative management of scoliosis. Dr. Rigo has traveled to the USA many times since 2004, and it is through his efforts that we have Physical Therapists certified in the Schroth-based Barcelona Scoliosis Physical Therapy School Method (BSPTS) in this country. In our program, you will work with some of these specially trained clinicians to learn the exercises for scoliosis and kyphosis.
A Physician’s order requesting "Physical Therapy Evaluation and Treatment for Scoliosis or Scheuermann's/juvenile Kyphosis" may not be necessary, but is preferred. Prior to treatment, your x-rays will be reviewed, and your curve will be classified according to the BSPTS Method. When you arrive at Scoliosis Rehab, digital photographs of your posture will be taken to help you understand the location and pattern of your curve, and to document your posture prior to treatment. Range of motion, strength, and functional mobility will be assessed. Special tools will be used to quantify your torso shape and lung function. Consultation on your current brace fit can be provided and we also make recommendations for 3D hyper corrective bracing for juveniles and adolescents. Adult bracing recommendations are made based on functional limitations and pain.
EMPOWERMENT THROUGH KNOWLEDGE
The sessions begin with education in anatomy and function of your spine. You will learn about the changes that take place in the spine and body when you have scoliosis. These changes include spinal alignment, rib cage shape, muscle pull, organ pressure and function, and trunk shape. You will learn about the vicious cycle theory, and how you can impact your scoliosis. Remember that in idiopathic scoliosis there is no known cause, but once the scoliosis curve is initiated, muscle and postural imbalances result. These imbalances play a role in the progression of the scoliosis curvature. These uneven forces in your body can potentially increase the uneven forces in your spine. Temporarily correcting the muscle and postural imbalances with specific scoliosis exercises and posture can be an important factor in preventing curve progression in clinically noticeable structural curves. However, biomechanics may not be the only factor in curve progression or regression. This may be why some curves continue to progress even with the exercises and a good brace during adolescence.
A minimum stay of two weeks for intensive training in BSPTS Physical Therapy is usually recommended for adolescents. It will include approximately two hours of Physical Therapy in the morning and two hours in the afternoon for 5 days, with Saturday and Sunday off. All sessions are directed by an Advanced Schroth-Certified BSPTS Physical Therapist. Adult intervention must proceed more slowly than adolescent intervention, due to possible rigidity of the tissue, arthritic changes, disc problems, and more well-established movement patterns. The length of time needed to learn and perform the scoliosis exercises independently varies. In general, a one and one half to three week stay is recommended and may include various pain management techniques based on individual needs. Prior to your decision to initiate Physical Therapy at our clinic, your specific needs should be discussed with one of our specially trained Physical Therapists.
The goals of treatment are:
- Independent improvement of the scoliosis curvature in 3 dimensions with carryover in daily life
- Improved strength and balance of muscle activation
- Decreased trunk asymmetry
- Decreased pressure on internal organs
- Increased lung function
- Decrease in the mechanical forces that promote progression of the curve
- Pain relief (if present) with self-management of symptoms
- Avoidance of invasive treatment, especially surgery
MANAGEABLE HOME PROGRAM
It is recommended that you perform your Physical Therapy Scoliosis Specific Exercise ( PSSE) home program 5 days a week for approximately 30 minutes a day, if you are an adolescent or young adult. For adults, frequency is based on idividual needs. Regular repetition of the exercises for scoliosis and kyphosis helps you "reprogram" your posture away from your specific scoliotic posture to a new more balanced one.
Opportunities for refresher sessions exist and will be arranged as needed.
For those living within commuting distance to our locations a more flexible schedule is available. Please call us to discuss.
For those requiring orthotics consultation or services, we work closely with Align Clinic, LLC. Grant Wood, of Align Clinic, who worked in Spain with Dr Rigo for more thanb 20 years. During this time, he mastered an understanding of the benefits of conservative treatment of scoliosis with the Rigo Scoliosis Classification and Cheneau brace following the Rigo bracing principles. He is the designer of the WCR (Wood Cheneau Rigo) Brace. Align Clinic orthotists see patients at our clinics and at Align Clinic locations in California and Wisconsin. He can be contacted via email at email@example.com