At Scoliosis 3DC we teach the Schroth Method in combination with physiologic exercises, 3D Made Easy and scoliosis specific mobilization. The combination of these therapy modalities is based on German “Best Practice,” as described by Hans Rudolf Weiss, MD, grandson of Katharina Schroth. The postural exercises used in this program are based on scientific principles related directly to etiologies and symptoms of spinal deformity.
Initially, the patient receives a comprehensive scoliosis examination to evaluate and determine whether the patient is a candidate for the Schroth Method. Following this evaluation the patient’s scoliosis curve(s) are classified according to Schroth. Prior to commencing Schroth therapy and instruction the patient receives an anatomy lesson focusing on his/her unique scoliosis.
During Schroth instruction, Dr. Moramarco assists the patient allowing them to achieve postural corrections creating balance. This is achieved via activation of the trunk muscles and exteroceptive stimulation. The patient must feel, acknowledge, visualize and internalize the newly acquired correction. It is of utmost importance that the patient continue to activate their trunk muscles and maintain the corrected posture during daily activities.
The patient is also instructed in pelvic corrections. The pelvis must be corrected prior to any Schroth instruction as the foundation of the subsequent Schroth exercises. Depending on the classification, the pelvis will be corrected in the necessary planes. Next, three-dimensional self-correction of the trunk is established.
Each of the many Schroth Method exercises includes five principles: self-elongation, deflexion, de-rotation (Schroth rotatory breathing), facilitation and stabilization (Best Practice). Each scoliosis is unique and requires a customized program. Ours is not a “cookbook” program. The program is intensive, offers three hours per day of training, requires proper form achieved by repetition, repeated corrections and continued practice. In most cases this is achieved over a one to two week period of instruction depending on the individual.
Quality of instruction and care is absolutely necessary for a positive outcome since the practitioner must be extremely knowledgeable in the nuances of the Schroth Method.