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Treatments

Assessment

Each initial physiotherapist treatment session lasts for 1 hour and involves both the child/adolescent and the parent/guardian. Together you will explain your symptoms, imbalances, main problems and discuss goals you hope to achieve from physiotherapy.

The physiotherapist will answer any specific questions you may have and will give advice and assess the individual. After identifying the areas that need to be worked on the physiotherapist will design a personalised home exercise programme tailored to your specific needs.

If after the assessment, the physiotherapists feels that another pathway treatment needs to be explored, then that pathway is opened for discussion as well. Often patients/families video the exercise so they can help at home. If you want to do this, please feel welcome.

Our scoliosis and spinal program is based on the Schroth method and empowers you to take control of your spine.

Schroth

The Schroth method is named after Katherina Schroth, from Germany. She had moderate scoliosis and wore a steel brace. She decided that there must be a better way and created the Schroth method. This is a 3-dimensional form of corrective exercise incorporating breathing work and postural control to attempt to reduce unbalanced loading of the spine.

The method is a sequence of exercises tailored to each individual depending on their spinal imbalances. Following an initial assessment, the physiotherapist will teach the individual their exercises using a combination of tactile and verbal cues. This means that they use their hands to guide the movement as well as using their words to help instruct you how to move.

The exercises are often isometric. This means a contraction of the muscles held in a stationary position. The physiotherapist will position you in a way that creates optimal length in your spine and then you strengthen your muscles to encourage your body to maintain that position. By repeating the same movements over and over again you not only create strength but you teach your body the correct way to move. This is known as proprioception.

The Schroth method is often used to slow down the progression of a scoliosis, prevent curve progression and in some cases, it can decrease the degree of the curve. It is also used in spines that are fully developed with an aim to decrease any pain and imbalances that may have developed. Schroth can also be used pre- op and in some cases may be considered post-op.

Bracing

We work closely with Ciarnaid Hayes – Orthotic Solutions. They use a modern brace that considers the 3D nature of scoliosis, the Rigo Cheneau Brace. Each brace is individually made to improve your scoliosis.

We combine wearing a brace with scoliosis specific exercise in the hope to prevent the need for surgery. The brace is unique to you and every brace is made differently; it is designed to address your specific scoliosis. The brace is checked regularly as you are growing to ensure any adjustments needed are made.