Effect of conservative management on the prevalence of surgery
From a total of 106 braced cases out of which 97 were followed up, six cases (5.6%) ultimately underwent spinal fusion. A worst case analysis, which assumes that all nine cases that were lost to follow-up had operations, brings the uppermost number of cases that could have undergone spinal fusion to 15 (14.1%). Either percentage is significant statistically when compared to the 28.1% reported surgeries from the center with the policy of non-intervention.
Source: Rigo M, Reiter Ch, Weiss HR. "Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis." Pediatric Rehabilitation 2003 Jul-Dec;6(3-4):209-14.
Incidence of curvature progression in idiopathic scoliosis patients
The results of this study are consistent with the possibility that a supervised program of exercise-based therapies can reduce incidence of progression in children with IS.
Source: Weiss HR, Weiss G, Petermann F. "Incidence of curvature progression in idiopathic scoliosis patients treated with scoliosis in-patient rehabilitation (SIR): an age- and sex-matched controlled study." Pediatric Rehabilitation 2003 Jan-Mar;6(1):23-30.
An intensive program reduces the Cobb angle by about 10 percent.
These results show that even in severe scoliosis the magnitude of the curve can be reduced by a specific rehabilitation program of physiotherapy.
Preliminary results and worst-case analysis
This preliminary study begun in 1989 included 181 scoliosis patients, average age 12.7 years, average Cobb angle curvature 27 degrees, average risser sign 1.4, average follow-up 33 months. Results of the preliminary study were compared to natural history as known from literature. The lack of progression of the 181 patients from the preliminary study and the 116 questionnaire patients together exceeded natural history even if all drop-outs were considered failures.
Scoliosis-related pain in adults
A significant improvement of the described pain symptoms was obtained on using the rehabilitation program according to Schroth.
The effect on vital capacity and rib mobility in patients with IS.
All 813 patients with idiopathic scoliosis who completed their first Schroth physiotherapeutic rehabilitation program. The average increase in chest expansion was more than 20% in all groups at all measuring points.
The efficacy of Schroth's 3-dimensional exercises
The average Cobb angle, which was 26.1 degrees on average before treatment, was 23.45 degrees after 6 weeks, 19.25 degrees after 6 months and 17.85 degrees after one year (p<0.01).
Source: Otman S, Kose N, Yakut Y. "The efficacy of Schroth's 3-dimensional exercise therapy in the treatment of adolescent idiopathic scoliosis in Turkey." Saudi Medical Journal (9/2005), vol. 26(9):1429-35.
Incidence of surgery in conservatively treated patients
The incidence of surgery of our collective was significantly lower than the incidence of surgery of the control group which reported an incidence of 28.1%.
Rehabilitation of adolescent patients with scoliosis
The triad of out-patient physiotherapy, intensive in-patient rehabilitation and bracing has proven effective in conservative scoliosis treatment in central Europe.
Physical exercises in the treatment of idiopathic scoliosis.
The responses to the questionnaires show that, in principle, specialists in scoliosis physiotherapy do not disagree and that several features can be regarded, currently, as standard features in the rehabilitation of scoliosis patients. These features include autocorrection in 3D, training in ADL, stabilizing the corrected posture, and patient education.
Source: Hans-Rudolf Weiss,Stefano Negrini,Martha C Hawes, Manuel Rigo, Tomasz Kotwicki, Theodoros B Grivas, Toru Maruyama, and members of the SOSORT, Scoliosis. 2006; 1: 6. Published online 2006 May 11.
Schroth method for treating an adult with idiopathic scoliosis (AIS) in an outpatient clinic.
The Cobb angle was reduced to 27.6° in the thoracic and 19° in the lumbar, the ATR had decreased to 8° in the thoracic and 6° in the lumbar.