3DC: 3-Dimensional Correction
Scoliosis is a three-dimensional condition. Schroth therapy addresses scoliosis in each dimension.
Many people focus primarily on the Cobb angle reading, measured from a frontal view x-ray, either AP (front to back) or PA (back to front). This is a limited view of scoliosis, because the three planes of the spine: the sagittal, frontal and transverse should all be addressed via Schroth therapy to aim for postural improvement and potential correction.
Schroth method principles use scoliosis-specific exercises (SSEs), always according to curve pattern. Curve-pattern classification assists the Schroth therapist in planning an individual program to treat scoliosis according the unique planes of an individual’s spine. “One of the oldest classifications, created in the 70s, can be traced back to Lehnert-Schroth and was later used by Jacques Cheneau for the planning of the brace bearing his name.”1
In the last few years, the Schroth program has evolved and Dr. Moramarco is trained in both the original Schroth and the updated Schroth techniques. This is because Dr. Weiss (third generation Schroth family) understood the necessity to incorporate added ADL instruction and sagittal work via his physiologic® exercises. To be effective, scoliosis specific exercise therapy must address the spine via active, not passive, methods using auto-correction as a component. Dr. Weiss has also incorporated 3D Made Easy and Power Schroth–for improved effectiveness, ease of learning and overall simplicity.
The importance of addressing the sagittal plane has been validated by scientific research stating that stabilization of the sagittal plane can have a positive influence on the scoliosis. Please see our bracing research page listing two studies related to the sagittal plane.
These concepts are applied to the 3D, asymmetric brace design as well and are designed into each Chêneau Gensingen brace. When Schroth Best Practice® and the Gensingen brace® are used together the adolescent patient has a two-pronged approach for fighting scoliosis in 3D. This offers the best chance for halted progression, and better yet, an opportunity for curve reduction and improved postural appearance.
1- Schroth Therapy: Advancements in Conservative Scoliosis Treatment. Weiss, Lehnert-Schroth, Moramarco
Schroth Therapy and Bracing:
Dr. Moramarco is familiar with nearly every type of scoliosis brace. Over the past several years, patients have come to Scoliosis 3DC℠ from near and far with different braces.
As a result, he jumped at the chance to introduce the Chêneau-Gensingen® brace in the U.S. in 2013. Patient results have improved significantly using our two-pronged Schroth therapy approach and Dr. Weiss’s Chêneau Gensingen brace. Learn more about how you can improve your child’s chances for an improved outcome using Schroth therapy and the Gensingen Brace: two powerful weapons against scoliosis.
As a point of fact, the Schroth Method and the SpineCor® Brace are not compatible. Dr. Moramarco is not an advocate of soft braces for scoliosis. The principles behind the SpineCor® and Schroth exercises are not the same although there are those who are marketing SpineCor who would have you believe otherwise. If your practitioner is offering two competing methods of managing scoliosis, then you may want to stop and ask why. One difference between Schroth and SpineCor® is that Schroth is about elongation and opening voids for Schroth breathing. SpineCor® uses compressive forces. To learn more about SpineCor® from a media presentation in Canada, go here.
Bracing should be in accordance with individual patient circumstances. Each scoliosis brace should offer the maximum potential in-brace corrections. It’s one of the reasons we are so enthusiastic about the Cheneau Gensingen® scoliosis brace for adolescents with scoliosis. This newest Cheneau brace offers a high degree of in-brace corrections, consistently, for better long-term outcomes and other numerous benefits.
Scoliosis is not a one-size-fits all condition. Each patient should be treated individually, according to curve-pattern. At Scoliosis 3DC℠, that is our approach. If your child has a symmetrical brace or another brace offering adequate in-brace corrections, and comfort, then we think that’s great. We won’t recommend a change unless you are interested, but we do recommend that you help your child learn how to integrate Schroth therapy and fast if your child is still growing or has the potential for significant growth.