3DC: 3-Dimensional Correction
Scoliosis is a three-dimensional condition. Many people don’t realize this, because the primary focus is placed 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 for correction.
Three-dimensional treatment is essential. Schroth method principles use scoliosis-specific exercises, according to curve pattern, for the correction of the spine in the three planes.
Schroth therapy uses curve-pattern classification to assist the scoliosis practitioner 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 because Dr. Weiss understood the necessity to incorporate added ADL instruction and sagittal work via his physiologic® exercises. To be effective, exercise-based therapy for scoliosis must address the spine in 3D via active, not passive, exercise with auto-correction as a component. Dr. Weiss has also incorporated more dynamic Schroth exercises–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 Method 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 Brace. Learn more 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® Brace 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. What does that tell you? The difference between Schroth and SpineCor® is that Schroth is about elongation and opening voids. SpineCor® uses compressive forces. To learn more about SpineCor® from a media presentation in Canada, go here.
Bracing should be in accordance with the individual patient circumstances and each scoliosis brace should offer the maximum potential in-brace corrections. In-brace corrections and the potential for improvement of scoliosis is the very reason 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.