We frequently get calls from prospective patients who tried other nonsurgical treatments for scoliosis and have been disappointed. We have created this chart to show how our Schroth Best Practice® program compares to other conservative programs.
*As reported by our patients who have tried various other methods.
? – Programs vary; inquire with provider.
When considering a treatment program for scoliosis, you should pose questions related to these topics.
1) Does the facility take x-rays independently or are x-rays taken onsite? How often? Are x-rays taken immediately after exercise or brace removal?
To determine a starting point and curve pattern, a recent x-ray is required before beginning our program or brace treatment. (We do not take x-rays but refer to a local facility or to Children’s Hospital in Boston for EOS x-ray).
An x-ray report usually includes a Cobb angle measurement. This can be compared to the measurement done by the doctor/therapist. If there is a large discrepancy, determine the reason.
It is important to avoid unnecessary additional x-rays during the course of treatment. Be suspicious if a practitioner suggests an x-ray immediately after exercise or brace removal in order to assess changes in Cobb angle since these are not necessarily an accurate representation of the scoliosis. To get an accurate idea of how the spine looks out-of-brace, it should be removed 24 hours before an x-ray.
2) Is Cobb angle improvement guaranteed?
There are no guarantees or quick, easy fixes for scoliosis. Scoliosis is a life-long condition that requires active management. Our advice is to AVOID programs/practitioners that GUARANTEE Cobb angle improvement.
1) Weiss HR, Moramarco M. Remodeling of trunk and backshape deformities in patients with scoliosis using standardized asymmetric CAD / CAM braces. 2013 Feb. Hard Tissue 26;2(2): 2.14.
2) 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 2005; 26: 1429–1435.
3) Weiss HR, Weiss G, Petermann F. Incidence of curvature progression in idiopathic scoliosis patients treated with scoliosis inpatient rehabilitation (SIR): an age- and sex-matched controlled study. Pediatr Rehabil. 2003;6(1):23–30.
4) Weiss HR. The effect of an exercise program on VC and rib mobility in patients with IS. Spine. 1991;16:88–93.