Background of the Schroth Method
Schroth therapy aims to replace the existing scoliotic posture with a new posture, thereby:
• Decreasing the progression of a scoliotic curve
• Improving posture
• Reducing pain
• Increasing functional tolerance
This is achieved by applying Katarina Schroth’s 3 Dimensional Correction technique and protocol
to the patient’s current existing curve profile.
The first part of the Schroth protocol involves a comprehensive assessment and deconstruction
of the components of the scoliotic curve and then a workshop period where the patient gets to
understand and internalise their existing curve profile. This involves x-ray analysis, physical
measurements, exercise and discussion.
The Schroth technique is applied through a systematic series of postural corrections which are
dependent on the curve profile. Over a series of sessions, the systematic corrections are taught
in a variety of starting positions. Once these postural corrections have been achieved, the
patient is then ready to commence specialised Right Angled Breathing (RAB), which is an
essential component of Schroth. The aim of the breathing is to expand the collapsed areas of
the thorax and flank as well as to counter-rotate the chest wall and floating ribs in the abdomen.
Once we have achieved corrected posture performing RAB, we teach the patient activation
exercises to strengthen the muscles that are required to maintain the new corrected posture.
We don’t believe that physiotherapy and exercise can cure scoliosis but we have had significant
success in altering the postural schema from a muscular viewpoint resulting in reduced pain and
improved posture and functional tolerance.
We hope the above information is useful. Please contact us at Postural Physiotherapy if you
should have any queries or concerns.
Schroth therapy aims to replace the existing scoliotic posture with a new posture, thereby:
• Decreasing the progression (worsening) of a scoliotic curve
• Improving posture
• Reducing pain
• Increasing functional tolerance
Thank you to PhD canditate Sanja Schreiber in Alberta, Canada for clarifying the info on current international research. There are currently 3 international trials underway investigating scoliosis. The Canadian trial is a randomized controlled study on Schroth exercises for scoliosis. The Warwick University (UK) is running a feasibility study (not randomized controlled trial) on specific exercises designed to strengthen trunk muscles and improve balance in scoliosis. The Karolinska institute in Sweden is in the early stages of a ranomised clinical trial assessing scoliosis specific exercises. Initial data of the Canadian (part SRS funded trial) presented at SOSORT 2013 shows a positive affect.
This is achieved by applying Katarina Schroth’s 3-Dimensional Correction technique
and protocol to the patient’s current existing curve profile. Schroth programs are
individual and are suitable for all age groups.
The first part of the Schroth protocol involves a comprehensive assessment and
deconstruction of the components of the scoliotic curve and then a workshop
period where the patient gets to understand and internalise their existing curve
profile. This involves x-ray analysis, physical measurements, exercise and discussion.
The Schroth technique is applied through a systematic series of postural corrections
which are dependent on the curve profile. Over a series of sessions, the systematic
corrections are taught in a variety of starting positions. Once these postural
corrections have been achieved, the patient is then ready to commence specialised
Right Angled Breathing (RAB), which is an essential component of Schroth.
The aim of the breathing is to expand the collapsed areas of the thorax and
flank as well as to counter-rotate the chest wall and floating ribs in the abdomen.
Once we have achieved corrected posture performing RAB, we teach the patient
activation exercises to strengthen the muscles that are required to maintain the
new corrected posture.
We don’t believe that physiotherapy and exercise can cure scoliosis but we have
had significant success in altering the postural schema from a muscular viewpoint
resulting in reduced pain and improved posture and functional tolerance.
We hope the above information is useful. Please contact us at Postural Physiotherapy
if you should have any queries or concerns.
Program Scheduling
Local patients can schedule an initial postural assessment and we will work out a suitable
program. In some cases an intensive program is recommended but other cases
standard outpatient protocols are sufficient.
At Postural Physiotherapy, the intensive Schroth programme consists of five
two-hour sessions including an extensive initial assessment. The sessions are two hours long to ensure full understanding and knowledge of your curve profile and exercises is gained.
We encourage patients to complete the first five sessions within a week or two to
ensure knowledge is gained and maintained without disruptions in between
(although we can cater to specific needs and requirements).
Pricing
Initial appointment: two hours (including personalised exercise folder)
Cost: please contact the clinic for a comprehensive cost breakdown
Pads and strapping (required for the program): $50*
*If you would like to organise your own pads and strapping please contact us and
we will send you the information on how to make you own.
Follow-up appointments: one hour
i.e. a total cost for the first 5 sessions of roughly $2000 less the Medicare and
Private Health Fund rebates. (Please note: program costs may vary but we
have tried to be as accurate as possible for you to plan).
Note:
Health fund rebates may apply for all of the above costing. In addition if you are eligible
for a Chronic Disease Management Plan (CDM)* you may receive the Medicare rebate of
$50 per session.
*Please discuss with your GP whether CDM is applicable to you and if so, please bring in
the form to your initial appointment
*Furthermore if you reach the Medicare Safety Net for the year – Medicare will
reimburse up to 80% of all medical related costs. Please contact Medicare directly
for more information; it is essential to register for the Safety Net.
For interstate/overseas patients:
Pricing is as above however you will be required to attend the Schroth therapy for five
two-hour sessions within one week to obtain maximum benefit and knowledge prior to
returning home to continue your Schroth exercises independently.
In all cases it is essential to check availability with us before making travel arrangements.
We will do our best to accommodate your schedule. A follow-up is usually required
approximately six months after your initial program.
We are located in the Meriton Apartment building in the heart of Bondi Junction where
accommodation is available. We are adjoining the train station and bus depot, making it easy for you to do other activities whilst in Sydney. Bondi Junction is a large shopping area
and Bondi Beach is a short bus ride away.
Initial Appointment
Please bring:
• Your X-rays (If you do not have x-rays please obtain a referral from your GP or from one
of our Physiotherapists. (Please note that we require a full spinal X-ray in PA and lateral
views including the pelvis).
• A pair of shorts or tights
• For females: a bikini top, bra or sports top that you are comfortable in (not a t-back) as
we need a full view of your spine. We have a private gym area however other patients
may use the room at the same time and we wish to respect your modesty.