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Scoliosis and The Schroth Method

A Conservative Treatment Approach to Combat the Progressive Nature of the Condition

For far too long, individuals and their family members have expressed the feelings of helplessness, like “there is nothing that can be done” and are forced to adapt a “wait and see” approach as the only model of care after a loved one is diagnosed with scoliosis. This condition can present at any point in development, but onset typically occurs during the adolescent years, when growth and skeletal maturity are really starting to progress. Physical therapy over the years has not been considered as a “primary treatment option” for patients diagnosed with scoliosis, however evidence is being developed and global techniques which have been around for decades are being studied and introduced more frequently now more than ever. This is resulting in at least “options” for patients and their families as a means to combat this condition. Instead of “wait and see”, the mantra is shifting to “try and see”. The Schroth Method is one of these options that could be beneficial for you or a loved one who has been diagnosed with scoliosis.

The Schroth method is a cognitive & sensory-motor 3-dimensional approach to treating the scoliotic spine through trunk elongation and rotational breathing strategies to improve trunk and spinal imbalances. The goal is to strengthen and develop the inner muscles of the rib cage and torso in order to influence the shape of the unique spinal curve pattern of each individual patient, while also maximizing the patient’s postural awareness. This technique has been used in Europe for decades; however, only recently began growing in popularity in the United States.

There is growing evidence to support the need of incorporating scoliosis specific exercise techniques, or this “try and see approach”, to provide alternative options for patients and families who are not exactly sure what the future looks like or what to expect in regards to the “severity and progression of the curve”. The Scoliosis Research Society advocates that the goal of conservative treatment should be to “reduce the risk of a curve progressing to a point where surgery is indicated”1. It also acknowledges that recent evidence studying patients with mild scoliosis of 10-20 degrees revealed that scoliosis specific exercises may prevent curve progressions to further levels of deformity resulting in additional medical management, such as surgery.1,2

What are the Goals of Treatment?
• Correction of the scoliotic posture
• Stabilize the spine and arrest the curve progression
• Improve self-image
• Improve function
• Improve pain
• Improve respiration and lung function
• Improve confidence and empowerment over scoliosis

Who would benefit from the Schroth Method?
Although onset typically occurs in adolescence, patients of ALL AGES can benefit from this method of treatment. The exact strategy and approach is dictated by the unique curve patterns as well as levels of skeletal maturity; however The Schroth Method can be beneficial for patients in all stages of scoliosis. This includes patients who have not yet begun bracing, patient who are currently being braced, as well as pre-operative or post-operative treatment when surgery is indicated.

In addition, research on the Schroth Method and similar treatment strategies is also developing to evaluate the benefits and effectiveness on postural related spinal deformities for people of all ages.

What are the exercises like?
During each session, you will be guided through specific exercises designed for you based on the curve pattern, curve severity, age, overall health, and other factors. Your certified Schroth Therapist will provide extensive verbal and tactile cuing throughout each exercise to facilitate curve correction through appropriate muscle activation, spinal positioning and breathing patterns.

Team Approach is Essential:
Proper management of the scoliotic spine requires a successful multi-disciplinary team approach between the treating Physician, Schroth Therapist, Orthotist (when bracing is required), and family members. Our certified Schroth Therapists understand these relationships are essential and work closely with these health care providers in order to provide seamless care for the patients to achieve optimal outcomes.

Ask for the “Schroth Method” to schedule an evaluation with our certified Schroth Experts!

References:
1. https://www.srs.org/about-srs/quality-and-safety/position-statements/screening-for-the-early-detection-for-idiopathic-scoliosis-in-adolescents2. Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S: Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis. Results of a randomised controlled trial. Eur Spine J (2014) 23:1204–1214

Acute Management of Lateral Ankle Sprains

Ouch! You rolled your ankle running pick-up basketball this weekend with your friends. Frustrating….we know.

Lateral ankle sprains are injuries that pose a major inconvenience. They limit your ability to walk, move, sleep, and perform your typical self-selected physical activities… plus your friends will be short a player next weekend. Don’t lose hope, we are here to help teach you how to properly manage these injuries and provide advice and strategies for the most effective and efficient rehabilitation.
Lateral Ankle Sprains account for nearly 25% of all musculoskeletal injuries and nearly 10% of all admissions to emergency rooms. However this rush to the emergency room is often unnecessary. The gold standard in the diagnosis of acute lateral ligament injury is the delayed physical examination. Research has shown that, barring the complete inability to bear any weight through the injured ankle, you should be waiting 4-5 days before seeking medical attention. Rushing to the doctor during this acute phase of injury has been shown to result in unreliable diagnosis of the injury. Because of the diffuse location of the pain and swelling, the examiner cannot differentiate the pain or instability you are feeling, leaving you without a true answer or diagnosis.

So what should you do? Remember what your parents always said… ice it! Well how about RICE it.

Well how about RICE it. The combination of Rest, Ice, Compression, and Elevation during that first 4-5 day period has been shown to very effectively reduce pain and swelling. Following this initial period, researchers can tend to disagree. However a majority feel that a brief period of immobilization (5-7 days via air-cast/walking boot) should follow. But don’t baby it! Prolonged use of immobilization (>10 days) can have a detrimental impact on muscles, ligaments and other joint surfaces, resulting in inferior outcomes post-injury. Instead, switch over to a less-rigid support, i.e. compression wraps, lace-up braces, tape.
Finally, at the 7-10 day period, it is now time for a structured, individualized rehabilitation program. Structured physical therapy, from a Certified Doctor of Physical Therapy, focusing on pain relief, swelling reduction, dynamic stability, mechanical analysis/correction of movement, and progressive strengthening of surrounding musculature, has been shown to significantly accelerate the healing process. Not only can therapy help rehabilitate an old injury, it can help prevent a new one. Did you know that the #1 risk factor for a lateral ankle sprain is a previous lateral ankle sprain? With a skilled, trained professional guiding your care, not only will your current injury improve, you will be preparing your body for a safer and more efficient return to activity with an eye towards preventing another injury in the future.
Ankle injuries can be a nuisance. They are painful and difficult to manage. However, utilizing the strategies and guidelines laid out above, you are now equipped with a well rounded approach on how you can help address your injury. By taking the proper steps and seeking the proper care at the appropriate times, you have the tools to turn this potentially chronic issue into an afterthought and before you know it, you will be that mighty weekend warrior once again!

-Dr. Dave Pasi, PT, DPT

Source:
Van den Bekerom, M., Kerkhoffs, G., McCollum, G., Calder, J., Niek, C. (2012). Management of acute lateral ankle ligament injury in the athlete. Knee Surgery Sports Traumatology Arthroscopy, 21, 1390-1395

Client Appreciation Party

It’s our 12th Annual New Year Party!

 Saturday, 1/21/17

1:00PM-3:00PM

Medford Taunton Forge Location 

 

Have fun with our Breakthru family and get to know like-minded people.

Bring your friends and family for fun, food, special offers, door prizes, and a dessert bake-off!

 

We want to Thank You!

To show our appreciation, EVERYONE who attends will receive a complimentary gift at check-in and choose one of the following:

  • • 14 DAY Personal Training Experience
  • • 30 Day Fitness Membership
  • • 2 Group Exercise Classes

Keep this gift for yourself or pass it on to a friend, member or non member.

*Must be redeemed by January 31st. Restrictions may apply. See club for details.

 

Catered by Iliano’s Cucina. Cocktails provided by Canal Wines.

 

2017 New Year, New Insurance Benefits!

  • Did you know that your Physical Therapy visits reset at the beginning of every year for Medicare subscribers?

  • Have you changed insurance policies or insurance providers? If so, please review your policy to better understand your patient responsibilities. 

 

  • Do you have a deductible? If so, do you know your new deductible amount?

Has your policy adjusted coinsurance or your co-payment amounts?

If you have any questions or concerns about your 2017 policy in regards to your physical therapy treatment please do not hesitate to speak to our accounts receivable department to assist you in any way.