Evaluation of the Application of Exercises According to the Schroth Method in Adult Scoliosis - A Case Study.

BACKGROUND

Scoliosis is a three-dimensional spinal deformity. In adults, it may arise from idiopathic origins, neurological conditions, or spinal trauma. Adult scoliosis often involves degenerative changes and can lead to chronic low back pain (cLBP) and curve progression. Conservative treatment goals include improving trunk stabilization, halting progression by increasing soft tissue elasticity and strength, preventing respiratory dysfunction, correcting posture for aesthetics, and managing pain. The Schroth method utilizes three-dimensional breathing and stabilization to maximize correction within structural limits and improve vital capacity.

METHODS

This case study tracks a 43-year-old female patient (DV) over one year, evaluates the assessment and implementation of an intensive kinesitherapy program using the Schroth method. The patient had a history of two spinal surgeries during adolescence. Evaluation instruments included scoliometry, the Biering-Sörensen test, functional postural status, Adam's forward bend test, plumb line center-of-gravity assessment, anthropometric measurements, the Visual Analogue Scale (VAS) for pain, and BMI.

RESULTS

Results demonstrated a significant improvement in the clinical picture, reduced back pain on VAS scale and increased trunk muscle strength and endurence measured with the Biering-Sorensen test. Scoliometric measurements in showed minimal change of three degrees in the thoracic part. However, center-of-gravity assessments showed improved centralization and balance.

CONCLUSION

Regular, intensive, targeted, and well-designed application of the Schroth method led to pain reduction, improvement of the clinical picture, increased trunk muscle strength and endurance, and improved balance distribution in this case.