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Schroth therapy

Schroth Therapy is celebrated worldwide as a leading approach for the conservative (i.e. non-surgical) management of scoliosis. It combines corrective breathing, posture correction, and rehabilitation. It can be used on its own or alongside other treatments, such as Chêneau bracing, to provide holistic care.

The method was pioneered by Katharina Schroth, born in 1894 in Dresden, Germany. By the age of 16, Katharina was dealing with moderate scoliosis herself. Frustrated with the heavy and restrictive steel brace she was prescribed, she took matters into her own hands. Inspired by her condition, she created a revolutionary approach that combined corrective breathing techniques with guided postural exercises. Standing in front of a mirror, she developed her signature method of over-corrective positioning.

By 1921, Katharina was sharing her innovative method with others, opening her own clinic where patients could benefit from her unique combination of posture correction, breathing patterns, and rehabilitation exercises. Over time, her work expanded. Together with her daughter, Christa Lehnert-Schroth, she established a renowned institute in Bad Sobernheim, West Germany. By the 1980s, this facility, the Asklepios Katharina Schroth Klinik, was treating up to 150 inpatients at a time, cementing its place as a global hub for scoliosis care.

Dr Chêneau: Innovator of the modern scoliosis brace

Dr Jacques Chêneau, a French orthopaedic surgeon, made groundbreaking strides in scoliosis treatment. His work was focused on achieving better in-brace correction, which not only stabilised the spine but actively improved its alignment.

Dr Chêneau’s contributions became deeply connected with the Schroth method. After visiting Katharina Schroth and her daughter at their celebrated clinic in Germany, he was inspired by the effectiveness of the Schroth breathing techniques. Incorporating these principles, he designed braces tailored to the augmented Lehnert-Schroth curve classifications, which have been fundamental to scoliosis treatment ever since.

The Chêneau brace

In 1979, Dr. Chêneau introduced the Chêneau brace, a breakthrough in scoliosis care. Acknowledging that scoliosis is a three-dimensional condition, this new brace targeted correction across all planes of the spine:

  • the coronal plane (front view)
  • the transverse plane (rotational alignment)
  • the sagittal plane (side view)

What sets the Chêneau brace apart is its asymmetrical design, which allows for active Schroth corrective breathing while the brace is worn. Using strategic pressure zones and expansion areas helps guide the spine into a healthier, more natural position.

At the London Orthotic Consultancy, we’ve embraced these same principles in designing our own scoliosis brace, providing patients with the benefits of this time-tested approach combined with modern advancements.

Clinical research into scoliosis bracing treatment

There is growing evidence showing the significant benefits of combining 3D bracing (based on Chêneau principles) with Schroth therapy to treat scoliosis.

Below are links to research papers highlighting how this approach can effectively manage scoliosis and reduce the need for spinal surgery.

We have also published and presented our own clinical research into scoliosis bracing at conferences around the world.

 

‘Management of Spinal Deformities and Evidence of Treatment Effectiveness’
Bettany-Saltikov J, Turnbull, D, Ng, SY, Webb, R. Open Orthop J. 2017 Dec 29;11:1521-1547. eCollection 2017.
The review evaluates the up-to-date evidence for the treatment of spinal deformities, including scoliosis and hyperkyphosis in adolescents and adults.

‘Bracing scoliosis: the evolution to CAD/CAM for improved in-brace corrections’
Weiss HR, Seibel S, Moromarco M, Kleban A. Hard Tissue 2013 Nov 25;2{5}:43
This study of 21 patients demonstrates that asymmetric braces allow better in-brace correction than symmetric braces and that in turn results in optimal improvements to curvatures, even in curves above 45 degrees.

‘Remodelling of trunk and back shape deformities in patients with scoliosis using standardised asymmetric computer-aided design/computer-aided manufacturing braces’
Weiss HR & Monomarco M. Hard Tissue 2013 Feb 26;2{2}:14
This paper reviews three cases of patients with spinal curves over 45 degrees, showing that bracing can improve trunk and back shape. It suggests surgery is often unnecessary, as long-term studies highlight its harmful effects.

‘Standardising the treatment with Cheneau braces via CAD: Prospects and risks’
Weiss HR. OA Musculoskeletal Medicine 2014 May 03;2{1}:10
This is a review of the literature with respect to the outcome of Cheneau brace treatment. The end results of the latest two independent trials indicate a success rate of over 95%.

‘The Treatment of Adolescent Idiopathic Scoliosis (AIS) according to the present evidence. A systematic review’
Weiss HR. & Goodall. D. European Journal of Physical Rehabilitation and Medicine 2008, 44:177-93
This review provides a synopsis of all treatment options for idiopathic scoliosis, including a review of short-term studies which support outpatient physiotherapy. No controlled study was found to support surgical intervention as a treatment for idiopathic scoliosis and cites the unknown long-term effects of surgery as a factor.

‘Rate of complications in scoliosis surgery: a systematic review of the Pub Med literature’
Weiss HR & Goodall, D. Scoliosis 2008, 3:9.
This paper looks at the limitations of spinal fusion surgery in preventing progression, restoring ‘acceptability’ of the deformity and reducing curvature. This paper concludes that scoliosis surgery has a varying but generally high rate of complications, though long-term risks have not yet been reported on and further research is needed.

‘Improving excellence in scoliosis rehabilitation: A controlled study of matched pairs.’
Weiss HR & R. Klein. Pediatric Rehabilitation, July 2006; 9(3): 190–200.
This paper tests the hypothesis that physio-logic® exercises improve the outcome of Scoliosis Intensive Rehabilitation (SIR) by correcting the deformity in the sagittal plane.

‘Specialized physical therapy helps teens with scoliosis get ahead of the curve’
University of Alberta. ScienceDaily. ScienceDaily, 25 January 2017.
A new study shows specialized physical therapy exercises can improve the curve of the spine, muscle endurance and quality of life, as researchers advocate for conservative management to be added to the standard of care for patients in Canada.

Scoliosis Journal, 2016 “Among all Physiotherapy scoliosis-specific exercises (PSSE) approaches, Schroth [14] is among the most studied and widely used specific exercise approaches for scoliosis.

 

Prevent scoliosis surgery with our bespoke bracing treatment

A bespoke brace can stop the progression of scoliosis and prevent the need for surgery in later life. LOC’s scoliosis brace works by gently and progressively guiding your spine into a more corrective position.

The LOC Scoliosis Brace is the most corrective scoliosis brace in the UK, with clinical findings showing an average in-brace correction of 85% when worn as prescribed.

“LOC has been fantastic, friendly, understanding. Anna did not pull any punches about the wearing regime and gave us all the information we needed. Polly was in her brace for less than two years. LOC has provided a really incredible service.”

Zoe, Polly’s mother – Scoliosis patient (adolescent)

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