- Based upon typical physiotherapeutic principles the Schroth Therapy was founded by Katharina Schroth in 1920 and continuously refined through the experience of Schroth therapists from all around the world.
- The use of postural exercises for scoliosis therapy is grounded in scientific principles that relate directly to known aetiologies and symptoms of spinal deformity.
- ISST is using an individualised exercise program combining corrective behavioural patterns with physiotherapeutic methods. The 3D scoliosis treatment is based on sensorimotor and kinaesthetic principles and its goals are to facilitate correction of the asymmetric trunk and posture, and to teach patients to consciously maintain the corrected posture increasingly more in daily living activities.
- Main elements of the treatment approach are: Correction of reversible spinal dysfunctions, scoliosis specific passive mobilization, active 3D stabilization, corrective breathing, postural control, therapeutic education with a specific ADL aspect, developing an easy and safe home exercise program.
- Braces, if indicated and prescribed, are included in the therapeutic process helping patients to accept this effective therapeutic tool and use it also as therapeutic equipment in order to improve the quality of exercises especially for the home exercise program.
In the ISST- training we will enlighten various scoliosis specific theoretical aspects in combination with practical parts of the therapy approach.
The course leads from the surface of scoliosis understanding to a more sophisticated and comprehensive clinical reasoning regarding the conservative management for scoliosis.
Goals and Summary
The ISST training enables physical therapists to provide a sufficient conservative treatment for patients with spinal deviations mainly for idiopathic scoliosis and kyphosis.
The goal is to prevent surgery, decelerate or stop the progression and develop effective coping strategies for the patients to improve their social participation and activities in their daily living. This has also a positive effect on the general HQL (health related quality of live) for children, adults and elderly patients suffering from scoliosis and kyphosis.
The training enables PT´s to understand the biomechanical conditions of the asymmetric postural aspects and asymmetric loading of the spine leading to functional and structural adaptations and a further risk of progression.
Specific physical therapy is also indicated for patients in brace and for patients indicated for surgery or after surgery.
Therapist learn to define their role as team players in an interdisciplinary network with physicians, surgeons, orthopaedic technicians (orthotists), parents, patients, psychologists.
- Basics: Aetiology, biomechanical concept, vicious cycle-concept, progression, postural imbalance, function and structure, brace, surgery
- Medical assessment: Visual-manual examination, therapy protocol, X-ray evaluation, scoliometer, functional tests
- Classification: Schroth, King, Rigo, Lenke
- Specific mobilisation: Passive: specific manual techniques: side bending, tilt, side shift, derotation, sagittal realignment
- Breathing therapy: Corrective breathing: a specific internal detorsional force to reverse scoliotic features and mobilize restrictive chest dysfunctions
- 3D stabilisation: Exercises in the treatment of idiopathic scoliosis, from positioning to auto-self-correction
- Activities of daily living: Posture variations, easy approaches for leisure, helping to avoid progression and reduce asymmetric loading – instructions for working with basic tension and balancing exercises
- Sagittal correction: Correction in the sagittal plane, easy to apply and important for spinal stability especially in the lumbar area
- Exercises with the brace: Multidisciplinary concept including bracing
Eligibility to attend the ISST course
Schroth therapy historically is a physical therapy concept and therefore the certification courses will be offered exclusively to professionals working as physical therapists and kinesiotherapists. Orthotists and physicians are able to attend as observers without ISST-Schroth certificate.
SOSORT (The International Society of Orthopedic Scoliosis Rehabilitation and Treatment) was formed in 2004, with the key members of the leading European Schroth clinics as founding members. Since then, Schroth therapy has always been intimately involved in and follows the consensus recommendations of SOSORT. The 2011 SOSORT consensus on treatment guidelines for conservative scoliosis treatment define the main members of the multidisciplinary team as MD, orthotist, and physical therapist. The exercise methods being carried out under SOSORT treatment guidelines are referred to “Physiotherapy Scoliosis Specific Exercises” (PSSE), which is inclusive of the Schroth Method.
ISST – Course Program for ISST- Basic Schroth Therapist
The complete basic course includes 2 parts each 5 days with altogether 77hours (CEU).
In the 3-6 month between the intensive 5 days training sessions the therapist has to implement and practise the learned elements thoroughly into his daily routine.
The instructor makes an assignment of duties required to participate at the next part.
The intention is to install an intensive and serious delving into practical experience.