| Paper title: |
Efficacy of the schroth method in the management of adolescent idiopathic scoliosis: a case series |
| DOI: | https://doi.org/10.4316/SAM.2026.0107 |
| Published in: | Volume XIX issue 1/ 2026 |
| Publishing date: | 2026 |
| Pages: | |
| Author(s): | Holubiac Iulian Ștefan |
| Abstract. | Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional spinal deformity that can significantly impact posture, function, and quality of life. Non-invasive, individualized interventions such as the Schroth method have been proposed as effective alternatives to surgical management, aiming to reduce spinal curvature and improve postural control. The primary aim of this study was to evaluate the effectiveness of Schroth physiotherapy in the management of AIS, focusing on curve reduction, postural improvement, and avoidance of surgical intervention. Three adolescent patients with varying severities of scoliosis (Cobb angles 62°, 30°, and 28°) underwent individualized Schroth therapy programs. Treatment duration ranged from three months to fourteen months, with session frequencies of 2–3 times per week. Exercises were tailored to each patient’s spinal curvature, incorporating derotation, lateral shift, concavity stretching, and pelvic stabilization techniques. Cobb angles were assessed at baseline and after the intervention to determine the degree of curve reduction. All three patients demonstrated significant improvement. Patient 1 (62°) reduced the Cobb angle to 50°, avoiding surgical intervention. Patient 2 (30° thoracic, 30° lumbar) showed reductions of 5° and 15° in the primary and secondary curves, respectively, following three months of therapy. Patient 3 (28°) achieved a dramatic reduction to 10° over five months, supported by skeletal maturity. The interventions were well-tolerated, and patients adhered to individualized programs, resulting in favorable functional and postural outcomes. Schroth physiotherapy is an effective, non-invasive intervention for adolescent idiopathic scoliosis, capable of reducing spinal curvature, improving postural alignment, and potentially preventing surgical intervention. Early and individualized application, combined with patient engagement, is critical to optimizing outcomes. |
| Keywords: | idiopathic scoliosis, schroth physiotherapy, cobb angle, postural correction, spinal deformity. |
| References: |
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