Schroth therapy for scoliosis: breathing and posture balanced

Scoliosis is a condition in which the spine curves sideways, often in an S or C shape. This can lead to pain, crooked posture and difficulty breathing. Schroth therapy is an exercise therapy specifically designed to correct this curvature and bring the body back into balance. The approach is intensive and requires active participation from the patient, but can bring much improvement, physically and mentally.

What is Schroth therapy?

The Schroth method was developed in the early 20th century by Katharina Schroth, a German therapist who herself had scoliosis. She noticed that targeted breathing and postural correction reduced her symptoms. From that experience, she developed a form of therapy that is used worldwide in the treatment of scoliosis.

The therapy focuses on three main principles:

• Rotational breathing: consciously breathing in certain directions opens up the chest and reduces asymmetry.
• Postural correction: Exercises teach you to actively bring your spine into as straight a position as possible.
• Muscle strengthening and control: Through repetition, you develop muscle strength and postural awareness, so that your body self-corrects better.

This therapy is suitable for children and adults with structural scoliosis, both before and after the growth spurt or in combination with a brace. People who have had back surgery can also benefit from Schroth.

What does a treatment programme look like?

A Schroth trajectory always starts with a comprehensive intake, including posture analysis and determining the type of curvature. This is followed by a tailor-made treatment plan, usually consisting of individual sessions. Exercises are taught using mirrors, blocks, bands and sometimes a special rack.

Exercising at home is essential. Exercising daily (often 20-30 minutes) ensures that improvements are maintained. So a motivated attitude really makes a difference.

Example from practice

Lotte was diagnosed with scoliosis when she was 12. Her back had a double curvature and she had to wear a brace. In addition to the brace, she started Schroth therapy. After a year, her posture had clearly improved and she felt stronger. Wearing the brace became less stressful, and she felt less tired after a school day. She now trains independently at home three times a week and keeps her back stable.

Reimbursement and accessibility

Schroth therapy falls under exercise therapy in many cases; Cesar or Mensendieck, depending on the healthcare provider. Some specialised physiotherapists also offer the therapy. Reimbursement is usually possible through supplementary insurance. A referral from the GP is not always necessary, but can sometimes help in getting reimbursement.