Scoliosis is a three-dimensional structural curvature of the spine; lateral curvature, rotation of the spine around its own axis, and a change in sagittal balance occur together. This is what distinguishes it from the simple postural disorder it is often confused with.
The diagnosis and the degree of the curvature (the Cobb angle) are determined by a physician through radiological imaging. The type and location of the curvature and the person's age directly influence the frequency of follow-up and the appropriate approach. For this reason, regular follow-up is especially important in children and adolescents who are growing and of school age.
Commonly encountered findings:
ISST-Schroth is a scoliosis-specific (Physiotherapeutic Scoliosis-Specific Exercises, PSSE) exercise approach. It combines auto-correction, postural stabilisation and three-dimensional breathing work determined according to the curvature type and the Cobb angle.
The aim is to support the preservation of posture, the strengthening of muscular balance, and the carrying over of the awareness gained into daily life. The programme is designed entirely on a personalised basis and does not replace physician follow-up but complements it.
It is not a precondition for the assessment, but a recent X-ray report showing the degree of the curvature (the Cobb angle) and its type is needed to plan the ISST-Schroth programme properly. For anyone not yet diagnosed, a physician's assessment is recommended first.
It can be used from about 7-8 years of age in children who can understand and follow instructions. With younger children, parent-assisted adaptations are made. Growing adolescents are the programme's main focus because they are the group most at risk of progression.
Yes. Guidelines recommend supporting brace treatment with scoliosis-specific exercise. The programme is arranged in line with the physician's bracing plan, and the aim is to learn to self-correct accurately both in and out of the brace and to keep the trunk strong.
The initial assessment lasts 60 minutes and follow-up sessions 45-60 minutes, all one-to-one. Frequency depends on age, the degree of the curvature and the pace of learning. As the correction is learned, sessions are spaced out and the programme continues with daily home practice.
In adults, the aim is not to reverse the curvature but to manage pain, maintain trunk balance and muscle strength, and make daily life easier. It has been reported that scoliosis-specific exercise can contribute to these goals.
In a free preliminary consultation (15 min) your questions are answered; if appropriate, a detailed assessment (60 min) is planned.
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