Scoliosis
Exercise therapy


The goal
-to attempt to influence  progression of the curve
-to facilitace effectiveness of bracing
-
Exercise therapy is highly  individual

Juvenile  kyphosis
In acute stage- to limit physical  activities
                           NSAID, analgetics
Exercise to activate muscle balance
Spine mobilisation in midthoracic region
Erect posture-thoracic spine extension
To improve  the loss of  rotational components
Activation of scapular  adductors
Spinal exercise

Activation of muscles
Synergy of ventral and dorsal trunk muscles
Correct pelvic alignment
Diaphragmatic  breathing
Exercise in traction
Mobilisation techniques
Klapp´s crawling method (creeping)
Schroth method (Catharina Schroth)
-Scoliosis is three dimensional deformity
-Pelvic, rib cage, shoulder blocks
-Derotation
Vojta´s method
Lifestyle modifications

Orthotic treatment
The aim:
-to improve scoliotic curvature
-to prevent further progression
Low effectiveness
23 hours per day
Adherence to treatment is low (65%)
Parent´s  participation

Surgery
45° with progression
Above 50° in all
Anterior, posterior, combined  approach