Indications for treatment

The choice of treatment modalities is dependent on many factors. The following description of indications is given to gain some insight into conservative scoliosis management.

Cobb angle less than 10 ⁰

  • This is called a scoliotic postural disturbance or a functional scoliosis; it is not a structural.
  • A scoliotic postural disturbance may disappear by itself.
  • observation in 3-6 mo. intervals
  • A specific physiotherapy to reduce postural imbalance is recommended

Cobb angle    10⁰  -  20⁰

  • Start physiotherapy, using a deformation -specific method, for example, the Schroth Method*

Cobb angle   20⁰   -   30⁰

A combination of therapies is necessary:

  • - Three-dimensional correction, using the Schroth Method*
  • - In-patient, scoliosis -specific intensive rehabilitation programme
  • -corrective brace-wear

Cobb angle    30⁰   -   70⁰

  • Specific physiotherapy together with a brace with optimum specificity
  • repeated in-patient, scoliosis -specific intensive rehabilitation program
  • physiotherapy, using the Schroth Method
  • appropriate educational program

Cobb angle  45⁰  or more

  • surgery may be considered
  • still indications for corset are existing

A more complete description of the use of certain therapeutic approaches is described in the SOSORT guidelines for conservative scoliosis care and rehabilitation.

See also Hans-Rudolf Weiss: „Best Practice” in Conservative Scoliosis Care,
Richard Pflaum Verlag, ISBN 978-3-7905-0952-6.

*This text recommends using the Schroth Method, because it is a curve-specific scoliosis treatment, which has  been well researched and proven to be effective and is also available in Latvia. There are, however, other physiotherapy methods, which claim to be curve-specific, such as the Dobosiewicz method (practised in Poland) and the Negrini SEAS exercises (practiced in Italy and also available in Latvia).

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