First Consultation

In ScolioFys we work with a PSSR approach (Pattern Specific Scoliosis Rehabilitation). We allocate 90 minutes for this consultation, as our experience has shown that this time is essential to fully assess the patient. This ensures that they leave with practical tools to manage their scoliosis or Scheuermann condition.
This is especially important for children and teenagers, who are in their primary growth phase, and where there is a higher risk of curve progression (depending on Cobb’s angle).

Comprehensive Screening at ScolioFys includes

  • Patient history and previous treatments are reviewed, including any past bracing treatments, information from doctors and other healthcare professionals, pain history, and any functional issues in daily life. Daily life and work situations, sports and leisure activities, pain levels etc are discussed.
  • A physical examination with posture analysis, during which photos are taken and reviewed with the patient, helping them visualize their body’s compensations. We also assess compensatory movements and loading patterns.
  • Review of X-ray images, measurement of Cobb’s angle, and the identification of any potential red flag.
  • Adam’s test is conducted to measure trunk rotation (ATR) using a Scoliometer.
  • The curve pattern is classified according to Lehnert-Schroth terminology.
  • A risk assessment for curve progression is made based on factors such as age, Cobb’s angle, menarche (puberty onset), voice change (biological age), etc.
  • Seven photographs are taken to track changes in posture over time.
  • A discussion of treatment options based on the individual’s age, curve size, pain levels, daily life, etc. Special attention is given to bracing as a primary treatment if relevant.
  • Classification according to the Schroth (ALS) classification system – this is crucial for selecting the right exercises and everyday corrections.
  • Information about the amount of exercise required and the potential impact it may have.

Key Information

The patient will be taught about their spine and how they compensate for the curves. It’s important to spend time helping the patient understand why certain changes must be made, and why exercises need to be done in a specific way.

The progress made during the first consultation will vary depending on factors like other health issues, pain levels, brace treatment, risk of progression, past surgeries, and body awareness.

  • Detailed information will be given about the curve pattern and compensations.
  • Guidance will be provided on everyday corrections to reduce compensatory patterns throughout the day (standing, sitting, lying, walking, etc.).
  • The patient will receive instructions for everyday exercises that can be done at home, school, or work.
  • The patient will also be instructed in RAB (Schroth corrective breathing), a key element in the exercises.

What to Bring

  • X-ray images and any other relevant medical information (if operated for scoliosis before and after x-ray can be an advantage).
  • A sports top and form-fitting underwear (for clearer photos and easier screening). The same clothing may be used for follow-up appointments and recheck photos, when possible.
  • If the patient is wearing a brace, please bring it to the consultation.

Everyday Corrected Habits

The patient will be taught how to adjust their posture in everyday activities such as sitting, standing, walking, and lying down. These corrected positions are important for the potential to correct the spine over time.

Everyday Exercises

The patient will be instructed in exercises that can be integrated into their daily routines. For example, if the patient spends time sitting at school or work, exercises will be provided for breaks that can be done while seated. These exercises are customized to fit the patient’s scoliosis and daily activities.

Next Steps

The first follow-up typically occurs after 2 weeks and lasts either 30 or 60 minutes, depending on the patient’s needs. During this session, we will review the changes implemented in daily life, measure spinal rotation, and assess pain levels or any other improvements.

At this follow-up, we will introduce additional Schroth-specific exercises for home practice. These exercises are based on the classification and issues identified during the consultation.

We will make an individualised plan for further consultations depending on the state of the patient as well as the treatment goals.