Cobb angle reduction with Schroth therapy  delivered virtually and night time bracing administered at the end of growth

  • At 10 years of age with the Cobb angle was diagnosed at 22 degrees. The patient has started scoliosis specific exercises but stopped after 6 months as it was difficult to focus on postural work.

  • At the age of 15 Cobb angle progressed to 42 degrees. Therapy restarted shortly before pandemic. We transitioned to virtual therapy being forced to teach and learn postural corrections, exercise set ups and breathing techniques on line. Virtual sessions were provided 1- 2 x week for 5 months and home program was followed. The patient was recommended to wear a Rigo type brace at night to improve flexibility of his curve.

  • At the 6 months follow up the curve reduced to 25 degrees. Therapy continued for the next 2 years with the average frequency of 2 x month and the patient was gradually weaned off the brace. Prior to final X-rays there was no treatment provided for 4 months.

  • At 2 years 8 months follow up (age 18) the curve reduction remained stable at 25 degrees Cobb angle and no further follow ups were recommended by orthopaedic doctor.

Beginning of treatment
After 5 months
After 2.5 years
Beginning
After 8 months

This case is a proof that virtual therapy can be highly effective and that bracing at the end of growth can be very helpful, even if it is administered at nighttime only.