Physiotherapy in skoliosis

Abstract The title and focus of my bachelor thesis is Physiotherapy in Scoliosis. This topic has been selected intentionally since it is related to me personally, having had problems with my back since childhood. Scoliosis is a three-dimensional spinal deformity. Besides frontal plane, there are also sagittal and transversal plane variations, described as vertebral rotation and torsion. The curve can be simple, double, or even triple in some cases of idiopathic scoliosis. The main goal in scoliosis therapy is to prevent further progression of scoliotic changes, or, if possible, to improve the defect of the spinal position. The other important factor with an effect on scoliosis is substitution of incorrect postural and movement patterns with correct ones. An individual approach to each subject is applied during exercises. Many special therapeutic gymnastic methods have been developed with potential positive effects on scoliosis, but without leading to its healing, such as the methods of: Klapp, von Niederhöffer, Gocht-Gessner, Ludmila Mojžíšová, Roswita Brukow, Schroth, Scharrl, hippotherapy, Reflex Locomotion (Vojta therapy), therapy based on basal programs, exercises on balls, electric stimulation, corset therapy{\dots} If the traditional approach to treatment is not successful or the patient came late with an already significantly developed deformity, corrective surgery and stabilisation is necessary. A decision on surgery is a key moment for both the physician and patient or child{\crq}s parents. Surgery aims to straighten the curve as much as possible and to keep this erection permanently. In my research, I used the Schroth based method. It is a special method for treatment of multicurved profile dislocation and static changes of the scoliotic body. One of the key roles is the usage of corrective pads, pillows or foam balls which are placed in such a way as to help the best possible correction of the curvature. Patients perform their exercises in this position, with targeted breathing gymnastics {--} derotation by breathing. Relaxation and stretching exercises are also useful in this method. I have conducted "research" in two adolescent patients with diagnosed scoliosis. The exercise group was active for half a year, every two weeks. Therapy by Mrs. Schroth is very demanding and requires extensive synergy and motivation of the patient. Results of my study indicate that both patients have achieved correction of their scoliotic posture. They have a better perception of their body and there is a visual cosmetic improvement, which is also an important result