SCHROTH METHOD AND ITS EFFECT ON COBB ANGLE, TRUNK ROTATION, AND QUALITY OF LIFE IN IDIOPATHIC SCOLIOSIS- A NARRATIVE REVIEW

Abstract

Introduction

Idiopathic scoliosis, a three-dimensional spinal deformity, is most commonly observed in adolescents and can significantly affect posture, respiratory function, and quality of life (QoL). Conservative treatments such as physiotherapeutic scoliosis-specific exercises (PSSE), particularly the Schroth Method, have gained attention for non-surgical management. The Schroth Method focuses on postural correction, rotational angular breathing, and muscle symmetry to reduce spinal curvature and improve functional outcomes.

Objectives

1)To assess the effect of the Schroth Method on Cobb angle reduction

2)To evaluate changes in angle of trunk rotation (ATR)

3)To analyze improvements in health-related QoL

Methods

A narrative review of the current literature was conducted using databases such as PubMed, Scopus, and Google Scholar for studies published between 2010 and 2024. Keywords used were “Idiopathic Scoliosis ”, “Outcome Measures”, “Quality of life”, and “Functional outcomes ”.  Randomized controlled trials (RCTs), clinical trials, and cohort studies focusing on the Schroth Method's effect on spinal deformity and patient-reported outcomes in idiopathic scoliosis were included.

 Results

Most included studies reported a significant reduction in Cobb angle (average 4–8°) and ATR after Schroth intervention. Improvements in QoL were observed using standardized tools like SRS-22 and SF-36. Longer intervention durations (>12 weeks) showed better outcomes. Superior outcomes were observed when combined with bracing and performed under supervised physiotherapy.

Conclusion

The Schroth Method offers a clinically meaningful, non-invasive intervention for managing idiopathic scoliosis. It can delay or reduce the need for surgery and improve physical and psychosocial outcomes when applied consistently.