The Assessment Process
A thorough assessment is vital to ensure the right advice and course of management is commenced.
Scoliosis is a complex condition and notoriously not enough time is spent on it at the university level in the education of future health practitioners. Schroth training is comprehensive and equips the physiotherapist with the specific scoliosis knowledge to be able to assess and guide the client with confidence. Our recommendations follow the Guidelines produced by the International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT).
As scoliosis is frequently a progressive condition, obtaining the right advice is of paramount importance. Initial Assessments are booked with one of our Schroth qualified physiotherapists unless the scoliosis is of neuro origin where upon the assessment is booked with our neuro physiotherapist.
Standard Initial Assessments are a 90 minute detailed evaluation that includes:
- Detailed client history (rehabilitation path explored thus far, specialists seen, family scoliosis history, symptoms experienced)
- Postural assessment (includes photos in standing of front, sides and back view)
- X-Ray assessment (measurement of X-Ray angles and rotations, identification of curve apexes, Rigo curve classification)
- Lung function assessment (Spirometry – Vital Capacity assessment)
- Anthropometric measurements (height, arm reach)
- Hypermobility assessment
- Muscle length testing
- Neurological testing
- Quality of life questionnaires
We strongly promote open communication between all practitioners involved in the care of the individual as it is important that we are all ‘rowing in the same direction’ in terms of management advice. Assessment findings and recommendations are communicated to all Specialists and practitioners involved in the clients care.
The Initial Assessment takes place in one of the private consultation rooms. For accurate assessment, the physiotherapist is required to clearly see the whole torso, so clients will be requested to remove their shirts. It is important that female clients wear appropriate under garments that allow clear visibility of the back. T-back bras are not recommended as they obstruct viewing of the mid and upper spine. Crop tops with a narrow back strap are best.
Following you Initial Assessment, your physiotherapist will discuss with you the best pathway forward for your specific circumstances. Treatment plans can follow one of 3 program delivery options. You can click the image below to find out more about each one.