Scoliosis Assessment

An initial assessment with a Physiotherapist who is trained in the BSPTS method (Rigo Concept/Schroth Method) will be able to assess the patient and guide them appropriately. Our recommendations follow the Guidelines produced by the International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) and “Looking after the person, not just the curve” stays at the front of our minds.

The initial assessment will involve a thorough subjective and objective examination to help guide the therapist in their decision making. Scoliosis can be assessed through a postural assessment, however an x-ray or EOS scan of the spine will help accuracy of diagnosis. Once scans have been performed the therapist will measure the ‘Cobb angle’ to assess the degree of scoliosis.

Cobb measurements indicate the severity of scoliosis:

• 0-10 degrees = Mild

• 10-25 degrees = Moderate

• 25-50 = Severe

Once an accurate diagnosis has been given, the decision of treating with observation of the curve, prescribing Physiotherapy Specific Exercises (PSSE) and/or surgery is largely influenced from factors such as age, curve size, curve location, and family history.

If the curve is considered significant enough that it may progress then the Physiotherapist and Doctor will periodically review imaging to ensure it doesn’t get too severe.

The consultation is 60 minutes in length and involves the following:

• Detailed history

• Postural assessment (includes photos in standing of front, sides and back view)

• Determination of structural or functional presentation types

• X-Ray assessment (measurement of scoliosis angles rotations, and translations)

• Neurological assessment (reflex testing)

• Assessment for associated hip and shoulder asymmetries (in flexibility, strength and position)

• Hypermobility assessment

• Appropriate guidance on the next line of treatment: Physiotherapy specific exercises (PSSE), bracing or a referral to an Orthopaedic Specialist