Surgical intervention and bracing do not have to be the only options when addressing scoliotic curve progression.
Work one-on-one with P.A.C.E’s physical therapist who is BSPTS certified in scoliosis specific exercise in an effort to reduce curve progression, longevity of brace wear, and ultimately surgery. Together, you will build a program that will address postural correction through a series of challenging and empowering movement patterns unique to your curve pattern. Unlike other postural correction exercises, these scoliosis specific exercises take into consideration the 3D movement occurring at each spinal segment and target the rotational component of each scoliotic curve.
Our Scoliosis Assessment Team
Lyndsay Provencio PT, DPT
Certified in Scoliosis Specific Exercise BSPTS C1
Aki Yoshikawa PTA
Motion Lab Technician
Physical Therapist Assistant
Overview & Expectations
The Diers formetric motion analysis system provides a unique opportunity to assess both static and dynamic spinal biomechanics and has proven to be extremely effective in the care of scoliosis. Found to be as reliable as radiographs, the Diers formetric technology can greatly reduce exposure to radiation while continuing to monitor scoliotic curve progression over several years. This innovative spinal modeling system has been developed in collaboration with research institutions, universities, physicians and engineers from all around the world to capture objective measurements of spinal movement. In addition to the scoliosis specific exercise program, you will have the opportunity to utilize the Diers formetric motion analysis system to create a more thorough and comprehensive treatment plan.
"Bent, Not Broken"
To be best prepared for the initial evaluation, it is preferred that a Physician’s order requesting “Physical Therapy Evaluation and Treatment for Scoliosis or Scheuermann’s/juvenile Kyphosis” be received. This will ensure that your physical therapist understands that you are specifically seeking treatment centered around scoliosis specific exercise. Your x-rays will be reviewed by your therapist prior to the initial evaluation in order to classify your spinal curve according to the BSPTS method.
Initially, your physical therapist may request to see you intensively for 1-2 hours several times a week for the first couple of weeks. This is to ensure that you are performing the exercises appropriately, safely, and effectively. It is possible to perform the scoliosis specific exercises incorrectly and further progress the curve and it is important that you have a thorough and complete understanding of your individual home exercise program.
Following this period of intensive rehab, for adolescents and young adults, it is expected that the scoliosis specific exercises be performed 5 days a week for 20-30 minutes a day. While this is a time commitment for any young adult, it is important to be consistent with the exercise program if hoping to see the most benefits. Frequency of follow up treatments with your physical therapist at this point will then be based off of your individual needs. Exercises will include varying postural corrections with incorporated breath work in a number of different positions including lying down, sitting, and standing. Patients should expect to work hard, challenge themselves, and take an active role in their care.
Components of Initial Evaluation
3D Spinal Assessment & Modeling Package
The Diers formetric technology is an innovative spinal modeling and spinal motion capture system that has been developed in collaboration with universities, research institutions, physicians and engineers from all over the world to allow for extraordinarily high levels of reliability, reproducibility and accuracy in static spinal measurements and dynamic spinal biomechanics. The technology is being used around the world by some of the leading spinal deformity physicians and institutions to provide non-radiological measurements to determine objective measurements of spine deformity.
This package includes a one-hour comprehensive evaluation assessment with our BSPTS C2 certified scoliosis specialist, a one-hour DIERS testing in the TAI Motion Lab, and a one-hour data review appointment in our viewing room followed by hands-on intervention and exercise program in the PACE gym.
Call to confirm if your insurance may cover a Scoliosis Assessment: 503.283.8133
Non-Insurance Rate: $490
Scoliosis can cause anatomical changes within your body including spine alignment, lung capacity, rib cage shape, posture, muscle length and strength, and trunk imbalance. To properly address these physical changes observed with scoliosis, a large portion of not only your initial evaluation but proceeding visits will be centered around education. Your physical therapist will spend time discussing the anatomy of the spine and the curve pattern specific to you. This is a large component of success when completing the BSPTS scoliosis specific exercise program, and it is extremely valuable to take ownership in understanding WHY you are performing the exercises specific to your curve pattern and how they are affecting your curve. When your scoliosis specific exercises are performed correctly and intentionally, you have the potential to reduce your Cobb angle and therefore curve progression (Negrini et al., 2015) and alter the need for additional months in a brace or ultimately surgery. Additionally, individuals who have performed scoliosis specific exercises have reported feelings of improved self-image and decreased pain (Schreiber et al., 2015).
It is important to remember that idiopathic scoliosis has no known cause, and that postural and muscular imbalance can certainly feed into the progression of a curve. However, biomechanics alone will not always decide the course of curve progression or regression and some curves do continue to progress into adolescence even with scoliosis specific exercises and proper bracing. You and your therapist will, together, create an individualized treatment plan to address and correct postural faults and muscle imbalances through scoliosis specific exercises to best set you up for success.
Frerich JM, Hertzler K, Knott P, Mardjetko S. Comparison of radiographic and surface topography measurements in adolescents with idiopathic scoliosis. Open Ortho J. 2012;6:261-5. doi: 10.2174/1874325001206010261
Knott et al. Evaluation of the reproducibility of the formetric 4D measurements for scoliosis. Scoliosis 2010; 5(Suppl 1):O10.
Negrini A, Negrini MG, Donzelli S, Romano M, Zaina F, Negrini S. Scoliosis-Specific exercises can reduce the progression of severe curves in adult idiopathic scoliosis: a long-term cohort study. Scoliosis. 2015;10:20.
Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, Lou E, Waktkins, EM, Southon SC. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis- an assessor and statistician blinded randomized controlled trial: “SOSORT 2015 Award Winner”. Scoliosis. 2015;10:24.
To schedule a Motion Lab Scoliosis Screening, please contact our office directly: