history c. schroth- articol pubmed

8/19/2019 History C. Schroth- Articol Pubmed

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/

30 aug 2011

atharina !chroth" born #ebruar$ 22n% 18&4 in 'res%en (erman$" was su))ering )rom a

mo%erate scoliosis hersel) an% un%erwent treatment with a steel brace at the age o) 1* $ears be)ore she %eci%e% to %evelop a more )unctional approach o) treatment )or hersel).

+nspire% b$ a balloon" she trie% to correct b$ breathing awa$ the %e)ormities o) her own trun,

b$ in)lating the concavities o) her bo%$ selectivel$ in )ront o) a mirror. !he also trie% to

-mirror the %e)ormit$" b$ overcorrecting with the help o) certain pattern speci)ic corrective

movements. !he recognie% that postural control can onl$ be achieve% b$ changing postural

perception.

#rom 1&21 this new )orm o) treatment with speci)ic postural correction" correction o)

breathing patterns an% correction o) postural perception was per)orme% with rehabilitationtimes o) 3 months in her own little institute in Meissen an% in the late 30s an% earl$ 40s she

was supporte% b$ her %aughter" Christa !chroth.

)ter orl% ar ++" atharina !chroth an% her %aughter move% to est (erman$ to open a

new little institute in !obernheim" which constantl$ grew to a clinic with more than 10 in

patients at a time" treate% as a rule )or * wee,s. +n the 80s this institute was rename% to

-atharina !chroth lini,. t this time the )irst stu%ies were carrie% out an% the patient series

)or the )irst prospective controlle% trial was %erive% )rom the patient samples o) 1&8&1&&1.

Content" rehabilitation times an% patients meanwhile have change%" an% braces have been%evelope% to o))er highest treatment securit$.

here)ore to%a$" bracing in the patient at ris, has to be regar%e% as the primar$ treatment. e

have been able to re%uce the training times b$ a%apting the ol% techni5ues an% intro%ucing

new )orms o) postural e%ucation 6sagittal correction" '7 correction an% eperiential

learning9 whilst the programme is still base% on the original approaches o) the 3%imensional

treatment accor%ing to atharina !chroth" namel$ speci)ic postural correction" correction o)

breathing patterns an% correction o) postural perception.

History of Katharina Schroth's method of scoliosis treatment

he histor$ o) conservative treatment o) scoliosis is rather long an% lea%s us bac, to the

original metho%s o) ippocrates 64*03;0 . lthough more than two thousan% $ears

have passe% since the centur$ o) ippocrates" the main approach o) conservative scoliosis

treatment has been base% on mechanical viewpoints still in the earl$ 20th Centur$ an% in most

o) the approaches still eisting to%a$. Correction eercises were wi%el$ %istribute% in whole

o) ?urope %uring the last two centuries@ some o) them were using three therapists )or one

patient 6#igure 6#igure19 19 %uring scoliosis correction =2>.

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#igure 1

Mechanical approach with curvature redression with the help of three therapists in the

approach used by Oldevig =2"12>.

he histor$ o) the !chroth metho% is a histor$ involving the pro)essional wor, o) three

generations. he initiation o) the programme was the result o) atharina !chroths stu%ies

6%%itional )ile 1 an% 29" in part a %evelopment )rom stu%$ing her own bo%$" her own spinal

)unction an% the corrective movements possible. Mirror monitoring pla$s an important role in

the original !chroth programme so as to allow s$nchroniing the corrective movement an% the

postural perception with the visual input 6#igure 6#igure29. 29. s breathing an% its )unctional

correction pla$e% an important role" her )irst pamphlet )ocuse% on breathing in general =3> an%later on also %escribing the importance o) postural perception b$ the patient an% its

improvement with the help o) speci)ic correction eercises =4">.

#igure 2

Patient with a large thoracic curvature exercising on her own in front of a mirror . Mirror

monitoring pla$s an important role in the original !chroth programme so as to allow

s$nchroniing the corrective movement an% the postural perception with the visual ...

+n the ;0s Christa 7ehnert!chroth )urther %evelope% the metho% an% intro%uce% a simple

classi)ication" which is still use% to%a$ b$ ph$siotherapists 6#igure 6#igure39. 39. %%itionall$"

she %iscovere% the importance o) the lumbosacral 6counter9 curve 64th Curve9 )or pattern

speci)ic postural correction an% %escribe% all this in her boo," which was )irst publishe% in1&;3 an% is now available in the ;th e%ition =*>. his historicall$ important boo, is also

available in ?nglish an% orean =;>.

#igure 3

The original classification according to Lehnert-Schroth. An the le)t the Three Curve

Pattern with the shoul%er" thoracic an% lumbopelvic bloc, %eviate% against each other in the

)rontal plane an% also rotate% against each other. An the right the Four ...

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+n the &0s" 'r. Bigo an% the author constantl$ improve% the programme an% as a result o) this

collaboration the boo, - an% the boo, was

translate% into !panish =&>.

+n 2010 the latest %evelopments were publishe% inclu%ing new e%ucational approaches an% the

correction o) the sagittal pro)ile =10"11> an% now the 3r% e%ition o) the (erman boo,

-.

he histor$ o) all this" however began in ?ast (erman$ in the )irst %eca%e o) the last centur$:

How it all started

atharina !chroth" born #ebruar$ 22n% 18&4 in 'res%en (erman$" was su))ering )rom a

mo%erate scoliosis hersel) an% un%erwent treatment with a steel brace at the age o) 1* be)ore

she %eci%e% to %evelop a more )unctional approach o) treatment )or hersel) 61&109.

+nspire% b$ a balloon" she trie% to correct b$ breathing awa$ the %e)ormities o) her own trun,

b$ in)lating the concavities o) her bo%$ selectivel$ in )ront o) a mirror. !he also trie% to

-mirror the %e)ormit$" b$ overcorrecting with the help o) certain pattern speci)ic corrective

movements. %%itionall$" she recognie% that postural control can onl$ be achieve% b$

changing postural perception. hese aspects were publishe% as earl$ as 1&24 an% later on =3

> an% were elaborate% even more %uring the )irst %eca%e o) her pro)essional career as a

g$mnast.

atharina !chroth began her pro)essional li)e as a teacher at a .

#igure

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' group of patients with large curvatures exercising in the garden of the little institute

run by atharina Schroth in the $%&s in Meissen. =istorical picture )rom the picture

%atabase o) Christa 7ehnert!chroth>.

#igure *

(ndividual training of a patient by )hrista Schroth* daughter of atharina Schroth in

the +%&s. =istorical picture )rom the picture %atabase o) Christa 7ehnert!chroth>.

#igure ;

(ndividual training of another patient by )hrista Schroth* daughter of atharina

Schroth in the +%&s. =istorical picture )rom the picture %atabase o) Christa 7ehnert!chroth>.

'uring that time" patients with curvatures ecee%ing 80D with huge rib humps an% ver$ sti))

%e)ormities o) %i))erent origins were the main attraction 6#igure 6#igure8" 8" "& & an% an%10 109.

#igure 8

' typical patient with a large curvature as treated in atharina Schroth&s first institutein the $%&s in Meissen. =istorical picture )rom the picture %atabase o) Christa 7ehnert

!chroth>.

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#igure &

'nother typical patient with a large curvature as treated in atharina Schroth&s

institute. =istorical picture )rom the picture %atabase o) Christa 7ehnert!chroth" (ottleuba

1&0" secon% !chroth institute" ?ast (erman$>.

#igure 10

' small group of patients with large curvatures exercising in front of mirrors to allow

the monitoring of the progress of correction. =istorical picture )rom the picture %atabase

o) Christa 7ehnert!chroth" Meissen 1&44>.


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#igure 13

ran/ Schroth* atharina Schroth&s husband* assisted in patient training regularly.

=istorical picture )rom the picture %atabase o) Christa 7ehnert!chroth>.

s earl$ as in the late 20s o) the last centur$ a battle o) metho%s began. Pro)essor )rom

7eipig 6Pro). !chee%e9" where o))a eercises were per)orme%" )ought against the little

centre o) atharina !chroth heavil$ as she was neither a pro)essional trainer" nor a ph$sician"

but ha% starte% her programme as a schoolteacher who )ollowe% a class o) g$mnasts a)ter sheha% starte% her insitute.

)ter orl% ar ++ atharina !chroth was )orce% to leave her little institute in Meissen.


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#igure 1

1xercise setting in the new institute in Sobernheim !older of the Sanatorium Lehnert-

Schroth in the 0%&s#. =istorical picture )rom the picture %atabase o) Christa 7ehnert

!chroth>.

#igure 1*

'dalbert Lehnert and )hrista Lehnert-Schroth treating a patient with significant rib

hump together in the early 0%&s in the new institute in Sobernheim. =istorical picture

)rom the picture %atabase o) Christa 7ehnert!chroth>.

+n the ;0s a series o) investigations were carrie% out with respect to vital capacit$improvements an% improvement o) car%iopulmonar$ )unction contributing to the

ac,nowle%gement o) the metho% at some universities =13"14>.

+t was also in the ;0s" when the impact o) the lumbosacral curve on the correction o) certain

curve patterns was %iscovere% =1"1*>.

Christa 7ehnert!chroth recognie% the spontaneous correction o) a )unctional leg length

%iscrepanc$ Eust b$ straightening the lumbar curve =1>.

+n the 80s the institute" -!anatorium 7ehnert!chroth was rename% to -atharina !chrothlini, while atharina !chroth was not as active as in the *0s an% earl$ ;0s. Fevertheless"

she )ought constantl$ )or her metho% o) treatment an% ha% lots o) arguments with pro)essors

)rom %i))erent (erman universities.

More emphasis at that time was lai% upon the correction o) pelvic as$mmetries to a%%ress the

lumbosacral curve an% un)ortunatel$ the power)ul corrections initiall$ %e)ining the treatment

o) atharina !chroth were increasingl$ lost.

his was the time o) ma,ing the treatment more an% more complicate%" )ocusing on little

%eviations while the main curvature correction was %ri)ting out o) sight.

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More patients with curvature angles o) less than 40D an% t$pical )latbac, %e)ormities were

treate%" but there was no real %evelopment towar%s a s$stematical correction o) the sagittal

pro)ile. hile the original programme was )or thoracic curves ecee%ing 80D with trun,

rotations an% rib humps lea%ing to a more ,$photic inclination o) the trun," the mo%erate

curvatures were a%%resse% 5uite well in the )rontal an% coronal plane" but the sagittal pro)ilewas still un%erestimate%. he onl$ correction o) a thoracic )latbac, was through rotational

breathing while the starting positions o) the eercises was still with both arms in elevation

increasing the )latbac, %e)ormit$ 6#igure 6#igure1; 1; an% an%18 189.

#igure 1;

Typical exercise setting in the atharina Schroth lini" in 2ad Sobernheim. he

elevation o) both arms lea%s to an increase o) the )latbac, %e)ormit$ =12>.

#igure 18

'nother patient in the typical exercise setting in the atharina Schroth lini" in 2ad

Sobernheim. he elevation o) both arms lea%s to an increase o) the )latbac, %e)ormit$ =12>.

First investigations-first scientific evidencet this time" )irst stu%ies were complete% an% the patient series )or the )irst prospective

controlle% trial was %erive% )rom the patient samples o) 1&8&1&&1" a sample )irst publishe% in

1&& as a prospective stu%$ in (erman =1;>" 1&&; in ?nglish =18> an% later on inclu%ing age

an% se matche% controls )rom another regional stu%$ on untreate% patients as a prospective

controlle% stu%$ =1&>. !tu%ies on the improvement o) car%iopulmonar$ capacit$" vital capacit$

improvement" electrom$ograph$ an% in)luence o) the treatment o) pain )ollowe% =2024>.

Most o) the stu%ies were cohort stu%ies in a pre/postintervention %esign an% there were no

mi% or longterm )ollowups. Fevertheless" huge numbers o) patients were investigate%. ;&4Patients were investigate% with the ?C( showing that even signs o) mani)est right car%iac

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strain were re%uce% highl$ signi)icantl$ a)ter an inpatient rehabilitation o) * wee,s using the

!chroth programme =20>. More than 800 Patients were material )or the stu%$ on vital capacit$

an% rib mobilit$ publishe% in !pine 1&&1 =21>" the material in the stu%$ on muscle activit$

re%uctions a)ter intensive rehabilitation consiste% o) more than 300 patients =22>.

he onl$ mi%term stu%$ with a )ollowup o) more than a 30 months perio% was the one with

the cohort treate% between 1&8& an% 1&&1 )irst publishe% in the ?nglish language in 1&&;

=18>" which was the basis )or our prospective controlle% trial publishe% in 2003 =1&>.

'uring the &0s there was some %evelopment with respect to the correction o) thoracolumbar

curves inclu%ing the %erotational e))ect o) the psoas muscle. More an% more eercises were

per)orme% in horiontal positions with as man$ corrective tools as possible" surel$ not

available %uring the patients home programmes 6#igure 6#igure1& 1&9.

#igure 1&

Typical treatment in the 's"lepios centre in 2ad Sobernheim with very many tools not

available at home* lying on the floor not using the automated postural correction by

using the corrective postural reflex activation =12>.

+n the 80s the author per)orme% an anal$sis o) the %i))erent aspects o) the original !chroth

metho% =2>. Ane o) the most important )actors o) the original !chroth metho% was the

automate% precorrection o) the %e)ormit$ with the help o) postural re)le activit$ in certainas$mmetric upright starting positions. he eercise began precorrecte% with the help o)

postural re)le activit$ in upright as$mmetric starting positions an% the eercise itsel)

increase% this precorrection 6#igure 6#igure20 209.

#igure 20

Starting position of the muscle cylinder& exercise. .

+n horiontal starting positions these precorrections %ue to postural re)le activit$ coul% not be

achieve% an% there)ore these postural corrections cannot be regar%e% as e))ective in beginning

an eercise in as$mmetric upright postition.

he programme was getting more comple an% complicate% %uring the &0s" but a clear

%irection o) %evelopment was no longer visible. hile brace treatment constantl$ %evelope%

an% improve%" the eercise programme lost its e))ectiveness compare% to other centres a)ter

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B20http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B21http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B22http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B18http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B19http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F19/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F19/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F19/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F20/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F20/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B20http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B21http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B22http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B18http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B19http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F19/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F19/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F20/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F20/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12


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the atharina !chroth lini, was ta,en over b$ s,lepios in 1&&. he groups o) sometimes

11* patients were too big )or signi)icant gains an% with onl$ one therapist.

he same programme was also per)orme% at that time in the ?lena !alva +nstitute in

.

here)ore" to%a$ bracing in the patient at ris, has to be regar%e% as the primar$ treatment

6#igure 6#igure21 21 an% an%229. 229. e have been able to cut the training times b$ a%apting

the ol% techni5ues =31> an% intro%ucing new )orms o) postural e%ucation 6sagittal correction"

'7 correction an% eperiencial learning9 while the programme is still base% on the original

approaches o) the 3%imensional treatment accor%ing to atharina !chroth" namel$ speci)ic

postural correction" correction o) the scoliotic breathing patterns an% correction o) postural

perception =32>.

#igure 21

3ood in-brace correction in todays& bracing standard. n overcorrection has been

achieve% in the single thoracic curve pattern.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B26http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B27http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B27http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B28http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B29http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B10http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B11http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B17http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B17http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B30http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F21/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F22/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F22/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B31http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B32http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F21/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B26http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B27http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B28http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B29http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B10http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B11http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B17http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B25http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B30http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F21/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F22/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B31http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B32http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F21/


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#igure 22

3ood in-brace correction in todays& bracing standard. su))icient correction has been

achieve% in the single thoracolumbar curve pattern. )ter * months o) treatment the

improvement o) the trun, %e)ormit$ is clearl$ visible in the sur)ace topograph$ ...

o%a$" especiall$ towar%s the en% o) the bracing perio%" more intensive ph$siotherap$ is

a%visable. owever to%a$s programme )ocusses on the activities o) %ail$ living 6'79 in

or%er to avoi% losing postural control in ever%a$ activit$.

30 minutes o) eercising is useless when the curve is loa%e% %uring the rest o) the %a$.

Gnloa%ing the spine an% curve there)ore" is the maEor aim o) the new programme %erive%

)rom the original. he eercises to%a$ are regar%e% to be important )or gaining postural

control but not as an eercise per se.

Fevertheless" the programme has been improve% with respect to the correction o) the sagittal plane an% to%a$ we are again )ostering a postural correction to the highest possible %egree

6#igure 6#igure239 239 an% here the circle closes again when we loo, at the ol% pictures with

remar,able corrections achieve% in reall$ large curvatures 6#igure 6#igure24 24 an% an%2 29.

#igure 23

)linical overcorrection of a patients with a thoracic curve exceeding +%4 in the 5ew

Power Schroth& exercise called rog at the pond& =12>.

#igure 24

3ood correction effect during an original Schroth exercise in a patient with a very large

rib hump. his was a corrective eercise %uring the initial %evelopment o) the original

!chroth programme. 7ater on the eercises were per)orme% %i))erentl$. =istorical ...

#igure 2

(mpressive correction of a significant rib hump during an intensive rehabilitation of $-

months in the old institute in Meissen* 1ast 3ermany before 66 (( . he picture on the

right is in actice correction. =istorical picture )rom the picture %atabase ...

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F22/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F23/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F24/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F24/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F25/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F23/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F24/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F25/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F22/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F23/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F24/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F25/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F23/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B12http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F24/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F25/


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o%a$s -Few Power !chroth programme is %esigne% )or small an% mo%erate curvatures. Ance

a thoracic curve ecee%s ;0D o) course the original !chroth programme seems to o))er the

greatest a%vantage )or the patient.

+n conclusion: he original concept o) atharina !chroth was" an% still is" the appropriate

programme to a%%ress large curvatures" especiall$ main thoracic curves.

he latest %evelopments 6-Few Power !chroth as part o) the !coliologicH.

he basic principles o) the original !chroth concept are still in use to%a$" though a%apte% to

latest evi%ence. lso the original 7ehnert !chroth classi)ication 6#igure 6#igure39 39 is still in

use to%a$ but it was augemente% to meet the nee%s arising while appl$ing pattern speci)ic

braces o) the lates stan%ar% most precisel$ 6#igure 6#igure2* 2*9.

#igure 2*

The new augmented classification according to Lehnert-Schroth. his classi)ication is still

base% on the classical one 6#igure. 39" however more precise. o%a$ this is a big help in

certain cases %uring ph$siotherap$" but also the basic classi)ication ...

Go to:

Competing interests

he author is a%visor o) oob!colitech" btweiler" (erman$.

Go to:

Supplementary aterial

'dditional file 78

9escription of the steps to scoliosis correction and also the description of

contraindications as well. 6Ariginal manuscript b$ atharina !chroth in (erman9. his )ileis not translate% an% use% )or %ocumentation onl$ =istorical picture )rom the picture %atabase

o) Christa 7ehnert!chroth>.

Clic, here )or )ile61.&M" IP?(9

'dditional file :8

9escription of the steps to scoliosis correction and also the description of

contraindications as well. 6Ariginal manuscript b$ atharina !chroth in (erman9. his )ile

is not translate% an% use% )or %ocumentation onl$ =istorical picture )rom the picture %atabase

o) Christa 7ehnert!chroth>.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B30http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B33http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F3/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F26/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F26/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/bin/1748-7161-6-17-S1.JPEGhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/bin/1748-7161-6-17-S1.JPEGhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B30http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/#B33http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F3/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F26/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/figure/F26/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180431/bin/1748-7161-6-17-S1.JPEG


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1&. eiss B" eiss (" Petermann #. +nci%ence o) curvature progression in i%iopathic

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