Schuermann’s Disease is a primary hyper-kyphosis deformity where the individual demonstrates excess kyphosis or forward rounding of the thoracic (upper back) region. These individuals may still exhibit a lateral or rotational deviation like those classically diagnosed with scoliosis in addition. Average thoracic kyphosis naturally increases with age due to degenerative changes including osteopenia or osteoporosis. Schuermann’s Disease’s onset is in childhood. It is comprised of a 40 degree or greater curve, ventral wedging of the vertebra, irregular end plates and increased overall anterior-posterior (front to back) diameter of the thoracic cavity. Schroth can also be used to treat hyperkyphosis disorders, but most notably is geared toward scoliosis and Schuermann’s Disease.
Reference: BSPTS Certification Course C1: “3D Treatment of Scoliosis according to the Principles of Katherina Schroth and Christa Lehnert Schroth” taught by Cindi Marti, PT. March 2018.
References:
- Outcome of intensive outpatient rehabilitation and bracing in an adult patient with Scheuermann’s disease evaluated by radiologic imaging—a case report http://www.physiopartners.com/media/file/389656/Outcome%20of%20intensive%20outpatient.pdf
- Improvement of clinical and radiographical presentation of Scheuermann disease after Schroth therapy treatment http://www.physiopartners.com/media/file/389656/Improvement.pdf