PMC5073427_01
Patient photograph taken at initial physiotherapy assessment in November 2008 shows signs of severe scoliosis. Signs of severe scoliosis are evident: thoracic convex right side shoulder elevation, thoracic convex right side ribcage protrusion resulting in a rib hump, and thoracic concave left side shoulder depression and retraction
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Fig1
Upon initial physiotherapy assessment, there was visible severe spinal deformity (Fig. 1).
Case presentation patient radiographs 2008-2009. a Radiograph taken in November 2008 shortly after initial physiotherapy assessment showing a 70-degree Cobb angle thoracic curve and a 48-degree Cobb angle lumbar curve. b Radiograph taken in July 2009, 9 months after beginning Schroth physiotherapy, showing reduced thoracic and lumbar Cobb angles of 58 and 43 , respectively. c Private radiograph taken in July 2009 during a Schroth exercise showing decreased thoracic and lumbar Cobb angles of 48 and 33 , respectively. d In-brace radiograph taken in November 2009 showing even further reductions in scoliosis curves to 38  thoracic Cobb angle and to 30  lumbar Cobb angle
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Fig2
The radiographs taken in November 2008 shortly after initial physiotherapy assessment revealed a 70-degree Cobb angle thoracic curve and a 48-degree Cobb angle lumbar curve (Fig. 2a), reflective of the average 1  annual scoliosis curve progression observed in adults.