Why Do I Need to Do My Scoliosis Specific Exercises at Home?

If you’re attending scoliosis-specific physical therapy, you’re already doing something incredibly important for your spine. A very common question I hear from patients and parents is:

“If I’m coming to PT regularly, why do I still need to do my exercises at home?”

The answer comes down to this: scoliosis-specific exercises are not meant to live only inside the clinic. Their real value comes from consistency, repetition, and learning how to apply your corrections independently without constant cueing from your physical therapist.

During your PT sessions, the clinic acts as a guided learning environment. This is where we assess your curve pattern, teach you how to find your individualized corrections, and use hands-on, verbal, and visual cues to help you feel what your individual corrected posture actually is. We also progress your exercises thoughtfully and safely as your control and awareness improves.

But scoliosis does not only exist for an hour at a time. Your spine responds to what you do the rest of the day; how you sit, stand, move, breathe, and carry yourself over hours, days, and weeks. That’s where home exercise becomes essential.

Scoliosis-specific exercises are not random strengthening drills. They are targeted, corrective movements designed to improve three-dimensional spinal alignment, reinforce balanced muscle activation, and build postural awareness and control. These changes do not happen from doing exercises once or twice a week. They happen through consistent repetition over time, which allows your nervous system to learn new movement patterns and make them more automatic.

Another major goal of scoliosis-specific physical therapy is learning how to self-correct. In the clinic, I may help guide you into alignment. At home, you learn how to find and hold those corrections on your own, without hands-on assistance. This practice matters because real life doesn’t come with a physical therapist next to you reminding you to shift, elongate, de-rotate, or expand.

Your home program trains you to recognize when you’re out of alignment and how to gently correct yourself. Over time, this builds confidence and independence, which is the goal of PSSE.

Home exercises are also practice for everyday life. They help you carry your corrections into daily activities like sitting at a desk at school or work, standing for longer periods, walking, carrying a backpack, work bag, or child, playing sports, or maintaining posture when you’re tired. With consistent practice, these corrections start to show up naturally because your body has learned a better option.

If exercises only happen during PT sessions, progress tends to be slower, corrections remain dependent on external cues, and carryover into daily posture is limited. Home exercises bridge the gap between appointments and turn therapy into a continuous process rather than a once-a-week reset.

It’s also important to note that doing exercises at home doesn’t mean doing more for the sake of doing more. Quality matters far more than quantity. A good home program focuses on proper setup, thoughtful and controlled movement, and awareness of body positioning. Fewer repetitions done well are far more effective than rushing through too many.

Scoliosis specific physical therapy is about more than what happens in the clinic. It’s about giving you the tools to understand your body, control your posture, and apply corrections confidently in daily life. Home exercises are how those tools become habits.

By practicing consistently and learning to self-correct, you’re building long-term skills that support your spine well beyond your time in PT. If your home program ever feels confusing or hard to replicate, that’s part of the process too. The goal isn’t perfection, but awareness, consistency, and progress.

Dr. Rosemary Carvajal, PT, DPT

Dr. Rosemary Carvajal, PT, DPT is a board-certified Doctor of Physical Therapy and scoliosis-specific rehabilitation specialist. She has dedicated her career to helping children, adolescents, and adults with scoliosis and other spinal conditions move with greater ease, manage pain, and achieve lasting improvements in posture and function.

Rosemary is certified in the Rigo Concept BSPTS (Barcelona Scoliosis Physical Therapy School) method (L1, L2, L3 Advanced Certification) and SEAS (Scientific Exercise Approach to Scoliosis) method, both internationally recognized systems of Physiotherapeutic Scoliosis-Specific Exercises (PSSE) that evolved from the original Schroth Method. These advanced certifications allow her to design individualized treatment plans rooted in the most current research and best practices in scoliosis care.

Her passion for scoliosis rehabilitation is deeply personal. As a teenager, Rosemary wore a scoliosis brace and later underwent spinal fusion surgery. She has experienced firsthand the physical, emotional, and social challenges that scoliosis can bring. Today, she continues to practice scoliosis-specific exercise herself, which fuels both her empathy and her belief in the effectiveness of the methods she teaches. This lived experience allows her to provide not only clinical expertise but also compassionate, understanding care that truly connects with patients and families.

Rosemary provides scoliosis-specific physical therapy across the lifespan, including pre- and post-surgical care, brace management support, and long-term exercise programs. Her clinical practice is complemented by active involvement in research.

Beyond clinical care, Rosemary serves on the Communication Committee of SOSORT (International Society on Scoliosis Orthopaedic and Rehabilitation Treatment), where she helps advance global education and collaboration in scoliosis treatment.

Her approach blends advanced clinical expertise with personal experience and compassion. By combining evidence-based scoliosis-specific exercise methods with a hybrid practice model- offering both in-home and private clinic sessions, Rosemary ensures that every patient receives personalized care designed to support both spinal health and quality of life.

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Understanding How Bracing and PSSE Work Together