Cervical extension traction as part of a multimodal rehabilitation program relieves whiplash-associated disorders in a patient having failed previous chiropractic treatment: a CBP&lt;sup&gt;®&lt;/sup&gt; case report

Fortner, Miles O.; Oakley, Paul A.; Harrison, Deed E.

doi:10.1589/jpts.30.266

Cited by 8 publications

(10 citation statements)

References 31 publications

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“…It may be a prudent suggestion for the routine assessment of cervical spine alignment screening in those diagnosed with ‘unspecific’ dizziness. Although not a typical screening protocol for this disorder, this is consistent with the recent suggestion of cervical spine screening for those suffering from lingering whiplash symptoms, or so-called chronic or ‘late whiplash syndrome’ 26 ) .…”

Section: Discussionsupporting

confidence: 86%

The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics<sup>®</sup> case report

Gerstin

Oakley

Harrison³

2020

J Phys Ther Sci

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[Purpose] To present the case of the relief of idiopathic dizziness and the reduction of neck pains and headache by the improvement in cervical alignment using Chiropractic BioPhysics ® technique. [Participant and Methods] A 57 year old female presented with 30 years of chronic dizziness, neck pains and headache. Multiple testing ruled out known causes of vertigo. The patient was diagnosed with idiopathic dizziness. The patient scored 56 points on the dizziness handicap inventory. The patient showed a cervical hypolordosis of −13.7° and anterior head translation of 27 mm. The patient underwent a multimodal treatment of spinal manipulation, cervical extension traction, neck exercises as well as initial electrical stimulation. Traction procedures were slowly progressive due to the severity of the dizziness symptoms. [Results] Over a period of 12-months and 115 treatments there was a 20° increase in cervical lordosis. The patient reported significant reduction in neck pains, headache and dizziness frequency and severity. The patient had a 44-point drop on the dizziness handicap inventory; dizziness symptoms were reported to be very rare. A 1.5 year follow-up showed stability of the symptom relief and a negligible score on the dizziness handicap inventory. [Conclusion] Cervical hypolordosis may be an under-diagnosed cause of idiopathic dizziness in some patients.

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Section: Discussionsupporting

confidence: 86%

The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics<sup>®</sup> case report

Gerstin

Oakley

Harrison³

2020

J Phys Ther Sci

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“…The viscoelastic properties of ligament fibers allow them to accommodate sustained loads. It is presumed that the restoration of natural cervical lordosis following extension traction therapy is mostly due to ligamentous creep (stretching) [15] . Text neck is an altogether preventable overuse degeneration that must be brought into high awareness for smartphone users [11] .…”

Section: Discussionmentioning

confidence: 99%

Preventing the progression of text neck in a young man: A case report

Chu

2022

Radiology Case Reports

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Text neck describes an overuse injury of the cervical spine resulting from the repetitive stress of prolonged forward head flexion while looking down on a mobile screen. This case report describes a 24-year-old young man who presented with a 12-month history of head and neck pain and paresthesia of the right upper limb. The patient worked as a YouTuber and has been editing and posting videos on the website for three years. One year prior to referral for chiropractic assessment, the patient first visited his family physician for similar complaints. Based on cervical radiographs, the diagnosis of cervical spondylosis was given. Previous management included pain medication and muscle relaxants. Interventions included repeated physical therapy, cervical traction, and acupuncture, with some temporary relief during the subsequent year. However, severe flare-up of the symptoms occurred, which was brought about by working for extended periods on his smartphone, for which the patient sought chiropractic attention. X-ray imaging showed cervical kyphosis with C5 vertebral rotation, hypertonicity of the paraspinal muscles, and paresthesia in the right C6 dermatome distribution, which were consistent with text neck syndrome associated with cervical spondylosis and right C6 radiculopathy. The intervention consisted of improving posture while texting, cervical manipulation, and extension traction therapy. After 9 months of treatment sessions, the symptomatic and functional improvement was reflected by the radiographic changes in the cervical curve correction and the normalized paraspinal muscle tension on surface electromyology. Frequent breaks along with correct posture while using smartphones will be the key entities to prevent the occurrence of text neck syndrome.

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“…In that paper it was discussed that the success for changing the spine structure was likely due to both the 'more efficient direction of the applied tractioning force' and the 'use of a sustained force'. Regardless of actual mechanism, the ability to restore the anatomic cervical spine curve may be an under-utilized therapeutic approach to a myriad of craniocervical disorders [38][39][40][41][42] .…”

Section: Introductionmentioning

confidence: 99%

Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systematic review of controlled trials

Oakley¹,

Ehsani

Moustafa

et al. 2021

J Phys Ther Sci

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To systematically review the literature on the use of cervical extension traction methods for increasing cervical lordosis in those with hypolordosis and cervical spine disorders. [Methods] Literature searches for controlled clinical trials were performed in Pubmed, PEDro, Cochrane, and ICL databases. Search terms included iterations related to the cervical spine, neck pain and disorders, and extension traction rehabilitation. [Results] Of 1,001 initially located articles, 9 met the inclusion/exclusion criteria. The trials demonstrated increases in radiographically measured lordosis of 12-18°, over 5-15 weeks, after 15-60 treatment sessions. Untreated controls/ comparison groups not receiving extension traction showed no increase in cervical lordosis. Several trials demonstrated that both traction and comparison treatment groups experienced immediate pain relief. Traction treatment groups maintained their pain and disability improvements up to 1.5 years later. Comparative groups not receiving lordosis improvement experienced regression of symptoms towards pre-treatment values by 1 years' follow-up.[Conclusion] There are several high-quality controlled clinical trials substantiating that increasing cervical lordosis by extension traction as part of a spinal rehabilitation program reduces pain and disability and improves functional measures, and that these improvements are maintained long-term. Comparative groups who receive multimodal rehabilitation but not extension traction experience temporary relief that regresses after treatment cessation.

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Cervical extension traction as part of a multimodal rehabilitation program relieves whiplash-associated disorders in a patient having failed previous chiropractic treatment: a CBP<sup>®</sup> case report

Cited by 8 publications

References 31 publications

The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics<sup>®</sup> case report

The treatment of dizziness by improving cervical lordosis: a Chiropractic BioPhysics<sup>®</sup> case report

Preventing the progression of text neck in a young man: A case report

Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systematic review of controlled trials

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