Increasing the cervical and lumbar lordosis is possible despite overt osteoarthritis and spinal stenosis using extension traction to relieve low back and leg pain in a 66-year-old surgical candidate: a CBP&lt;sup&gt;®&lt;/sup&gt; case report

Weiner, Michael T.; Oakley, Paul A.; Dennis, Alyssa K.; Shapiro, David A.; Harrison, Deed E.

doi:10.1589/jpts.30.1364

Cited by 10 publications

(10 citation statements)

References 48 publications

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“…Recent advances in manual therapy traction methods by the Chiropractic BioPhysics ® (CBP ® ) group have shown that non-surgical rehabilitation of the lumbar lordosis is possible; for example, as presented in several case reports 17 , 18 , 19 , 20 ) . CBP methods is a full-spine and posture correcting technique (www.idealspine.com); however, for the purposes of this review we will focus on its employment of the unique ‘extension traction’ targeted to the lumbar spine in patients presenting with lumbar spine hypolordosis with various low back disorders.…”

Section: Introductionmentioning

confidence: 99%

Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics® (CBP®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders

et al. 2020

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[Purpose] To systematically review controlled trial evidence for the use of lumbar extension traction by Chiropractic BioPhysics ® methods for the purpose of increasing lumbar lordosis in those with hypolordosis and low back disorders. [Methods] Literature searches were performed in Pubmed, PEDro, CINAHL, Cochrane, and ICL databases. Search terms included iterations related to the lumbar spine, low back pain and extension traction rehabilitation. [Results] Four articles detailing 2 randomized and 1 non-randomized trial were located. Trials demonstrated increases in radiographic measured lordosis of 7–11°, over 10–12 weeks, after 30–36 treatment sessions. Randomized trials demonstrated traction treated groups mostly maintained lordosis correction, pain relief, and disability after 6-months follow-up. The non-randomized trial showed lordosis and pain intensity were maintained with periodic maintenance care for 1.5 years. Importantly, control/comparison groups had no increase in lumbar lordosis. Randomized trials showed comparison groups receiving physiotherapy-less the traction, had temporary pain reduction during treatment that regressed towards baseline levels as early as 3-months after treatment. [Conclusion] Limited but good quality evidence substantiates that the use of extension traction methods in rehabilitation programs definitively increases lumbar hypolordosis. Preliminarily, these studies indicate these methods provide longer-term relief to patients with low back disorders versus conventional rehabilitation approaches tested.

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Section: Introductionmentioning

confidence: 99%

Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics® (CBP®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders

et al. 2020

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“…Although there is much evidence on CBP methods employed to increase lumbar lordosis in patients suffering from LBP with hypolordosis (2 RCTs4,5,6 ) , 1 nRCT3 ) , 2 case series21, 22 ) , 6 case reports23,24,25,26,27,28 ) ), there are no pubmed CBP cases showing the reduction of lordosis in patients suffering with LBP with hyperlordosis. Thus, this case is unique as it shows the correction of a spine deformity not previously documented by CBP non-surgical methods.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, this case is unique as it shows the correction of a spine deformity not previously documented by CBP non-surgical methods. Further research is necessary to verify if this approach is as consistent as the methods have been shown to be for increasing the lumbar lordosis in patients presenting with loss of curve3,4,5,6, 21,22,23,24,25,26,27,28 ) .…”

Section: Discussionmentioning

confidence: 99%

Non-surgical reduction of lumbar hyperlordosis, forward sagittal balance and sacral tilt to relieve low back pain by Chiropractic BioPhysics® methods: a case report

Oakley

Ehsani

Harrison³

2019

J Phys Ther Sci

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To present the reduction of both lumbar spine hyperlordosis and anterior sagittal balance in a symptomatic patient as treated by Chiropractic BioPhysics ® technique. [Participant and Methods] A 46 year old reported with low back and hip pains for six years. Oswestry disability index scored 28%. Radiographic assessment revealed pronounced anterior sagittal balance with lumbar hyperlordosis. The patient was treated by Chiropractic BioPhysics technique to reverse the spinal deformity subluxation via mirror image corrective exercises and spinal traction, as well as spinal manipulative therapy. [Results] Assessments after 36 and 74 treatments corresponding to the 4-month and 13-month checkups demonstrated a continuous structural improvement in lumbar spine biomechanical parameters. There was a near complete resolution in low back and hip pains with an Oswestry score of 4%. [Conclusion] This case documents the reduction of lumbar spine hyperlordosis and forward sagittal balance by contemporary spine rehabilitation methods. It is essential to screen spinal subluxation patterns via standing radiography which obviously, as demonstrated in this case determines treatment approach as most low back pain patients present with lumbar hypolordosis. Routine initial and repeat radiography is safe in the screening and monitoring of treatment efficacy and is the standard for evidence-based, patient-centred structural rehabilitation.

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“…As previously mentioned, an evolving evidence base for CBP technique methods exists supporting the non-surgical improvement in lumbar alignment;12 ) precisely, there are 2 randomized trials13,14,15 ) , 1 non-randomized trial16 ) , 2 case series21, 22 ) , and 6 case reports23,24,25,26,27,28 ) documenting lumbar lordosis increase in adult patients having various lumbosacral symptomatology. This is the first case documenting the increase in lumbar lordosis and correction of TL posture by CBP methods in an adolescent.…”

Section: Discussionmentioning

confidence: 99%

Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics® methods in an adolescent with back pain: a case report

et al. 2019

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To present the structural improvement of an excessive junctional thoracolumbar kyphosis and related biomechanical parameters in an adolescent. [Participant and Methods] A 16 year old female presented with chronic back pains. Radiographic assessment revealed excessive posterior sagittal balance and thoracolumbar kyphosis and reduced lumbar lordosis and sacral inclination. Chiropractic BioPhysics ® technique including mirror image ® , anterior thoracic translation and thoracolumbar hyperextension traction was performed as well as spinal manipulation and postural exercises over an 8-week period. [Results] After 24 in-office treatments and a daily home program the patient reported a minimization of back pains and a better mood. Follow-up X-rays demonstrated a 48 mm reduction of posterior sagittal balance, a 22° reduction of thoracolumbar kyphosis, an 11° increase in lumbar lordosis, and a 10° increase in sacral inclination. [Conclusion] This is the first case documenting the non-surgical reduction of excessive thoracolumbar junctional kyphosis and related biomechanical parameters in an adolescent. Precise analysis of radiologic assessment for adolescents presenting with back pains is advised and are safe for the screening of postural disorders. There is a growing evidence base for the Chiropractic BioPhysics ® technique approach in the correction of lumbar spine disorders; more research is encouraged to further evaluate this unique treatment.

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Increasing the cervical and lumbar lordosis is possible despite overt osteoarthritis and spinal stenosis using extension traction to relieve low back and leg pain in a 66-year-old surgical candidate: a CBP<sup>®</sup> case report

Cited by 10 publications

References 48 publications

Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics<sup>®</sup> (CBP<sup>®</sup>) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders

Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics<sup>®</sup> (CBP<sup>®</sup>) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders

Non-surgical reduction of lumbar hyperlordosis, forward sagittal balance and sacral tilt to relieve low back pain by Chiropractic BioPhysics<sup>® </sup>methods: a case report

Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics<sup>® </sup>methods in an adolescent with back pain: a case report

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