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

Oakley, Paul A.; Ehsani, Niousha Navid; Harrison, Deed E.

doi:10.1589/jpts.31.860

Cited by 7 publications

(7 citation statements)

References 29 publications

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“…When applying extension traction protocols, it is important to realize the obvious notion that this applies only to those presenting with hypolordosis, straightening, or kyphosis of the cervical or Lumbar spinal areas, not to those with hyperlordosis. In such cases, different CBP traction protocols apply which are beyond the scope of this brief review [39,56]. Also, in the performance of assessing patient tolerance to extension traction, the slow progression of increasing time and transitioning to a more challenging extension stretch is found in the skill and art of the hands of the practitioner.…”

Section: Contraindications To Extension Tractionmentioning

confidence: 99%

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Oakley¹,

Moustafa²,

Harrison³

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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Low back and neck pain disorders are among the leading causes for work loss, suffering, and health care expenditures throughout the industrialized world. It has been extensively demonstrated that sagittal plane alignment of the cervical and lumbar spines impacts human health and well-being. Today there are reliable and predictable means through the application of extension spinal traction as part of comprehensive rehabilitation programs to restore the natural curvatures of the spine. High-quality evidence points to Chiropractic BioPhysics® (CBP®) methods offering superior long-term outcomes for treating patients with various craniocervical and lumbosacral disorders. CBP technique is a full spine and posture rehabilitation approach that incorporates mirror image® exercises, spinal and postural adjustments, and unique traction applications in the restoration of normal/ideal spinal alignment. Recent randomized controlled trials using CBP's unique extension traction methods in conjunction with various conventional physiotherapeutic methods have demonstrated those who restore normal lordosis (cervical or lumbar) get symptomatic relief that lasts up to 2 years after treatment. Comparative groups receiving various 'cookie-cutter' conventional treatments experience only temporary symptomatic relief that regresses as early as 3 months after treatment. The economic impact/benefit of CBPs newer sagittal spine rehabilitation treatments demand continued attention from clinicians and researchers alike.systematically as the Harrison group [4][5][6][7][8][9][10][11]. Elliptical shape modeling of the path of the posterior longitudinal ligament along the posterior vertebral body margins was chosen due to the ease of clear identification of these spine landmark points and for the ability to easily make measurements of spine segmental and total angle of curvature on patient radiographs to compare patient measurements to model predictions. Modeling was performed on radiographic samples of asymptomatic participants. Computer iterations of spinal shape modeling was applied to determine best-fit geometric spine shapes by fitting various ellipses of altering minor-to-major axes ratios to digitized posterior vertebral body corners on samples of radiographs of the cervical [4-6], thoracic [7,8], and lumbar spinal regions [9][10][11] (Figure 3).The Harrison normal spinal model (Figure 3) features a circular cervical lordosis, and portions of an elliptical curve for both the thoracic kyphosis (more curvature cephalad), and lumbar lordosis (more curvature caudad). Consequently, features of the normal human spine reveal that the opposite thoracic and lumbar curves meet together at the thoraco-lumbar junction being essentially straight; the upper, deeper curve of the upper thoracic spine reflects oppositely at the cervico-thoracic junction (between T1 and T2) and continues into the cervical lordosis; the lower lumbar spine increases its lordotic alignment having two-thirds of its curve between L4-S1 as it meets the forward tilted sacral base. T...

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Section: Contraindications To Extension Tractionmentioning

confidence: 99%

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Oakley¹,

Moustafa²,

Harrison³

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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“…Overall, after 11-months and 57 treatments this patient had a 13.4° reduction in hyperlordosis, a 11.8° reduction of SBA and a 15.4 mm reduction in forward thoracic translation. In comparison, Oakley et al 9) reported on an 8° reduction in hyperlordosis, a 5° reduction in SBA and a 17.4 mm reduction in forward thoracic translation in an adult female after 74 treatments over a 13-month duration. Cardwell et al 10) reported a 6° reduction in hyperlordosis and a 2° reduction in SBA in a 34-year-old male after 33 treatments over 9-months.…”

Section: Discussionmentioning

confidence: 93%

“…Chiropractic BioPhysics ® (CBP ® ) rehabilitation techniques have shown evidence of reducing postural distortions including hyperlordosis of the lumbar spine [9][10][11] . Three case reports demonstrate emerging evidence these methods can nonsurgically reduce lumbar hyperlordosis, thus, more cases are needed.…”

Section: Introductionmentioning

confidence: 99%

Reduction of lumbar hyperlordosis in a pediatric: a Chiropractic Biophysics<sup>®</sup> case report

Kallan

Oakley

Harrison³

2022

J Phys Ther Sci

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To demonstrate the reduction of lumbar hyperlordosis, sacral base angle and anterior thoracic translation posture in an 11-year-old female. [Participant and Methods] A pediatric patient presented with lumbar hyperlordosis and underwent Chiropractic BioPhysics ® treatment protocols to reduce her spinal deformity and correlated symptoms. Symptoms included thoracolumbar, hip, knee and ankle pains and lower extremity weakness. Radiographs confirmed lumbar hyperlordosis, increased sacral base angle and a forward translated thoracic posture. Spinal traction as well as corrective exercises and spinal manipulative therapy was performed over an 11-month period. [Results] After 57 treatments, there was a 13.4° reduction in L1-L5 lordosis, an 11.8° reduction in sacral base angle and a 13.8 mm reduction in anterior thoracic translation. The improved structural changes correlated with improved symptoms. [Conclusion] Lumbar hyperlordosis can be reduced in pediatric patients presenting with hyperlordosis and associated symptomatology. Routine radiography may be warranted in the diagnosis of lumbar spine deformities in pediatrics. Further research into the non-surgical reduction of lumbar spine hyperlordosis is needed.

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“…Additional trends were identified for case management CRs with the highest citation rate since 2015. Musculoskeletal and connective tissue (M00-M99) CRs included an integrative series describing platelet rich plasma injections for sacroiliac joint instability [58], and CRs describing the Chiropractic BioPhysics® methods for posture [59], cervical whiplash [60], and scoliosis [61]. Diseases of the nervous system (G00-G99) CRs described management of postoperative spinal arachnoiditis [62], rehabilitative techniques for a patient with posterior cortical atrophy [63], and integrative management of an incomplete cervical spinal cord injury [64].…”

Section: Icd-10 Trendsmentioning

confidence: 99%

Chiropractic case reports: a review and bibliometric analysis

Trager

Dusek

2021

Chiropr Man Therap

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Objective To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs). Methods A bibliometric review was conducted by searching PubMed, Index to Chiropractic Literature (ICL), and Google Scholar to identify PubMed-indexed CRs, which were screened according to selection criteria. Case reports were categorized by International Classification of Disease (ICD-10) code, patient age, topic describing case management or adverse effects of care, focus being spinal or non-spinal, journal type, integrative authorship, title metrics, and citation metrics. Binary logistic regression was used to identify independent predictors of citations per year and total citations greater than the median values. Results The search identified 1176 chiropractic CRs meeting selection criteria. There was an increasing trend of CRs having a case management topic, non-spinal focus, non-chiropractic journal, neuromusculoskeletal-focus, diagnosis of vascular pathology, and a decreasing trend of adverse effect vascular pathology CRs. Independent predictors of greater total citations (or citation rate) included ICD-10 categories of perinatal conditions, infections, “case” in title, case management topic, and physical therapy, integrative, and dental journal type. Predictors of fewer citations included diseases of the blood, neoplasms, other findings not elsewhere classified, a title > 11 words, and multidisciplinary authorship. ICD-10 categories describing non-musculoskeletal diseases and special populations such as pediatrics, pregnancy, and perinatal conditions had few CRs. Conclusion Chiropractic CRs are diversifying from spine-related topics. Chiropractors are encouraged to publish objective, structured CRs within defined research gaps. Published CRs can inform the design of future research studies with a higher level of clinical relevance and evidence.

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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

Cited by 7 publications

References 29 publications

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Reduction of lumbar hyperlordosis in a pediatric: a Chiropractic Biophysics<sup>®</sup> case report

Chiropractic case reports: a review and bibliometric analysis

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