The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain: A randomized trial

Diab, Aliaa A.; Moustafa, Ibrahim M.

doi:10.3233/bmr-130372

Cited by 60 publications

(97 citation statements)

References 37 publications

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“…These results mirror the outcomes as found from the trials on the cervical spine by CBP extension traction methods [24,[28][29][30][31][32][33][34][35]. Table 2 summarizes the two lumbar trials [25][26][27].…”

Section: Restoration Of Lumbar Lordosissupporting

confidence: 71%

“…Since the original trial outlining the CBP extension traction approach for lumbar hypolordosis, two more randomized controlled trials have documented that superior outcomes occur in mechanical LBP and sciatic patients receiving lumbar extension traction as part of comprehensive physiotherapeutic programs versus those who receive the physiotherapy without the extension traction (Figures 9 and 10) [25][26][27]. These results mirror the outcomes as found from the trials on the cervical spine by CBP extension traction methods [24,[28][29][30][31][32][33][34][35].…”

Section: Restoration Of Lumbar Lordosismentioning

confidence: 99%

“…Similar to that discussed for the cervical spine, initial traction should be for 3-5 min and progress to 10-20 min per treatment session [19,[25][26][27]. Simultaneous physiotherapeutic treatments, including SMT, are in order to provide initial pain relief and improved mobility so that the patient is able to tolerate the traction [36][37][38].…”

Section: Cbp Protocol For Restoring Lumbar Lordosismentioning

confidence: 99%

“…The demonstration of paralleled spine alignment improvements with reductions in pain and disability, versus no change in untreated control groups in pre-post clinical trials have been performed [18][19][20][21][22][23]. The demonstration in randomized clinical trials that only patient groups achieving lordosis and sagittal posture improvement (lumbar or cervical) achieve long-term improvements in various outcome measures versus comparative treatment groups not getting spine alignment improvement who experience regression in multiple outcome measures at follow-up have also been done [24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

“…Today the evidence supporting the CBP approach to the correction of cervical lordosis and lumbar lordosis is substantial. There are now many randomized controlled clinical trials (RCT) documenting the reduction of anterior head translation [24,[28][29][30][31][32][33][34][35], as well as the increase in cervical lordosis [24,[28][29][30][31][32][33][34][35], and the increase in lumbar lordosis [25][26][27] in patients presenting with hypolordosis in each of these spinal areas. These trials have also demonstrated that the postural and spinal improvements are associated with improvements in various patient outcomes, including: pain, disability, quality of life, range of motion as well as specific physiological measures such as improved neurological central conduction times-the ability of the brain to communicate with the body.…”

Section: Introductionmentioning

confidence: 99%

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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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