Wickstrom Bret M, Oakley Paul A, Harrison Deed E
Private Practice, USA.
Private Practice, Canada.
J Phys Ther Sci. 2017 Aug;29(8):1472-1474. doi: 10.1589/jpts.29.1472. Epub 2017 Aug 10.
[Purpose] To present a case demonstrating the relief of cervical radiculopathy following the dramatic reduction of forward head posture and restoration of the cervical lordosis by use of a multi-modal rehabilitation program incorporating cervical extension traction. [Subject and Methods] A 31-year-old male patient presented with severe cervical radiculopathy and muscle weakness as well as neck pain. The patient had limited neck range of motion, and multiple positive orthopedic tests. Radiography revealed excessive forward head posture with a cervical kyphosis. [Results] The patient received a multi-modal rehabilitation protocol including mirror image extension exercises, cervical extension traction, and spinal manipulative therapy. After forty treatments over 17 weeks, the patient reported a complete resolution of radiculopathy and significant improvement in neck pain level. Post radiography demonstrated correction of the spine and posture alignment. The patient remained well and maintained corrected posture with limited treatment one year later. [Conclusion] Our case demonstrates the relief of cervical radiculopathy resulting from the non-surgical correction of forward head posture and cervical kyphosis.
[目的] 介绍一例通过采用包含颈椎伸展牵引的多模式康复计划，显著改善头部前倾姿势并恢复颈椎生理前凸后，颈神经根病得到缓解的病例。[对象与方法] 一名31岁男性患者，表现为严重的颈神经根病、肌肉无力以及颈部疼痛。患者颈部活动范围受限，多项骨科检查呈阳性。影像学检查显示头部前倾姿势过度且颈椎后凸。[结果] 患者接受了包括镜像伸展练习、颈椎伸展牵引和脊柱手法治疗在内的多模式康复方案。经过17周的40次治疗后，患者报告神经根病完全缓解，颈部疼痛程度显著改善。治疗后的影像学检查显示脊柱和姿势排列得到矫正。一年后，患者在接受有限治疗的情况下状况良好，且保持了矫正后的姿势。[结论] 我们的病例表明，通过非手术方式矫正头部前倾姿势和颈椎后凸可缓解颈神经根病。
