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采用CBP镜像法治疗胸椎后凸畸形:10例回顾性病例系列研究

The CBP mirror image approach to reducing thoracic hyperkyphosis: a retrospective case series of 10 patients.

作者信息

Oakley Paul A, Jaeger Jason O, Brown John E, Polatis Todd A, Clarke Jeremiah G, Whittler Clint D, Harrison Deed E

机构信息

Private Practice: 11A-1100 Gorham Street, Newmarket, ON, L3Y 8Y8, Canada.

Private Practice, USA.

出版信息

J Phys Ther Sci. 2018 Aug;30(8):1039-1045. doi: 10.1589/jpts.30.1039. Epub 2018 Jul 24.

Abstract

[Purpose] To present a case series demonstrating the reduction of thoracic hyperkyphosis by the Chiropractic BioPhysics multimodal rehabilitation program. [Participants and Methods] Ten randomly selected files and corresponding radiographs were chosen from recent clinic archives of patients who were treated for thoracic hyperkyphosis. All patients were treated by CBP mirror image thoracic extension traction and exercises, as well as spinal manipulative therapy. [Results] Results demonstrated an average reduction in hyperkyphosis of 11.3° over an average of 25 treatments, over an average of 9 weeks. Patients also experienced a reduction in pain levels and disability ratings. [Conclusion] Postural hyperkyphosis is a serious progressive deformity that is related to a plethora of symptoms, syndromes, and early death. Thoracic hyperkyphosis may be reduced/corrected by posture-specific, thoracic extension protocols including mirror image extension traction and exercises, as well as spinal manipulation as part of the CBP multi-modal rehabilitation program.

摘要

[目的] 展示一个病例系列,以证明整脊生物物理学多模式康复方案可减轻胸椎后凸。[参与者与方法] 从近期因胸椎后凸接受治疗的患者临床档案中随机选取10份病历及相应的X光片。所有患者均接受了整脊生物物理学镜像胸椎伸展牵引及锻炼,以及脊柱手法治疗。[结果] 结果显示,在平均25次治疗、平均9周的时间里,胸椎后凸平均减轻了11.3°。患者的疼痛程度和残疾评定等级也有所降低。[结论] 姿势性胸椎后凸是一种严重的进行性畸形,与多种症状、综合征及过早死亡相关。胸椎后凸可通过特定姿势的胸椎伸展方案减轻/矫正,这些方案包括镜像伸展牵引及锻炼,以及作为整脊生物物理学多模式康复方案一部分的脊柱手法治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b2/6110211/c15a0a142721/jpts-30-1039-g001.jpg

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