Oakley Paul A, Kallan Sean Z, Harrison Deed E
Private Practice: Newmarket, ON, L3Y 8Y8, Canada.
CBP NonProfit, Inc., USA.
J Phys Ther Sci. 2022 Jun;34(6):467-472. doi: 10.1589/jpts.34.467. Epub 2022 Jun 6.
[Purpose] A case series is featured demonstrating reduction of curvature in three adult patients who presented with a mild to moderate severity of a uniquely high thoracic curvature clinical presentation. [Participants and Methods] Three adult patients who presented with an upper thoracic scoliosis deformity of mild to moderate severity underwent Chiropractic BioPhysics treatment protocols to treat their deformity. Radiographic stress imaging was performed to correctly position and ascertain potential treatment effect of the Denneroll spinal orthotic device. Patients performed spinal traction for 10-20 minutes daily with intermittent spinal manipulative therapy. [Results] There was a 4.5° average reduction in computerized Cobb angle measurement after treatment. All patients reported reductions in spinal pain and also reported subjective improvements in sleep quality and quality of life. [Conclusion] Mild reductions in uniquely high thoracic curves can be reduced in adult scoliosis patients with mild to moderate (17°-26°) curve magnitudes by CBP treatment protocols. Stress X-ray images are recommended to properly place the fulcrum and assess correction potential.
[目的] 本病例系列展示了三名成年患者的脊柱侧弯弧度减小，这些患者呈现出独特的高胸段脊柱侧弯，病情为轻度至中度。[参与者与方法] 三名患有轻度至中度严重程度的上胸段脊柱侧弯畸形的成年患者接受了脊椎矫正生物物理学治疗方案以治疗其畸形。进行了放射学应力成像，以正确定位并确定Denneroll脊柱矫形器的潜在治疗效果。患者每天进行10 - 20分钟的脊柱牵引，并接受间歇性脊柱手法治疗。[结果] 治疗后计算机化Cobb角测量平均减小了4.5°。所有患者均报告脊柱疼痛减轻，并且睡眠质量和生活质量有主观改善。[结论] 通过脊椎矫正生物物理学治疗方案，轻度至中度（17° - 26°）弧度大小的成年脊柱侧弯患者中独特的高胸段脊柱侧弯弧度可轻度减小。建议使用应力X线图像来正确放置支点并评估矫正潜力。
