Oakley Paul A, Kallan Sean Z, Haines Lance D, Harrison Deed E
Private Practice: Newmarket, Ontario, L3Y 8Y8, Canada.
Private Practice, Canada.
J Phys Ther Sci. 2023 May;35(5):389-394. doi: 10.1589/jpts.35.389. Epub 2023 May 1.
[Purpose] To present a case demonstrating dramatic restoration of the cervical lordosis and reduction of forward head posture by use of Chiropractic BioPhysics (CBP) technique. [Participant and Methods] A 24-year-old cervical asymptomatic female presented with poor craniocervical posture. Radiography revealed forward head posture and an exaggerated cervical kyphosis. [Results] The patient received CBP care including mirror image cervical extension exercises, cervical extension traction and spinal manipulative therapy. After 36 treatments over 17-weeks, repeat radiography demonstrated a dramatic improvement of an alteration of the cervical kyphosis to a lordosis and a reduction of forward head posture. Subsequent treatment increased the lordosis further. Long-term follow-up at 3.5 years showed some loss of original correction, however, a maintenance of the global lordosis. [Conclusion] This case demonstrates that non-surgical reversal of a cervical kyphosis to a lordosis is possible in a short time using CBP cervical extension protocols. It is logical if the kyphosis had not been corrected, over time, osteoarthritis and various craniovertebral symptoms would have evolved as the literature indicates. The diagnosis of gross spinal deformity, we argue, requires its correction prior to the onset of symptoms and permanent degenerative changes.
[目的] 介绍一例通过整脊生物物理学(CBP)技术显著恢复颈椎前凸并改善头部前倾姿势的病例。[参与者与方法] 一名24岁无症状的颈椎女性患者,存在不良的颅颈姿势。X线检查显示头部前倾姿势以及颈椎后凸增大。[结果] 患者接受了CBP治疗,包括镜像颈椎伸展运动、颈椎伸展牵引和脊柱手法治疗。经过17周的36次治疗后,重复X线检查显示颈椎后凸转变为前凸有显著改善,头部前倾姿势也有所减轻。后续治疗进一步增加了前凸。3.5年的长期随访显示,最初的矫正有一定程度的丢失,然而,整体前凸得以维持。[结论] 该病例表明,使用CBP颈椎伸展方案,在短时间内将颈椎后凸非手术逆转至前凸是可行的。如果后凸未得到矫正,随着时间推移,正如文献所示,骨关节炎和各种颅颈症状将会出现,这是合乎逻辑的。我们认为,对于严重脊柱畸形的诊断,需要在症状发作和永久性退行性改变之前进行矫正。