Oakley Paul A, Haas Jason W, Harrison Deed E
Private Practice: Newmarket, ON, L3Y 8Y8, Canada.
Private Practice, USA.
J Phys Ther Sci. 2023 Dec;35(12):825-830. doi: 10.1589/jpts.35.825. Epub 2023 Dec 1.
[Purpose] To present the case of a significant reduction in thoraco-lumbar deformity and alleviation of chronic low back pain in an otherwise healthy and active adolescent male basketball player. [Participant and Methods] A 17 year old was assessed with chronic low back pain persisting for 4 years. Radiographic assessment revealed a prominent thoraco-lumbar kyphosis. Chiropractic Biophysics structural rehabilitation including mirror image exercise and traction methods as well as spinal manipulative therapy was performed 2-3 times per week. [Results] There was a 12° improvement in the thoraco-lumbar deformity corresponding with the alleviation of chronic low back pains and near complete reduction in disability after 36 treatments over a 4-month period. [Conclusion] This case adds to the growing literature showing the efficacy of the non-surgical spinal rehabilitative methods of Chiropractic Biophysics in improving spine alignment and relieving spinal pain syndromes. This case also demonstrates the importance of the routine screening for spine alignment via radiography in leading to proper biomechanical diagnosis and treatment.
[目的] 介绍一名原本健康且活跃的青少年男性篮球运动员胸腰段畸形显著减轻以及慢性下腰痛得到缓解的病例。[参与者与方法] 一名17岁男性因慢性下腰痛持续4年接受评估。影像学评估显示胸腰段脊柱后凸明显。采用脊椎矫正生物物理学结构康复方法,包括镜像运动和牵引方法以及脊柱手法治疗,每周进行2至3次。[结果] 在4个月内进行36次治疗后,胸腰段畸形改善了12°,同时慢性下腰痛得到缓解,残疾程度几乎完全减轻。[结论] 该病例进一步丰富了相关文献,表明脊椎矫正生物物理学的非手术脊柱康复方法在改善脊柱排列和缓解脊柱疼痛综合征方面具有疗效。该病例还证明了通过X线摄影对脊柱排列进行常规筛查对于正确的生物力学诊断和治疗的重要性。