Lumbar spondylolisthesis affects ~20% of the US population and causes spine-related pain and disability.
This series reports on three patients (two females and one male) aged 68-71 years showing ...improvements in back pain, quality of life (QOL), and urinary dysfunction following correction of lumbar spondylolistheses using CBP
spinal rehabilitation. Pre-treatment radiographs showed lumbar hyperlordosis (-49.6°, ideal is -40°) and anterolisthesis (14.5 mm, ideal is 0 mm). Pre-treatment patient-reported outcome measures (PROMs) included a numeric rating scale (NRS) for back pain (7.3/10, ideal is 0), urinary urgency (8/10, ideal is 0), and SF-36 physical (PCS) and mental component score (MCS) (29.8 and 46.6, ideal is 46.8 and 52.8). Patients underwent 2-3 CBP
sessions per week to correct lumbar hyperlordosis and lumbar anterolistheses.
Post-treatment radiographs showed improvements in lumbar curvature (-42.8°) and anterolisthesis (4.2 mm). Post-treatment PROMs showed improvements in NRS for back pain (1/10), urinary urgency (2.3/10), and SF-36 PCS and MCS (50.2 and 57.7). Long-term follow-up radiographs and PROMs showed maintained improvements.
This series documents the first-recorded long-term corrections of lumbar spondylolisthesis and concomitant improvements in back pain, urinary urgency, and QOL using CBP
. This series provides evidence for CBP
as a non-surgical approach to lumbar spinal rehabilitation and the possible impacts of spinal alignment on pain, urinary dysfunction, and QOL.
Purpose To report on the reduction of a double lumbar spine spondylolisthesis by use of Chiropractic BioPhysics® technique. Participant and Methods A 57 year-old male presented with severe chronic ...low back pains and sciatica. After playing hockey for 50 years, he was unable to continue and was forced to retire. Lumbar radiography showed an L3 retrolisthesis of −5.3 mm and an L4 anterolisthesis of 5.4 mm. Chiropractic BioPhysics technique including mirror image lumbar spine drop-table adjustments, corrective exercises and a unique pelvic extension traction was performed 50 times over 7-months. Results A radiograph after 3-months showed full reduction of the L3 retrolisthesis. A radiograph after 7-months showed full reduction of the L4 anterolisthesis. The patient reported full resolution of chronic back pains and was able to return to play hockey; a 1.75 year follow-up showed maintenance of the corrections and the patient remained injury-free while returning to play hockey. Conclusion A customized treatment program including Chiropractic BioPhysics lumbar spine traction, corrective exercises and drop-table spine manipulation resolved chronic back pains and fully reduced an L3 and L4 retro- and antero-listhesis, respectively. Further research may substantiate this treatment approach for reducing translational displacements in the lumbar spine. Routine upright radiography is required to diagnose spondylolisthesis.
Loss of cervical lordosis is associated with decreased vertebral artery hemodynamics.
The aim of this study is to evaluate cerebral blood flow changes on brain magnetic resonance angiogram (MRA) in ...patients with loss of cervical lordosis before and following correction of cervical lordosis.
This study is a retrospective consecutive case series of patients in a private practice.
Cervical lordosis of seven patients (five females and two males, 28-58 years) was measured on lateral cervical radiographs ranging from -13.1° to 19.0° (ideal is -42.0°). Brain MRAs were analyzed for pixel intensities representing blood flow. Pixel intensity of the cerebral vasculature was quantified, and percentage change was determined.
A Student's t-test established significance of the percentage change in cerebral blood flow between pre- and postcervical lordosis adjustment images. Regression analysis was performed. An
analysis determined correlation between cervical lordosis and change in MRA pixel intensity. The statistician was blinded to the cervical lordosis.
Pixel intensity increased 23.0%-225.9%, and a Student's
-test determined that the increase was significant (
< 0.001). Regression analysis of the change in pixel intensity versus the cervical lordosis showed that as the deviation from a normal cervical lordosis increases, percentage change in pixel intensity on MRA decreases.
These results indicate that correction of cervical lordosis may be associated with an immediate increase in cerebral blood flow. Further studies are needed to confirm these findings and understand clinical implications.
Abstract. Purpose To report on the reduction of a double lumbar spine spondylolisthesis by use of Chiropractic BioPhysics(R) technique. Participant and Methods A 57 year-old male presented with ...severe chronic low back pains and sciatica. After playing hockey for 50 years, he was unable to continue and was forced to retire. Lumbar radiography showed an L3 retrolisthesis of -5.3 mm and an L4 anterolisthesis of 5.4 mm. Chiropractic BioPhysics technique including mirror image lumbar spine drop-table adjustments, corrective exercises and a unique pelvic extension traction was performed 50 times over 7-months. Results A radiograph after 3-months showed full reduction of the L3 retrolisthesis. A radiograph after 7-months showed full reduction of the L4 anterolisthesis. The patient reported full resolution of chronic back pains and was able to return to play hockey; a 1.75 year followup showed maintenance of the corrections and the patient remained injury-free while returning to play hockey. Conclusion A customized treatment program including Chiropractic BioPhysics lumbar spine traction, corrective exercises and drop-table spine manipulation resolved chronic back pains and fully reduced an L3 and L4 retro- and antero-listhesis, respectively. Further research may substantiate this treatment approach for reducing translational displacements in the lumbar spine. Routine upright radiography is required to diagnose spondylolisthesis.
This study investigates the impact of isometric contraction of anterior cervical muscles on cervical lordosis.
29 volunteers were randomly assigned to an anterior head translation (n=15) or anterior ...head flexion (n=14) group. Resting neutral lateral cervical x-rays were compared to x-rays of sustained isometric contraction of the anterior cervical muscles producing anterior head translation or anterior head flexion.
Paired sample t-tests indicate no significant difference between pre and post anterior head translation or anterior head flexion. Analysis of variance suggests that gender and peak force were not associated with change in cervical lordosis. Chamberlain's to atlas plane line angle difference was significantly associated with cervical lordosis difference during anterior head translation (p=0.01).
This study shows no evidence that hypertonicity, as seen in muscle spasms, of the muscles responsible for anterior head translation and anterior head flexion have a significant impact on cervical lordosis.
The objective of this study was to evaluate the intra-examiner and inter-examiner reproducibility of paraspinal thermography using an infrared scanner.
The thermal functions of a commercially ...available infrared scanner (Insight Subluxation Station®) were evaluated for clinical reliability. Two practicing clinicians conducted the measures on 100 subjects. Intra class correlation coefficients (ICCs) and concordance correlation coefficients (CCCs) were calculated from the collected data.
Mean bilateral paraspinal skin temperature was 89.78° F and ranged from 88.77° F to 91.43° F. Intra class correlation coefficients (ICCs) for agreement and consistency ranged from 0.959 to 0.976. Concordance correlation coefficients (CCCs) ranged from 0.783 to 0.859 with tight confidence intervals indicating robust estimates of these quantities.
This study revealed excellent intra-examiner and inter-examiner reproducibility of paraspinal thermography using a commercially available unit.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
To report improvements in post-concussion syndrome and concussion incidence following cervical spinal alignment correction.
A 27-year-old professional rugby player with 20 documented concussions ...presented with abnormal cervical spinal alignment and post-concussion syndrome. After 30 sessions of cervical rehabilitation, health outcomes improved. Post-treatment radiographs showed improved cervical lordosis from -13.5° to -37.4° (ideal is -42°) and right head translation from -22.7 to -11.3 mm (ideal is 0 mm). 2-year follow-up radiographs and 6-year follow-up health outcomes showed post-treatment improvements were maintained. The patient reported two documented concussions in the 6 years following treatment while maintaining the same lifestyle and professional rugby career.
Correction of abnormal cervical spinal alignment may help athletes with post-concussion syndrome and reduce risk of concussion.
A 27-year-old male professional rugby player with a 6-year history of 20 documented concussions presented with severe neck and headache pain and disability. X-rays of his neck were taken to measure spinal alignment and posture. Also, neck and headache pain, disability and quality-of-life measures were assessed. After 30 treatment sessions of Chiropractic BioPhysics
(CBP
) neck spinal alignment and posture rehabilitation, neck and headache pain and disability and quality-of-life improved. X-rays showed improved spinal alignment and posture in his neck. Follow-up x-rays 2 years after treatment showed that the improvements to his neck spinal alignment and posture were maintained. Follow-up assessment 6 years after treatment showed that the post-treatment improvements in in neck and headache pain and disability and quality of life were maintained. Additionally, the patient reported only two documented concussions in the 6 years following treatment maintaining the same lifestyle and competing as a professional rugby player at the same level, position and playing time. This is the first documented improvement in post-concussion syndrome and decreased concussion occurrence following correction of neck spinal alignment and posture. Correction of neck spinal alignment and posture allows the spine to function as a healthy shock absorber and increases its ability to decrease stress transferred to the brain from trauma responsible for concussions and may reduce the risk of concussions.
Improvements in post-concussion syndrome neck and headache pain and disability and concussion incidence in a professional rugby player following correction of abnormal spinal alignment and posture using Chiropractic BioPhysics
Mirror Image
structural spinal rehabilitation.
Cervical spondylolisthesis indicates instability of the spine and can lead to pain, radiculopathy, myelopathy and vertebral artery stenosis. Currently degenerative cervical spondylolisthesis is a ...wait-and-watch condition with no treatment guidelines. A literature review and discussion will be provided. 8 females presented with neck pain, disability, and history of motor vehicle collision. Radiographs revealed abnormal cervical alignment, spinal canal narrowing, and spondylolistheses. After 30 sessions of Chiropractic BioPhysics® care over 12 weeks, patients reported improved symptoms and disabilities. Radiographs revealed improvements in cervical alignment, spondylolistheses, and spinal canal diameter. Motor vehicle collision may cause instability and abnormal alignment of the cervical spine leading to cervical spondylolisthesis. Improving spinal alignment may be an effective treatment to reduce vertebral subluxation and cervical spondylolistheses and improve neck disability as a result of improved spinal alignment.
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