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Relief of exertional dyspnea and spinal pains by increasing the thoracic kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods: a case report with long-term follow-up
[Purpose] To present the clinically significant improvement of straight back syndrome (SBS) in a patient with spinal pain and exertional dyspnea. [Subject and Methods] A 19 year old presented with excessive thoracic hypokyphosis and other postural deviations. A multimodal CBP(®) mirror image(®) prot...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788804/ https://www.ncbi.nlm.nih.gov/pubmed/29410595 http://dx.doi.org/10.1589/jpts.30.185 |
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author | Betz, Joseph W. Oakley, Paul A. Harrison, Deed E. |
author_facet | Betz, Joseph W. Oakley, Paul A. Harrison, Deed E. |
author_sort | Betz, Joseph W. |
collection | PubMed |
description | [Purpose] To present the clinically significant improvement of straight back syndrome (SBS) in a patient with spinal pain and exertional dyspnea. [Subject and Methods] A 19 year old presented with excessive thoracic hypokyphosis and other postural deviations. A multimodal CBP(®) mirror image(®) protocol of corrective exercises, traction procedures and spine/posture adjusting were given over an initial 12-week course of intensive treatment followed by a 2.75 year follow-up with minimal supportive treatment. [Results] The patient had significant postural improvements in all postural measures and specifically a 14° increase in the thoracic kyphosis that was maintained at long-term follow-up. The postural improvements were consistent with relief of exertional dyspnea and pain, as well as increases in both antero-posterior thoracic diameter and the ratio of antero-posterior to transthoracic diameter, measurements critical to the wellbeing of patients with SBS. [Conclusion] Long-term follow-up confirmed stable improvement in physiologic thoracic kyphosis in this patient. Nonsurgical correction in thoracic hypokyphosis/SBS can be achieved by mirror image traction procedures configured to flex the thoracic spine into hyperkyphosis as well as corrective exercise and manipulation as a part of CBP technique protocols. |
format | Online Article Text |
id | pubmed-5788804 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-57888042018-02-06 Relief of exertional dyspnea and spinal pains by increasing the thoracic kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods: a case report with long-term follow-up Betz, Joseph W. Oakley, Paul A. Harrison, Deed E. J Phys Ther Sci Case Study [Purpose] To present the clinically significant improvement of straight back syndrome (SBS) in a patient with spinal pain and exertional dyspnea. [Subject and Methods] A 19 year old presented with excessive thoracic hypokyphosis and other postural deviations. A multimodal CBP(®) mirror image(®) protocol of corrective exercises, traction procedures and spine/posture adjusting were given over an initial 12-week course of intensive treatment followed by a 2.75 year follow-up with minimal supportive treatment. [Results] The patient had significant postural improvements in all postural measures and specifically a 14° increase in the thoracic kyphosis that was maintained at long-term follow-up. The postural improvements were consistent with relief of exertional dyspnea and pain, as well as increases in both antero-posterior thoracic diameter and the ratio of antero-posterior to transthoracic diameter, measurements critical to the wellbeing of patients with SBS. [Conclusion] Long-term follow-up confirmed stable improvement in physiologic thoracic kyphosis in this patient. Nonsurgical correction in thoracic hypokyphosis/SBS can be achieved by mirror image traction procedures configured to flex the thoracic spine into hyperkyphosis as well as corrective exercise and manipulation as a part of CBP technique protocols. The Society of Physical Therapy Science 2018-01-27 2018-01 /pmc/articles/PMC5788804/ /pubmed/29410595 http://dx.doi.org/10.1589/jpts.30.185 Text en 2018©by the Society of Physical Therapy Science. Published by IPEC Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Study Betz, Joseph W. Oakley, Paul A. Harrison, Deed E. Relief of exertional dyspnea and spinal pains by increasing the thoracic kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods: a case report with long-term follow-up |
title | Relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods:
a case report with long-term follow-up |
title_full | Relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods:
a case report with long-term follow-up |
title_fullStr | Relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods:
a case report with long-term follow-up |
title_full_unstemmed | Relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods:
a case report with long-term follow-up |
title_short | Relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP(®) methods:
a case report with long-term follow-up |
title_sort | relief of exertional dyspnea and spinal pains by increasing the thoracic
kyphosis in straight back syndrome (thoracic hypo-kyphosis) using cbp(®) methods:
a case report with long-term follow-up |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788804/ https://www.ncbi.nlm.nih.gov/pubmed/29410595 http://dx.doi.org/10.1589/jpts.30.185 |
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