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Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report

[Purpose] To present a case of the therapeutic reversal of a cervical kyphosis into a lordosis in a patient who presented with neck pain and headaches. [Subject and Methods] A 24-year-old male irritated his neck while dancing. Upon examination it was revealed he had an excessive, 45 mm forward head...

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Autores principales: Dennis, Alyssa K., Oakley, Paul A., Weiner, Michael T., VanVranken, Tara A., Shapiro, David A., Harrison, Deed E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909021/
https://www.ncbi.nlm.nih.gov/pubmed/29706725
http://dx.doi.org/10.1589/jpts.30.654
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author Dennis, Alyssa K.
Oakley, Paul A.
Weiner, Michael T.
VanVranken, Tara A.
Shapiro, David A.
Harrison, Deed E.
author_facet Dennis, Alyssa K.
Oakley, Paul A.
Weiner, Michael T.
VanVranken, Tara A.
Shapiro, David A.
Harrison, Deed E.
author_sort Dennis, Alyssa K.
collection PubMed
description [Purpose] To present a case of the therapeutic reversal of a cervical kyphosis into a lordosis in a patient who presented with neck pain and headaches. [Subject and Methods] A 24-year-old male irritated his neck while dancing. Upon examination it was revealed he had an excessive, 45 mm forward head translation and a 15° cervical kyphosis from C3–C6. The patient was treated with Chiropractic BioPhysics(®) methods aimed at restoring the cervical lordosis by mirror image(®), neck extension exercises, cervical extension traction, and spinal manipulative therapy. [Results] After two weeks of treatments the patient reported a complete resolution of neck pain. After 24 treatments over 10-weeks, a lateral radiograph demonstrated the restoration of a cervical lordosis and a complete reduction of forward head translation. [Conclusion] This case demonstrates that a cervical kyphosis may be reversed into a lordosis in as little as 10-weeks by specific care incorporating cervical extension protocols. This case also supports the biomechanical literature that suggests those with cervical kyphosis may be predisposed to spinal injury. We suggest that correcting even asymptomatic patients with obvious cervical spine deformity should be accomplished prior to future injury and/or degenerative changes.
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spelling pubmed-59090212018-04-27 Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report Dennis, Alyssa K. Oakley, Paul A. Weiner, Michael T. VanVranken, Tara A. Shapiro, David A. Harrison, Deed E. J Phys Ther Sci Case Study [Purpose] To present a case of the therapeutic reversal of a cervical kyphosis into a lordosis in a patient who presented with neck pain and headaches. [Subject and Methods] A 24-year-old male irritated his neck while dancing. Upon examination it was revealed he had an excessive, 45 mm forward head translation and a 15° cervical kyphosis from C3–C6. The patient was treated with Chiropractic BioPhysics(®) methods aimed at restoring the cervical lordosis by mirror image(®), neck extension exercises, cervical extension traction, and spinal manipulative therapy. [Results] After two weeks of treatments the patient reported a complete resolution of neck pain. After 24 treatments over 10-weeks, a lateral radiograph demonstrated the restoration of a cervical lordosis and a complete reduction of forward head translation. [Conclusion] This case demonstrates that a cervical kyphosis may be reversed into a lordosis in as little as 10-weeks by specific care incorporating cervical extension protocols. This case also supports the biomechanical literature that suggests those with cervical kyphosis may be predisposed to spinal injury. We suggest that correcting even asymptomatic patients with obvious cervical spine deformity should be accomplished prior to future injury and/or degenerative changes. The Society of Physical Therapy Science 2018-04-20 2018-04 /pmc/articles/PMC5909021/ /pubmed/29706725 http://dx.doi.org/10.1589/jpts.30.654 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
Dennis, Alyssa K.
Oakley, Paul A.
Weiner, Michael T.
VanVranken, Tara A.
Shapiro, David A.
Harrison, Deed E.
Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title_full Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title_fullStr Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title_full_unstemmed Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title_short Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP(®) case report
title_sort alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a cbp(®) case report
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909021/
https://www.ncbi.nlm.nih.gov/pubmed/29706725
http://dx.doi.org/10.1589/jpts.30.654
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