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Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(® )methods in an adolescent with back pain: a case report
[Purpose] To present the structural improvement of an excessive junctional thoracolumbar kyphosis and related biomechanical parameters in an adolescent. [Participant and Methods] A 16 year old female presented with chronic back pains. Radiographic assessment revealed excessive posterior sagittal bal...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801338/ https://www.ncbi.nlm.nih.gov/pubmed/31645816 http://dx.doi.org/10.1589/jpts.31.839 |
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author | Gubbels, Christopher M. Werner, Joshua T. Oakley, Paul A. Harrison, Deed E. |
author_facet | Gubbels, Christopher M. Werner, Joshua T. Oakley, Paul A. Harrison, Deed E. |
author_sort | Gubbels, Christopher M. |
collection | PubMed |
description | [Purpose] To present the structural improvement of an excessive junctional thoracolumbar kyphosis and related biomechanical parameters in an adolescent. [Participant and Methods] A 16 year old female presented with chronic back pains. Radiographic assessment revealed excessive posterior sagittal balance and thoracolumbar kyphosis and reduced lumbar lordosis and sacral inclination. Chiropractic BioPhysics(®) technique including mirror image(®), anterior thoracic translation and thoracolumbar hyperextension traction was performed as well as spinal manipulation and postural exercises over an 8-week period. [Results] After 24 in-office treatments and a daily home program the patient reported a minimization of back pains and a better mood. Follow-up X-rays demonstrated a 48 mm reduction of posterior sagittal balance, a 22° reduction of thoracolumbar kyphosis, an 11° increase in lumbar lordosis, and a 10° increase in sacral inclination. [Conclusion] This is the first case documenting the non-surgical reduction of excessive thoracolumbar junctional kyphosis and related biomechanical parameters in an adolescent. Precise analysis of radiologic assessment for adolescents presenting with back pains is advised and are safe for the screening of postural disorders. There is a growing evidence base for the Chiropractic BioPhysics(®) technique approach in the correction of lumbar spine disorders; more research is encouraged to further evaluate this unique treatment. |
format | Online Article Text |
id | pubmed-6801338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-68013382019-10-23 Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(® )methods in an adolescent with back pain: a case report Gubbels, Christopher M. Werner, Joshua T. Oakley, Paul A. Harrison, Deed E. J Phys Ther Sci Case Study [Purpose] To present the structural improvement of an excessive junctional thoracolumbar kyphosis and related biomechanical parameters in an adolescent. [Participant and Methods] A 16 year old female presented with chronic back pains. Radiographic assessment revealed excessive posterior sagittal balance and thoracolumbar kyphosis and reduced lumbar lordosis and sacral inclination. Chiropractic BioPhysics(®) technique including mirror image(®), anterior thoracic translation and thoracolumbar hyperextension traction was performed as well as spinal manipulation and postural exercises over an 8-week period. [Results] After 24 in-office treatments and a daily home program the patient reported a minimization of back pains and a better mood. Follow-up X-rays demonstrated a 48 mm reduction of posterior sagittal balance, a 22° reduction of thoracolumbar kyphosis, an 11° increase in lumbar lordosis, and a 10° increase in sacral inclination. [Conclusion] This is the first case documenting the non-surgical reduction of excessive thoracolumbar junctional kyphosis and related biomechanical parameters in an adolescent. Precise analysis of radiologic assessment for adolescents presenting with back pains is advised and are safe for the screening of postural disorders. There is a growing evidence base for the Chiropractic BioPhysics(®) technique approach in the correction of lumbar spine disorders; more research is encouraged to further evaluate this unique treatment. The Society of Physical Therapy Science 2019-10-19 2019-10 /pmc/articles/PMC6801338/ /pubmed/31645816 http://dx.doi.org/10.1589/jpts.31.839 Text en 2019©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 Gubbels, Christopher M. Werner, Joshua T. Oakley, Paul A. Harrison, Deed E. Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance, and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(® )methods in an adolescent with back pain: a case report |
title | Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(®
)methods in an adolescent with back pain: a case report |
title_full | Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(®
)methods in an adolescent with back pain: a case report |
title_fullStr | Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(®
)methods in an adolescent with back pain: a case report |
title_full_unstemmed | Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(®
)methods in an adolescent with back pain: a case report |
title_short | Reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by Chiropractic BioPhysics(®
)methods in an adolescent with back pain: a case report |
title_sort | reduction of thoraco-lumbar junctional kyphosis, posterior sagittal balance,
and increase of lumbar lordosis and sacral inclination by chiropractic biophysics(®
)methods in an adolescent with back pain: a case report |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801338/ https://www.ncbi.nlm.nih.gov/pubmed/31645816 http://dx.doi.org/10.1589/jpts.31.839 |
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