REDUCING ‘CROOKED’ LATERAL SPINE SUBLUXATION (GLOBAL CORONAL IMBALANCE) IN 5 PATIENTS WITH DEGENERATIVE DISC DISEASE IN THEIR 6TH AND 7TH DECADE OF LIFE: A CASE SERIES INVOLVING CHIROPRACTIC BIOPHYSICS© TECHNIQUE

Main Article Content

Thomas Woodham
Miles Fortner
Paul Oakley
Deed Harrison

Keywords

Degenerative Disc Disease, Posture Correction, Chiropractic Manipulation

Abstract

Objective: To discuss the successful reduction of lateral coronal spine displacements (global coronal imbalance) in 5 older patients with degenerative disc disease.


Clinical Features: Five patients, with coronal imbalance and various pain, disability, and quality of life impairments, were treated using CBP© protocols.


Intervention and Outcome: Treatment with unique unilateral corrective exercises, lateral translation traction and spine manipulation via a hand-held percussion instrument resulted in all patients seeing reduction of coronal imbalance, reduction in Oswestry disability scores and improvements in health-related quality of life scores. The average reduction of coronal spine offset was 29 mm, achieved over an average of 28 treatments and over an average of 15 weeks. Three patients had concurrent reduction in scoliosis curves.


Conclusions: The case series suggests that non-surgical spine rehabilitation programs can be effective at reducing coronal plane spine imbalance deformities specifically in older patients with degenerative disc disease with and without mild scoliosis. More non-surgical methods need to be evaluated to treat adult spinal deformity and the Chiropractic BioPhysics® methods as used here may prove reliable for older patients with global coronal imbalance.

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References

1. Ferguson SJ, Steffen T. Biomechanics of the aging spine. Eur Spine J 2003;12 Suppl 2:S97-S103
2. Wong E, Altaf F, Oh LJ, et al. Adult Degenerative Lumbar Scoliosis. Orthopedics 2017;40:e930-e939
3. Harrison DD, Janik TJ, Harrison GR, et al. Chiropractic biophysics technique: a linear algebra approach to posture in chiropractic. J Manipulative Physiol Ther 1996;8:525-535
4. Harrison DE, Cailliet R, Harrison DD, et al. Lumbar coupling during lateral translations of the thoracic cage relative to a fixed pelvis. Clin Biomech 1999;14:704-709
5. Henshaw M, Oakley PA, Harrison DE. Correction of pseudoscoliosis (lateral thoracic translation posture) for the treatment of low back pain: a CBP® case report. J Phys Ther Sci 2018;30:1202-1205
6. Harrison DE, Cailliet R, Betz JW, et al. A non-randomized clinical control trial of Harrison mirror image methods for correcting trunk list (lateral translations of the thoracic cage) in patients with chronic low back pain. Eur Spine J 2005;14:155-162
7. Plais N, Bao H, Lafage R, et al. The clinical impact of global coronal malalignment is underestimated in adult patients with thoracolumbar scoliosis. Spine Deform 2020;8:105-113
8. Ploumis A, Liu H, Mehbod AA, et al. A correlation of radiographic and functional measurements in adult degenerative scoliosis. Spine 2009;34:1581-1584
9. Harrison DE, Holland B, Harrison DD, et al. Further reliability analysis of the Harrison radiographic line-drawing methods: crossed ICCs for lateral posterior tangents and modified Risser-Ferguson method on AP views. J Manipulative Physiol Ther 2002;25:93-98
10. Troyanovich SJ, Harrison SO, Harrison DD, et al. Chiropractic biophysics digitized radiographic mensuration analysis of the anteroposterior lumbopelvic view: a reliability study. J Manipulative Physiol Ther 1999;22:309-315
11. Oakley PA, Harrison DD, Harrison DE, et al. Evidence-based protocol for structural rehabilitation of the spine and posture: review of clinical biomechanics of posture (CBP) publications. J Can Chiropr Assoc 2005;49:270-296
12. Harrison DE, Betz JW, Harrison DD, et al. CBP structural rehabilitation of the lumbar spine: Harrison Chiropractic Biophysics Seminars, 2007
13. Lee DY. Analysis of muscle activation in each body segment in response to the stimulation intensity of whole-body vibration. J Phys Ther Sci 2017;29:270-273
14. Itoi E, Sinaki M. Effect of back-strengthening exercise on posture in healthy women 49 to 65 years of age. Mayo Clin Proc 1994;69:1054-1059
15. Glassman SD, Berven S, Bridwell K, et al. Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 2005;30:682-628
16. Lowe T, Berven SH, Schwab FJ, et al. The SRS classification for adult spinal deformity: building on the King/Moe and Lenke classification systems. Spine 2006;31:S119-125
17. Berven SH, Lowe T. The Scoliosis Research Society classification for adult spinal deformity. Neurosurg Clin N Am 2007;18:207-213
18. Oakley PA, Harrison DE. Radiophobic Fear-Mongering, Misappropriation of Medical References and Dismissing Relevant Data Forms the False Stance for Advocating Against the Use of Routine and Repeat Radiography in Chiropractic and Manual Therapy. Dose Response 2021;Feb 11;19(1):1559325820984626
19. Oakley PA. Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up. J Phys Ther Sci 2018;30:680-684