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Degenerative Disc Disease, Posture Correction, Chiropractic Manipulation
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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