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Paul Oakley
Sean Kallan
Deed Harrison


Lumbar Spine, Lordosis, Rehabilitation


Objective: To characterize case report evidence of Chiropractic BioPhysics® (CBP®) technique methods applied to increase lumbar lordosis in patients with defined radiographic hypolordosis.

Methods: The CBP NonProfit website and Pubmed and Index to Chiropractic literature databases were searched for case reports/series documenting lumbar lordosis changes in the treatment of low back disorders after CBP technique methods were applied.

Results: Our search located 17 patients reported in 11 publications treated by CBP methods to increase lumbar hypolordosis. On average, CBP lumbar extension traction (LET) methods as a part of a multimodal treatment program increased the lumbar lordosis by 15° after 52 treatments applied over 4.2 months, corresponding to a 75% reduction in pain intensity. Methodological quality of reports varied.

Conclusions: There is an evolving evidence base involving case reports describing the management of CBP LET procedures in rehabilitation of the lumbar lordosis. The available case reports are in general agreement with clinical trial results and approximate treatment durations can be estimated from the existing data.


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