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Curtis Fedorchuk
Paul Oakley
Douglas Lightstone
Deed Harrison


Pediatrics, Posture, Hyperlordosis, Hypolordosis, Pseudoscoliosis


Objective: To describe the improvement in postural parameters in a 7-year old boy with back pains, nocturnal enuresis, and sinusitis.

Clinical Features: A 7-year old boy had multiple health problems despite receiving previous treatment for poor posture. Radiographic assessment of posture revealed a cervical hypolordosis, lumbar hyperlordosis, and pseudoscoliosis (lateral thoracic translation posture).

Intervention and Outcome: Treatment methods using Chiropractic BioPhysics® mirror image® approaches were given over the course of 21 treatments. These included spinal manipulative therapy, cervical extension exercises, and well as cervical extension traction and lumbar flexion traction over 7-weeks. After treatment, all initial symptoms had resolved. There was an increase in cervical lordosis, decrease in lumbar hyperlordosis, and a total correction in pseudoscoliosis. A 4-month follow-up indicated the boy remained well; he continued treatment on a maintenance basis.

Conclusion: This case illustrates how postural changes in a young patient are possible. Further, compared to adult trials, structural changes arising from CBP treatment may occur quicker and have important impact in pediatric care. Further research into the non-surgical spinal rehabilitation of the pediatric patient remains to be done since existing literature mainly pertains to adults.


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