RESOLUTION OF CHRONIC SPINE PAIN AND IMPROVEMENT IN QUALITY OF LIFE FOLLOWING CORRECTION OF POSTURE IN A 7-YEAR OLD: A CBP® CASE REPORT WITH FOLLOW-UP
Main Article Content
Keywords
Pediatrics, Posture, Hyperlordosis, Hypolordosis, Pseudoscoliosis
Abstract
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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References
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8. Hestbaek L, Leboeuf-Yde C, Kyvik KO, et al. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine 2006;31:468-472
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10. Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™ 4.0 as a pediatric population health measure: Feasibility, reliability, and validity Ambulatory Pediatrics 2003;3:329-341
11. Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine 2000;25:2072-2078
12. Harrison DE, Cailliet R, Harrison DD, et al. Reliability of centroid, Cobb, and Harrison posterior tangent methods: which to choose for analysis of thoracic kyphosis. Spine 2001;26:E227-234
13. Harrison DE, Harrison DD, Cailliet R, et al. Radiographic analysis of lumbar lordosis: centroid, Cobb, TRALL, and Harrison posterior tangent methods. Spine 2001;26:E235-242
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15. Harrison DE, Harrison DD, Colloca CJ, et al. Repeatability Over Time of Posture, X-ray Positioning, and X-ray Line Drawing: An Analysis of Six Control Groups. J Manipulative Physiol Ther 2003;26:87-98
16. Harrison DE, Betz JW, Cailliet R, et al. Radiographic pseudoscoliosis in healthy male subjects following voluntary lateral translation (side glide) of the thoracic spine. Arch Phys Med Rehabil 2006;87:117-122
17. Harrison DD, Janik TJ, Harrison GR, et al. Chiropractic biophysics technique: A linear algebra approach to posture in chiropractic. J Manipulative Physiol Ther 1996;19:525-535
18. Oakley PA, Harrison DD, Harrison DE, et al. Evidence-based protocol for structural rehabilitation of the spine and 286 posture: review of Clinical Biomechanics of Posture (CBP®) publications. J Can Chiropr Asso 2005;49:270-296
19. Harrison DE, Betz JW, Harrison DD, et al. CBP Structural Rehabilitation of the Lumbar Spine: Harrison Chiropractic Biophysics Seminars, Inc. 2007
20. Harrison DE, Harrison DD, Haas JW. CBP Structural Rehabilitation of the Cervical Spine: Harrison CBP Seminars, Inc. 2002
21. Moustafa IM, Diab AA, Taha S, et al. Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy. Arch Phys Med Rehabil 2016;97:2034-2044
22. Moustafa IM, Diab AA, Harrison DE. The effect of normalizing the sagittal cervical configuration on dizziness, neck pain, and cervicocephalic kinesthetic sensibility: a 1-year randomized controlled study. Eur J Phys Rehabil Med 2017;53:57-71
23. Moustafa IM, Diab AAM, Hegazy FA, et al. Does rehabilitation of cervical lordosis influence sagittal cervical spine flexion extension kinematics in cervical spondylotic radiculopathy subjects? J Back Musculoskelet Rehabil 2017;30:937-941
24. Diab AA, Moustafa IM. Rehabilitation for Pain and Lumbar Segmental Motion in Chronic Mechanical Low Back Pain: A Randomized Trial. J Manipulative Physiol Ther 2012;35(4):246-253
25. Moustafa IM, Diab AA. Extension traction treatment for patients with discogenic lumbosacral radiculopathy: a randomized controlled trial. Clin Rehabil 2012;27(1):51-62
26. Diab AA, Moustafa IM. The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain. a randomized trial. J Back Musculoskelet Rehabil 2013;26(2):213-222
27. Oakley PA, Harrison DE. Restoration of Pediatric Cervical Lordosis: A Review of the Efficacy of Chiropractic Techniques and their Methods. J Pediatric, Maternal Fam Health – Chiro 2015;3:112-116
28. Kasai T, Ikata T, Katoh S, et al. Growth of the cervical spine with special reference to its lordosis and mobility. Spine 1996;21:2067-2073
29. Bastecki A, Harrison DE, Haas JW. ADHD: A CBP case study. J Manipulative Physiol Ther 2004;27:525e1-525e5
30. Harrison DE, Harrison DD, Cailliet R, et al. Changes in Sagittal Lumbar Configuration with a New Method of Extension Traction: Non-randomized Clinical Control Trial. Arch Phys Med Rehab 2002;83:1585-1591.
31. Harrison DE, Harrison DD, Betz J, et al. Increasing the Cervical Lordosis with Seated Combined Extension-Compression and Transverse Load Cervical Traction with Cervical Manipulation: Non-randomized Clinical Control Trial. J Manipulative Physiol Ther 2003;26:139-151
32. Cardwell A, Barone B. Improvement health outcomes following reduction of vertebral subluxation and improved cervical and lumbar curves utilizing chiropractic biophysics protocol. Ann Vert Sublux Res 2014;July 7:113-128
33. Harrison DE, Cailliet R, Betz JW, et al. Harrison Mirror Image Methods for Correcting Trunk List: A Non-randomized Clinical Control Trial. Eur Spine J 2005;14: 155-162
34. Moore MJ, White GL, Moore DL. Association of relative backpack weight with reported pain, pain sites, medical utilization, and lost school time in children and adolescents. J Sch Health 2007;77:232-239
35. Hong Y, Fong DT, Li JX. The effect of school bag design and load on spinal posture during stair use by children. Ergonomics 2011;54:1207-1213
36. Talbott NR, Bhattacharya A, Davis KG, et al. School backpacks: it's more than just a weight problem. Work 2009;34:481-494
37. Walicka-Cupry? K, Skalska-Izdebska R, Rachwa? M, et al. Influence of the Weight of a School Backpack on Spinal Curvature in the Sagittal Plane of Seven-Year-Old Children. Biomed Res Int 2015;2015:817913
38. Tegtmeier P. A scoping review on smart mobile devices and physical strain. Work 2018;59(2):273-283
39. Howie EK, Coenen P, Campbell AC, et al. Head, trunk and arm posture amplitude and variation, muscle activity, sedentariness and physical activity of 3 to 5 year-old children during tablet computer use compared to television watching and toy play. Appl Ergon 2017;65:41-50
2. Szczepanowska-Wo?owiec B, Draza?-Grabiec J, Wo?owiec P, et al. [Posture types in children aged 7-12 from rural environment]. Przegl Lek 2012;69:1246-1248
3. Motylewski S, Zientala A, Pawlicka-Lisowska A, et al. Assessment of body posture in 12- and 13-year-olds attending primary schools in Pabianice. Pol Merkur Lekarski 2015;39:368-371
4. Kjaer P, Wedderkopp N, Korsholm L, et al. Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskelet Disord 2011;12:98
5. Sheir-Neiss GI, Kruse RW, Rahman T, et al. The association of backpack use and back pain in adolescents. Spine 2003;28:922-930
6. Harreby M, Neergaard K, Hesselsøe G, et al. Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? A 25-year prospective cohort study of 640 school children. Spine 1995;20:2298-2302
7. Harreby MS, Neergaard K, Hesselsøe G, et al. [Are low back pain and radiological changes during puberty risk factors for low back pain in adult age? A 25-year prospective cohort study of 640 school children]. Ugeskr Laeger 1997;159:171-174
8. Hestbaek L, Leboeuf-Yde C, Kyvik KO, et al. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine 2006;31:468-472
9. Vos T, Flaxman AD, Naghavi M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2163-2196
10. Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™ 4.0 as a pediatric population health measure: Feasibility, reliability, and validity Ambulatory Pediatrics 2003;3:329-341
11. Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine 2000;25:2072-2078
12. Harrison DE, Cailliet R, Harrison DD, et al. Reliability of centroid, Cobb, and Harrison posterior tangent methods: which to choose for analysis of thoracic kyphosis. Spine 2001;26:E227-234
13. Harrison DE, Harrison DD, Cailliet R, et al. Radiographic analysis of lumbar lordosis: centroid, Cobb, TRALL, and Harrison posterior tangent methods. Spine 2001;26:E235-242
14. 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 AP Modified-Risser Ferguson. J Manipulative Physiol Ther 2002;25:93-98
15. Harrison DE, Harrison DD, Colloca CJ, et al. Repeatability Over Time of Posture, X-ray Positioning, and X-ray Line Drawing: An Analysis of Six Control Groups. J Manipulative Physiol Ther 2003;26:87-98
16. Harrison DE, Betz JW, Cailliet R, et al. Radiographic pseudoscoliosis in healthy male subjects following voluntary lateral translation (side glide) of the thoracic spine. Arch Phys Med Rehabil 2006;87:117-122
17. Harrison DD, Janik TJ, Harrison GR, et al. Chiropractic biophysics technique: A linear algebra approach to posture in chiropractic. J Manipulative Physiol Ther 1996;19:525-535
18. Oakley PA, Harrison DD, Harrison DE, et al. Evidence-based protocol for structural rehabilitation of the spine and 286 posture: review of Clinical Biomechanics of Posture (CBP®) publications. J Can Chiropr Asso 2005;49:270-296
19. Harrison DE, Betz JW, Harrison DD, et al. CBP Structural Rehabilitation of the Lumbar Spine: Harrison Chiropractic Biophysics Seminars, Inc. 2007
20. Harrison DE, Harrison DD, Haas JW. CBP Structural Rehabilitation of the Cervical Spine: Harrison CBP Seminars, Inc. 2002
21. Moustafa IM, Diab AA, Taha S, et al. Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy. Arch Phys Med Rehabil 2016;97:2034-2044
22. Moustafa IM, Diab AA, Harrison DE. The effect of normalizing the sagittal cervical configuration on dizziness, neck pain, and cervicocephalic kinesthetic sensibility: a 1-year randomized controlled study. Eur J Phys Rehabil Med 2017;53:57-71
23. Moustafa IM, Diab AAM, Hegazy FA, et al. Does rehabilitation of cervical lordosis influence sagittal cervical spine flexion extension kinematics in cervical spondylotic radiculopathy subjects? J Back Musculoskelet Rehabil 2017;30:937-941
24. Diab AA, Moustafa IM. Rehabilitation for Pain and Lumbar Segmental Motion in Chronic Mechanical Low Back Pain: A Randomized Trial. J Manipulative Physiol Ther 2012;35(4):246-253
25. Moustafa IM, Diab AA. Extension traction treatment for patients with discogenic lumbosacral radiculopathy: a randomized controlled trial. Clin Rehabil 2012;27(1):51-62
26. Diab AA, Moustafa IM. The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain. a randomized trial. J Back Musculoskelet Rehabil 2013;26(2):213-222
27. Oakley PA, Harrison DE. Restoration of Pediatric Cervical Lordosis: A Review of the Efficacy of Chiropractic Techniques and their Methods. J Pediatric, Maternal Fam Health – Chiro 2015;3:112-116
28. Kasai T, Ikata T, Katoh S, et al. Growth of the cervical spine with special reference to its lordosis and mobility. Spine 1996;21:2067-2073
29. Bastecki A, Harrison DE, Haas JW. ADHD: A CBP case study. J Manipulative Physiol Ther 2004;27:525e1-525e5
30. Harrison DE, Harrison DD, Cailliet R, et al. Changes in Sagittal Lumbar Configuration with a New Method of Extension Traction: Non-randomized Clinical Control Trial. Arch Phys Med Rehab 2002;83:1585-1591.
31. Harrison DE, Harrison DD, Betz J, et al. Increasing the Cervical Lordosis with Seated Combined Extension-Compression and Transverse Load Cervical Traction with Cervical Manipulation: Non-randomized Clinical Control Trial. J Manipulative Physiol Ther 2003;26:139-151
32. Cardwell A, Barone B. Improvement health outcomes following reduction of vertebral subluxation and improved cervical and lumbar curves utilizing chiropractic biophysics protocol. Ann Vert Sublux Res 2014;July 7:113-128
33. Harrison DE, Cailliet R, Betz JW, et al. Harrison Mirror Image Methods for Correcting Trunk List: A Non-randomized Clinical Control Trial. Eur Spine J 2005;14: 155-162
34. Moore MJ, White GL, Moore DL. Association of relative backpack weight with reported pain, pain sites, medical utilization, and lost school time in children and adolescents. J Sch Health 2007;77:232-239
35. Hong Y, Fong DT, Li JX. The effect of school bag design and load on spinal posture during stair use by children. Ergonomics 2011;54:1207-1213
36. Talbott NR, Bhattacharya A, Davis KG, et al. School backpacks: it's more than just a weight problem. Work 2009;34:481-494
37. Walicka-Cupry? K, Skalska-Izdebska R, Rachwa? M, et al. Influence of the Weight of a School Backpack on Spinal Curvature in the Sagittal Plane of Seven-Year-Old Children. Biomed Res Int 2015;2015:817913
38. Tegtmeier P. A scoping review on smart mobile devices and physical strain. Work 2018;59(2):273-283
39. Howie EK, Coenen P, Campbell AC, et al. Head, trunk and arm posture amplitude and variation, muscle activity, sedentariness and physical activity of 3 to 5 year-old children during tablet computer use compared to television watching and toy play. Appl Ergon 2017;65:41-50
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Published
Sep 9, 2019
Article Details
How to Cite
Fedorchuk, C., Oakley, P., Lightstone, D., & Harrison, D. (2019). RESOLUTION OF CHRONIC SPINE PAIN AND IMPROVEMENT IN QUALITY OF LIFE FOLLOWING CORRECTION OF POSTURE IN A 7-YEAR OLD: A CBP® CASE REPORT WITH FOLLOW-UP. Journal of Contemporary Chiropractic, 2(1), 109–114. Retrieved from https://journal.parker.edu/index.php/jcc/article/view/79
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