Conservative methods for reducing lateral translation postures of the head: A nonrandomized clinical control trial

Harrison, Deed E.; Cailliet, René; Betz, Joseph W; Haas, Jason W.; Harrison, Donald D.; Janik, Tadeusz J.; Holland, Burt

doi:10.1682/jrrd.2003.05.0070

Cited by 14 publications

(21 citation statements)

References 24 publications

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“…Although many research groups have attempted to model the shape of the normal human spine in the sagittal plane, few have done so as comprehensively and [6,11]. The demonstration of paralleled spine alignment improvements with reductions in pain and disability, versus no change in untreated control groups in pre-post clinical trials have been performed [18][19][20][21][22][23]. The demonstration in randomized clinical trials that only patient groups achieving lordosis and sagittal posture improvement (lumbar or cervical) achieve long-term improvements in various outcome measures versus comparative treatment groups not getting spine alignment improvement who experience regression in multiple outcome measures at follow-up have also been done [24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Oakley¹,

Moustafa²,

Harrison³

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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Low back and neck pain disorders are among the leading causes for work loss, suffering, and health care expenditures throughout the industrialized world. It has been extensively demonstrated that sagittal plane alignment of the cervical and lumbar spines impacts human health and well-being. Today there are reliable and predictable means through the application of extension spinal traction as part of comprehensive rehabilitation programs to restore the natural curvatures of the spine. High-quality evidence points to Chiropractic BioPhysics® (CBP®) methods offering superior long-term outcomes for treating patients with various craniocervical and lumbosacral disorders. CBP technique is a full spine and posture rehabilitation approach that incorporates mirror image® exercises, spinal and postural adjustments, and unique traction applications in the restoration of normal/ideal spinal alignment. Recent randomized controlled trials using CBP's unique extension traction methods in conjunction with various conventional physiotherapeutic methods have demonstrated those who restore normal lordosis (cervical or lumbar) get symptomatic relief that lasts up to 2 years after treatment. Comparative groups receiving various 'cookie-cutter' conventional treatments experience only temporary symptomatic relief that regresses as early as 3 months after treatment. The economic impact/benefit of CBPs newer sagittal spine rehabilitation treatments demand continued attention from clinicians and researchers alike.systematically as the Harrison group [4][5][6][7][8][9][10][11]. Elliptical shape modeling of the path of the posterior longitudinal ligament along the posterior vertebral body margins was chosen due to the ease of clear identification of these spine landmark points and for the ability to easily make measurements of spine segmental and total angle of curvature on patient radiographs to compare patient measurements to model predictions. Modeling was performed on radiographic samples of asymptomatic participants. Computer iterations of spinal shape modeling was applied to determine best-fit geometric spine shapes by fitting various ellipses of altering minor-to-major axes ratios to digitized posterior vertebral body corners on samples of radiographs of the cervical [4-6], thoracic [7,8], and lumbar spinal regions [9][10][11] (Figure 3).The Harrison normal spinal model (Figure 3) features a circular cervical lordosis, and portions of an elliptical curve for both the thoracic kyphosis (more curvature cephalad), and lumbar lordosis (more curvature caudad). Consequently, features of the normal human spine reveal that the opposite thoracic and lumbar curves meet together at the thoraco-lumbar junction being essentially straight; the upper, deeper curve of the upper thoracic spine reflects oppositely at the cervico-thoracic junction (between T1 and T2) and continues into the cervical lordosis; the lower lumbar spine increases its lordotic alignment having two-thirds of its curve between L4-S1 as it meets the forward tilted sacral base. T...

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Section: Introductionmentioning

confidence: 99%

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Oakley¹,

Moustafa²,

Harrison³

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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“…The width of next upper vertebral endplate was used to normalize the measurement of intervertebral movements during cervical lateral bending. This method of skeletal landmarks identification has been proved valid, accurate, and reliable for detecting the vertebral movements [ 2 , 12 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

“…A custom computer program was used to construct the midplanes of vertebrae defined as a line running through the midpoints between anterior two corners and posterior two corners, bisectrix between two midplanes, and the perpendiculars from centers of the adjacent vertebrae in order to calculate the relative angulation and translation of cervical spine [ 8 , 12 ] (Figure 1 ). The segmental angulation change was calculated by the bisectrix between two midplanes.…”

Section: Methodsmentioning

confidence: 99%

“…The abnormal or excessive motions between vertebrae in the both sagittal and frontal planes are clinically important clues to dysfunction or instability [ 7 – 11 ]. Harrison et al [ 12 ] had pointed that the spinal movement in the frontal plane was largely neglected in the biomedical literatures. Janik and relations [ 13 ] also reported that the evaluation of segmental dysfunction desired the quantification of the lateral bending movement in the antero-posterior view of radiographs.…”

Section: Introductionmentioning

confidence: 99%

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The shift of segmental contribution ratio in patients with herniated disc during cervical lateral bending

Lan

Chen

Kuo

et al. 2014

BMC Musculoskelet Disord

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BackgroundAbnormal intervertebral movements of spine have been reported to be associated with trauma and pathological conditions. The importance of objective spinal motion imaging assessment in the frontal plane was frequently underestimated. The clinical evaluation of the segmental motion contribution could be useful for detecting the motion pattern of individual vertebrae. Therefore the purpose of this study was to investigate the shift of segmental contribution ratio in patients with herniated disc during cervical lateral bending to provide additional insights to cervical biomechanics.MethodsA total of 92 subjects (46 healthy adult subjects and 46 disc-herniated patients) were enrolled in this case–control study. The motion images during cervical lateral bending movements were digitized using a precise image protocol to analyze the intervertebral motion and contribution.ResultsOur results showed that the intervertebral angulation during cervical lateral bending for the C2/3 to C6/7 segments were 7.66°±2.37°, 8.37°±2.11°, 8.91°±3.22°, 7.19°±2.29°, 6.31°±2.11°, respectively for the healthy subjects. For the patients with herniated disc, the intervertebral angulation for the C2/3 to C6/7 segments were 6.87°±1.67°, 7.83°±1.79°, 7.73°±2.71°, 5.13°±2.05°, 4.80°±1.93°, respectively. There were significant angulation and translational differences between healthy subjects and the patients with herniated disc in the C5/6 and C6/7 segments (P=0.001-0.029). The segmental contributions of the individual vertebral segments were further analyzed. There was a significant increase in segmental contribution ratio of C3/4 (P=0.048), while a significant decrease in contribution ratio of C5/6 (P=0.037) was observed in the patients with herniated disc. Our results indicated that the segmental contribution shifted toward the middle cervical spine in the patients with herniated disc.ConclusionsThe segmental contributions of cervical spine during lateral bending movement were first described based on the validated radiographic protocol. The detection of the shift of segmental contribution ratio could be helpful for the diagnosis the motion abnormality resulted from the disc or, facet pathologies, and arthritic changes of cervical spine.

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“…This technique was invented by Dr. Don Harrison in the 1980s, and incorporates the application of mirror image ® exercises, adjustment techniques and traction methods to restore proper alignment of the spine and posture. These methods have been substantiated in many clinical trials 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ) .…”

Section: Introductionmentioning

confidence: 96%

Resolution of temporomandibular joint dysfunction (TMJD) by correcting a lateral head translation posture following previous failed traditional chiropractic therapy: a CBP<sup>®</sup> case report

Jaeger

Oakley²,

Moore

et al. 2018

J Phys Ther Sci

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[Purpose] To present the case of the resolution of right temporomandibular joint dysfunction (TMJD) following the correction of a right lateral head translation posture. [Subject and Methods] A 24 year old female reported facial pain and jaw clicking in the right TMJ. Radiography revealed a 19 mm right head (shift) translation posture. TMJ vibration analysis showed characteristic abnormalities for the right TMJ. The patient was treated with CBP® technique mirror image® left sided exercises, and traction methods as well as spinal manipulative therapy (SMT). [Results] After 36 treatments over a 12-week time period, a complete correction of the lateral head posture was achieved corresponding with a complete resolution of jaw pain and clicking. TMJ vibration analysis demonstrated normal right side TMJ characteristics following treatment. [Conclusion] Abnormal head/neck postures, such as lateral head translation, may be an unrealized source of TMJD and may be explained through the ‘regional interdependence’ model or by how seemingly unrelated anatomy may be associated with a primary complaint.

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Conservative methods for reducing lateral translation postures of the head: A nonrandomized clinical control trial

Cited by 14 publications

References 24 publications

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

Restoration of Cervical and Lumbar Lordosis: CBP® Methods Overview

The shift of segmental contribution ratio in patients with herniated disc during cervical lateral bending

Resolution of temporomandibular joint dysfunction (TMJD) by correcting a lateral head translation posture following previous failed traditional chiropractic therapy: a CBP<sup>®</sup> case report

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