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1.
Concussion ; 8(3): CNC107, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37691851

RESUMO

Aim: To report improvements in post-concussion syndrome and concussion incidence following cervical spinal alignment correction. Case presentation: A 27-year-old professional rugby player with 20 documented concussions presented with abnormal cervical spinal alignment and post-concussion syndrome. After 30 sessions of cervical rehabilitation, health outcomes improved. Post-treatment radiographs showed improved cervical lordosis from -13.5° to -37.4° (ideal is -42°) and right head translation from -22.7 to -11.3 mm (ideal is 0 mm). 2-year follow-up radiographs and 6-year follow-up health outcomes showed post-treatment improvements were maintained. The patient reported two documented concussions in the 6 years following treatment while maintaining the same lifestyle and professional rugby career. Conclusion: Correction of abnormal cervical spinal alignment may help athletes with post-concussion syndrome and reduce risk of concussion.


A 27-year-old male professional rugby player with a 6-year history of 20 documented concussions presented with severe neck and headache pain and disability. X-rays of his neck were taken to measure spinal alignment and posture. Also, neck and headache pain, disability and quality-of-life measures were assessed. After 30 treatment sessions of Chiropractic BioPhysics® (CBP®) neck spinal alignment and posture rehabilitation, neck and headache pain and disability and quality-of-life improved. X-rays showed improved spinal alignment and posture in his neck. Follow-up x-rays 2 years after treatment showed that the improvements to his neck spinal alignment and posture were maintained. Follow-up assessment 6 years after treatment showed that the post-treatment improvements in in neck and headache pain and disability and quality of life were maintained. Additionally, the patient reported only two documented concussions in the 6 years following treatment maintaining the same lifestyle and competing as a professional rugby player at the same level, position and playing time. This is the first documented improvement in post-concussion syndrome and decreased concussion occurrence following correction of neck spinal alignment and posture. Correction of neck spinal alignment and posture allows the spine to function as a healthy shock absorber and increases its ability to decrease stress transferred to the brain from trauma responsible for concussions and may reduce the risk of concussions.

2.
J Radiol Case Rep ; 16(2): 21-38, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35586358

RESUMO

Objective: Discuss non-surgical spinal rehabilitation for a 27-year-old male with thoracic and lumbosacral spondylolistheses. A selective literature review and discussion are provided. Clinical Features: A 27-year-old male presented with severe, 8/10 mid and low back pain. Initial lateral thoracic and lumbar x-rays revealed grade 1 spondylolistheses at T9-T10 and L5-S1 measuring -5.3 mm and -6.8 mm. Interventions and Outcomes: The patient completed 60 sessions of Mirror Image® spinal adjustments, exercises, and traction over 30 weeks. Post-treatment x-rays showed correction in translations at T9-T10 and L5-S1 from -5.3 mm to 0.0 mm and -6.8 mm to -1.0 mm, within normal limits. 1-year follow-up x-rays showed maintained correction. Conclusions: This case is the first documented evidence of non-surgical or chiropractic treatment for thoracic and lumbosacral spondylolistheses where spinal alignment was corrected. More research is needed to investigate the clinical implications and applications.


Assuntos
Luxações Articulares , Dor Lombar , Fusão Vertebral , Espondilolistese , Adulto , Seguimentos , Humanos , Dor Lombar/diagnóstico por imagem , Dor Lombar/etiologia , Dor Lombar/terapia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/cirurgia , Masculino , Qualidade de Vida , Estudos Retrospectivos , Espondilolistese/diagnóstico por imagem , Espondilolistese/terapia
3.
J Phys Ther Sci ; 33(1): 89-93, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33519081

RESUMO

[Purpose] To report on the reduction of a double lumbar spine spondylolisthesis by use of Chiropractic BioPhysics® technique. [Participant and Methods] A 57 year-old male presented with severe chronic low back pains and sciatica. After playing hockey for 50 years, he was unable to continue and was forced to retire. Lumbar radiography showed an L3 retrolisthesis of -5.3 mm and an L4 anterolisthesis of 5.4 mm. Chiropractic BioPhysics technique including mirror image lumbar spine drop-table adjustments, corrective exercises and a unique pelvic extension traction was performed 50 times over 7-months. [Results] A radiograph after 3-months showed full reduction of the L3 retrolisthesis. A radiograph after 7-months showed full reduction of the L4 anterolisthesis. The patient reported full resolution of chronic back pains and was able to return to play hockey; a 1.75 year follow-up showed maintenance of the corrections and the patient remained injury-free while returning to play hockey. [Conclusion] A customized treatment program including Chiropractic BioPhysics lumbar spine traction, corrective exercises and drop-table spine manipulation resolved chronic back pains and fully reduced an L3 and L4 retro- and antero-listhesis, respectively. Further research may substantiate this treatment approach for reducing translational displacements in the lumbar spine. Routine upright radiography is required to diagnose spondylolisthesis.

4.
J Radiol Case Rep ; 14(4): 21-37, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33082920

RESUMO

Cervical spondylolisthesis indicates instability of the spine and can lead to pain, radiculopathy, myelopathy and vertebral artery stenosis. Currently degenerative cervical spondylolisthesis is a wait-and-watch condition with no treatment guidelines. A literature review and discussion will be provided. 8 females presented with neck pain, disability, and history of motor vehicle collision. Radiographs revealed abnormal cervical alignment, spinal canal narrowing, and spondylolistheses. After 30 sessions of Chiropractic BioPhysics® care over 12 weeks, patients reported improved symptoms and disabilities. Radiographs revealed improvements in cervical alignment, spondylolistheses, and spinal canal diameter. Motor vehicle collision may cause instability and abnormal alignment of the cervical spine leading to cervical spondylolisthesis. Improving spinal alignment may be an effective treatment to reduce vertebral subluxation and cervical spondylolistheses and improve neck disability as a result of improved spinal alignment.


Assuntos
Lordose , Estenose Espinal , Espondilolistese , Biofísica , Vértebras Cervicais , Quiroprática , Feminino , Humanos , Pessoa de Meia-Idade , Pescoço , Cervicalgia , Radiculopatia , Radiografia , Canal Medular , Doenças da Medula Espinal/complicações , Estenose Espinal/diagnóstico por imagem , Espondilolistese/complicações
5.
J Radiol Case Rep ; 11(5): 13-26, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-29299090

RESUMO

OBJECTIVE: Discuss the use of non-surgical spinal rehabilitation protocol in the case of a 69-year-old female with a grade 2 spondylolisthesis. A selective literature review and discussion are provided. CLINICAL FEATURES: A 69-year-old female presented with moderate low back pain (7/10 pain) and severe leg cramping (7/10 pain). Initial lateral lumbar x-ray revealed a grade 2 spondylolisthesis at L4-L5 measuring 13.3 mm. INTERVENTIONS AND OUTCOMES: The patient completed 60 sessions of Mirror Image® spinal exercises, adjustments, and traction over 45 weeks. Post-treatment lateral lumbar x-ray showed a decrease in translation of L4-L5 from 13.3 mm to 2.4 mm, within normal limits. CONCLUSIONS: This case provides the first documented evidence of a non-surgical or chiropractic treatment, specifically Chiropractic BioPhysics®, protocols of lumbar spondylolisthesis where spinal alignment was corrected. Additional research is needed to investigate the clinical implications and treatment methods.


Assuntos
Vértebras Lombares/diagnóstico por imagem , Manipulação Quiroprática/métodos , Espondilolistese/terapia , Tração/métodos , Idoso , Protocolos Clínicos , Feminino , Humanos , Dor Lombar/etiologia , Cãibra Muscular/etiologia , Reabilitação , Espondilolistese/complicações , Espondilolistese/diagnóstico por imagem , Espondilolistese/reabilitação
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