PTCase ReportJournal of physical therapy science2018

Alleviation of neck pain by the non-surgical rehabilitation of a pathologic cervical kyphosis to a normal lordosis: a CBP® case report.

Alyssa K Dennis, Paul A Oakley, Michael T Weiner and 3 others

PMID 29706725

WHAT IT FOUND

One young man with acute neck pain and a reversed spinal curve reported being completely pain free within two weeks.

He underwent ten weeks of chiropractic care including traction, manipulation, and exercises. Because multiple treatments were given together, the contribution of any single component cannot be separated.

Key findings

01The patient reported being completely pain free within two weeks after receiving treatment and remained so thereafter.

02The patient's neck disability index score dropped from 66% to 0%.

03Cervical radiographs showed a restoration of the cervical lordosis and a reduction in forward head translation.

STILL TO COME

How it was doneWhat they found

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What it does not show

This is a single case report, so the results cannot be generalized to other patients. There was no long-term follow-up beyond ten weeks. Multiple treatments were performed together (exercises, manipulation, and traction), so it is not known which specific component contributed to the improvement. The authors have a conflict of interest, with one paid by the nonprofit associated with the treatment method.

Declared interests

One author is paid by CBP NonProfit for writing the manuscript.

The easy way to misread this

Do not assume that cervical extension traction alone caused the pain relief or structural change. The patient received traction, exercises, and spinal manipulation in every session, and the authors explicitly state that the contribution of any single treatment cannot be separated.

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