Alleviation of pain and disability in a post-surgical C4-C7 total fusion patient after reducing a lateral head translation (side shift) posture: a CBP® case report with a 14 year follow-up.
Paul A Oakley, Deed E Harrison
PMID 30034105WHAT IT FOUND
One post-surgical cervical fusion patient reported less pain, stopped pain medications, and had less right head shift after 11 days of CBP mirror-image exercises, adjustments, and traction.
These were given together, so no single part can be credited.
Key findings
01After 11 days and 25 complete treatment sessions, the patient reported neck pain of 1/10 and a Neck Disability Index score of 12%, and she stopped pain, headache, and muscle relaxant medications.
02The right lateral head translation measured on x-ray was 28 mm before treatment and 13 mm after treatment.
03At the 14 year follow-up, the patient reported average neck pain of 0/10, at most 3/10 on rare occasions, and a Neck Disability Index score of 30%.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This is a case report about one patient, so it cannot show whether the treatment works. The patient received mirror-image exercises, adjustments, traction, and back manipulation together, so the effect of any single part cannot be separated. There was no control group, blinding, or comparison with usual care. The treatment was very intensive and short, with multiple sessions per day for a short period, which may not be realistic. The authors are connected to the CBP methods and nonprofit, which may affect interpretation. Later follow-up included other health problems and new medications, such as sciatica and antidepressant use, which may affect disability and quality of life scores.
Declared interests
One author was paid by CBP NonProfit to write the manuscript. Another author teaches the CBP methods and sells products related to the care used in this case.
The easy way to misread this
Do not read this as evidence that CBP mirror-image treatment relieves post-surgical neck pain. It describes one patient who received several treatments at once, and no comparison was made with usual care or another treatment.