Correction of pseudoscoliosis (lateral thoracic translation posture) for the treatment of low back pain: a CBP® case report.
Monica Henshaw, Paul A Oakley, Deed E Harrison
PMID 30214125WHAT IT FOUND
A 29-year-old woman with low back pain reported pain dropping from 4/10 to 2/10 after 36 sessions of spinal manipulation and mirror-image traction.
This is a single case report, so it cannot prove the treatment works for other patients.
Key findings
01The patient reported her average pain rating dropped from 4/10 to 2/10, and her disability score dropped from 26% to 16%.
02Follow-up imaging showed the lateral thoracic translation (pseudoscoliosis) deformity was reduced from 20.3 mm to -5.6 mm.
03The patient received 12 sessions of spinal manipulation and exercises, followed by 24 sessions of corrective traction and mirror-image exercises.
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 it cannot establish whether the treatment works for other patients. There was no long-term follow-up to confirm the stability of the correction beyond one month post-treatment. The patient received multiple interventions simultaneously (spinal manipulation, exercises, and traction), so it is impossible to determine which component caused the improvement. Home exercise compliance was only tracked by asking the patient each visit, with no diary to verify adherence.
Declared interests
The paper does not state any funding sources or conflicts of interest.
The easy way to misread this
Do not assume that spinal manipulation and traction caused the patient's improvement. The patient received multiple treatments simultaneously (spinal manipulation, mirror-image exercises, and traction), and this is a single case report with no control group, so the contribution of any single component cannot be separated.