PTCase ReportJournal of physical therapy science2019

Improving posture to reduce the symptoms of Parkinson's: a CBP® case report with a 21 month follow-up.

Justin M Anderson, Paul A Oakley, Deed E Harrison

PMID 30858655

WHAT IT FOUND

One man with Parkinson's, taking carbidopa-Levodopa and mirapex, reported less pain, better walking and posture after 38 sessions combining exercises, adjustments, traction, platform work, walking practice and a heel lift.

No single part can be credited.

Key findings

01The man reported his back and knee pain as 6/10 before treatment and 2/10 after treatment.

02After treatment, he walked without a cane and his freezing episodes were significantly reduced.

03Follow-up radiographs showed less forward trunk lean and less sideways head and thorax translation than baseline.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The paper reports only one patient, so it describes what happened to one person, not a pattern of treatment response. The patient received several treatments together, including exercises, adjustments, traction, platform work, walking practice, a heel lift, and ongoing Parkinson's medication, so the contribution of any one component cannot be separated. No other group is described, so reported improvements cannot be attributed to posture correction. The 21-month follow-up was by phone and relied on the patient's report; he still had severe rigidity and tightness in the right leg and knee. The authors had financial or professional relationships with the CBP method and products used in the report.

Declared interests

Dr. Paul Oakley was paid by CBP NonProfit, Inc. for writing the manuscript. Dr. Deed Harrison teaches chiropractic rehabilitation methods and sells products used in the manuscript.

The easy way to misread this

Do not conclude that posture correction treats Parkinson's disease. This report describes one man who also received several other treatments and continued medication, so no single component can be shown to cause improvement.

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