
Clinic News and Views

Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients with Discogenic Cervical Radiculopathy
PUBLISHED: Arch Phys Med Rehabil. 2016 Dec;97(12):2034-2044. doi: 10.1016/j.apmr.2016.07.022. Epub 2016 Aug 27. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/27576192
AUTHORS: Moustafa IM, Diab AA, Taha S, Harrison DE.
CONCLUSIONS: The addition of the Denneroll cervical orthotic device to a multimodal program positively affected discogenic CR outcomes at long-term follow-up.
We speculate that improved cervical lordosis and reduced AHT contributed to our findings.

Chiropractic BioPhysics Research Update
Chiropractic BioPhysics leads the way with Scientific Research
Surgeons, Neurologists and Physiotherapists supporting Postural and Structural Correction
We are in exciting times with regard to Chiropractic BioPhysics Research and our clinical work @ The Spinal Centre. Multiple landmark papers and clinical trials have been recently published that will enhance the care of all patients attending the Practice.
To kick off the year – and it is a particularly ground breaking study – is the link between increased blood flow to the brain after restoring the curve with in the neck.
That’s right! Increased Cerebral Blood Flow, evidenced on brain magnetic resonance angiogram, following correction of Cervical Lordosis.

Congratulations to the Boys in Blue
Well done for the lads on the weekend.
Nice to see the young cubs getting a tune up in Clinic prior to the big race.

Does improvement towards a normal Cervical Sagittal configuration aid in the management of Cervical Myofascial Pain Syndrome
PUBLISHED: BMC Musculoskelet Disord. 2018 Nov 12;19(1):396. doi: 10.1186/s12891-018-2317-y. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/30419868
AUTHORS: Moustafa IM, Diab AA, Hegazy F, Harrison DE.
CONCLUSION: The addition of the denneroll cervical orthotic to a multimodal program positively affected chronic myofascial cervical pain syndrome (CMCPS) outcomes at long term follow up.

Demonstration of Central Conduction Time and Neuroplastic changes after Cervical Lordosis Rehabilitation in Asymptomatic Subjects
PRESENTED: Proceedings of the 14th biennial congress of the World Federation of Chiropractic, March 15-18, 2017. Pub Med: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345783/
AUTHORS: Moustafa IM, Diab AAM, Taha S, Harrison DE.
CONCLUSION: Improvement of cervical spine alignment has an effect on central conduction time.

Prospective, Randomised, Double-Blind Clinical Study evaluating the correlation of Clinical Outcomes and Cervical Sagittal Alignment
PUBLISHED: Neurosurgery. 2011 May;68(5):1309-16; discussion 1316. doi: 10.1227/NEU.0b013e31820b51f3. PUB MED: https://www.ncbi.nlm.nih.gov/pubmed/21792113
AUTHORS: Villavicencio AT, Babuska JM, Ashton A, Busch E, Roeca C, Nelson EL, Mason A, Burneikiene S.
RESULTS: Patients who had maintained or improved segmental sagittal alignment, regardless of graft type, achieved a higher degree of improvement in Short Form-36 Physical Component Summary and Neck Disability Index scores. This was statistically significant (P < .038).
CONCLUSION: Maintaining a consistent segmental sagittal alignment or increasing segmental lordosis was related to a higher degree of improvement in clinical outcomes.
Spinal Centre Note: Appears surgeons are picking up what Chiropractic BioPhysics practitioners have been talking about. Well done.
If you like this article be sure to visit the Spinal Centre website at www.thespinalcentre.com.au and view more content by Dr. Hooper and the Spinal Rehabilitation Team.
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