Rehabilitation

Training and Rehabilitation
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Adult Spinal Deformity
The Silent Menace
Adult Spinal Deformity Outweighs Other Chronic Conditions in Health Drama
When you think of health-related quality of life (HRQL) concerns, chronic conditions like arthritis, lung disease, diabetes, and congestive heart failure probably top your list.
But hold onto your lumbar support because Adult Spinal Deformity is here to steal the spotlight. We reveal how Adult Spinal Deformity is not just a Spinal issue – it is a Life issue.

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.

The efficacy of Cervical Lordosis rehabilitation for nerve root function, pain, and segmental motion in Cervical Spondylotic Radiculopathy
PUBLISHED: PhysioTherapy 2011; 97 Supplement: 846-847. https://www.researchgate.net/publication/258226733
AUTHORS: Moustafa IM, Diab AM, Ahmed A, Harrison DE.
CONCLUSIONS: Improved lordosis in the study group was associated with significant improvements in nerve root function, VAS rating, and translational and rotational motions of the lower cervical spine.
Only in the study group were the results maintained at long-term follow up.
IMPLICATIONS: Appropriate physical rehabilitation for Cervical Spondylotic Radiculopathy should include cervical sagittal curve correction, as it is may to lead greater and longer lasting improved function.

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.

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.

Association between Cervical Lordotic Curvature and Cervical Muscle cross‐sectional area in patients with Loss of Cervical Lordosis
PUBLISHED: Clin Anat. 2018 Jul;31(5):710-715. doi: 10.1002/ca.23074. Epub 2018 Apr 14. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/29575212
AUTHORS: Yoon SY1, Moon HI1, Lee SC2, Eun NL3, Kim YW2.
CONCLUSION: There is a significant relationship between cervical muscle imbalance, including extensor muscle weakness, and loss of cervical lordosis.
Spinal Centre Note: Muscular strengthening needs to be combined with structural correction of the cervical lordosis to obtain the best outcome.