Impaired Trunk Posture in Women With Fibromyalgia Pain
Increased Thoracic Kyphosis and Sagittal In-Balance ==> Increased Chronic Pain
A recent paper prepared out of the University of Valencia and Miguel Hernández University, Spain has been published through PubMed by Sempere-Rubio N and Aguilar-Rodríguez M et. al.
It investigates the relationship of mid back posture, thoracic kyphosis and forward head carriage in patients with Chronic Pain and Fibromyalgia Syndromes.
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.
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.
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.
Does improvement towards a normal Cervical Sagittal configuration aid in the management of Lumbosacral Radiculopathy
PUBLISHED: 2015, Journal of Chiropractic Medicine 14 (2). Pub Med: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523573/
AUTHORS: Moustafa IM, Diab AA, Harrison DE.
Proceedings of the 13th World Federation of Chiropractic Biennial Congress / ECU Convention, Athens, Greece, May 13-16, 2015. Paper #184 Mediterranean Region Award Winning Paper.
INITIAL CONCLUSIONS: Improvement of normal cervical sagittal configuration aids in the management and rehabilitation of patients with lumbosacral disc disruption and radiculopathy.
PUBLISHED: Spine (Phila Pa 1976). 2004 Nov 15;29(22):2485-92. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/15543059
TITLE: Modelling of the sagittal cervical spine as a method to discriminate hypolordosis: results of elliptical and circular modelling in 72 asymptomatic subjects, 52 acute neck pain subjects, and 70 chronic neck pain subjects.
AUTHORS: Harrison DD1, Harrison DE, Janik TJ, Cailliet R, Ferrantelli JR, Haas JW, Holland B.
CONCLUSIONS: The mean cervical lordosis for all groups could be closely modelled with a circle. Pain groups had hypolordosis and larger radiuses of curvature compared with the normal group.
PUBLISHED: J Manipulative Physiol Ther. 1996 Jul-Aug;19(6):398-405. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/8864971
AUTHORS: Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ.
CONCLUSION: The usual, typical or normal configuration of the cervical spine in the sagittal dimension is a lordosis with a range of 16.5-66 degrees when measured as tangent lines along the cervical curve of the posterior vertebral body margins of C2 and C7.
An analysis of stresses and strains supports this claim, as do studies from the scientific literature that attempt to measure and classify average cervical configuration from large population bases.
The use of normative data as a gauge against which to measure patients’ structural health and as an outcome of the degree of success or failure of chiropractic interventions seem to be logical consequences of these findings.