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Scientific References

Sunday, May 10th, 2020
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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.

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Wednesday, May 6th, 2020
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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.

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Sunday, January 12th, 2020
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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.

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Friday, January 10th, 2020
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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.

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Thursday, January 9th, 2020
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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.

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Thursday, January 2nd, 2020
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Determining the relationship between Cervical Lordosis and Neck Complaints

PUBLISHED: J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/15855907

AUTHORS: McAviney J, Schulz D, Bock R, Harrison DE, Holland B.

RESULTS: Patients with lordosis of 20 degrees or less were more likely to have cervicogenic symptoms.

The association between cervical pain and lordosis of 0 degrees or less was significant.

Patients with cervical pain had less lordosis and this was consistent over all age ranges.

CONCLUSION: We found a statistically significant association between cervical pain and lordosis < 20 degrees and a “clinically normal” range for cervical lordosis of 31 degrees to 40 degrees.

Maintenance of a lordosis in the range of 31 degrees to 40 degrees could be a clinical goal for chiropractic treatment.

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Sunday, December 1st, 2019
schoolboy with open book on white background. Isolated 3D image

Cervical Cord Compression and Whole-Spine Sagittal Balance

Published: World Neurosurg. 2019 Oct;130:e709-e714. doi: 10.1016/j.wneu.2019.06.198. Epub 2019 Jul 4.

Authors: Yuk CD1, Kim TH2, Park MS2, Kim SW2, Chang HG2, Kim JH1, Ahn JH1, Chang IB1, Song JH1, Oh JK3.

  • Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • Department of Orthopedics, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea.

OBJECTIVE: We sought to investigate the relationship between cervical cord compression and factors related to whole-spine sagittal balance.

CONCLUSIONS: Cervical cord compression is more likely to develop in patients with sagittal imbalance. It is important to use whole-spine radiograph and whole-spine T2 scout magnetic resonance imaging to analyze CCI in these patients.

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