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Scientific References

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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Friday, January 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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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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Wednesday, January 8th, 2020
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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.

 

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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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Thursday, December 19th, 2019
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Increase in Cerebral Blood Flow indicated by increased Cerebral Arterial area and pixel intensity on brain magnetic resonance angiogram following correction of Cervical Lordosis.

PUBLISHED: Brain Circ. 2019 Jan-Mar;5(1):19-26. doi: 10.4103/bc.bc_25_18. Epub 2019 Mar 27. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/31001596

AUTHORS: Katz EA1, Katz SB1, Fedorchuk CA2, Lightstone DF2, Banach CJ1, Podoll JD3.

RESULTS: Pixel intensity increased 23.0%-225.9%, and a Student’s t-test determined that the increase was significant (P < 0.001). Regression analysis of the change in pixel intensity versus the cervical lordosis showed that as the deviation from a normal cervical lordosis increases, percentage change in pixel intensity on MRA decreases.

CONCLUSION: These results indicate that correction of cervical lordosis may be associated with an immediate increase in cerebral blood flow.

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