Evidence-based Protocol for Structural Rehabilitation of the Spine and Posture: Review of Clinical Biomechanics of Posture (CBP) Publications

Overview

Journal J Can Chiropr Assoc

Date 2007 Jun 6

PMID 17549209

Citations 66

Authors

Paul A Oakley

Donald D Harrison

Deed E Harrison

Jason W Haas

Affiliations

Soon will be listed here.

Abstract

Background: Although practice protocols exist for SMT and functional rehabilitation, no practice protocols exist for structural rehabilitation. Traditional chiropractic practice guidelines have been limited to acute and chronic pain treatment, with limited inclusion of functional and exclusion of structural rehabilitation procedures.

Objective: (1) To derive an evidence-based practice protocol for structural rehabilitation from publications on Clinical Biomechanics of Posture (CBP((R))) methods, and (2) to compare the evidence for Diversified, SMT, and CBP((R)).

Methods: Clinical control trials utilizing CBP(R) methods and spinal manipulative therapy (SMT) were obtained from searches in Mantis, CINAHL, and Index Medicus. Using data from SMT review articles, evidence for Diversified Technique (as taught in chiropractic colleges), SMT, and CBP((R)) were rated and compared.

Results: From the evidence from Clinical Control Trials on SMT and CBP((R)), there is very little evidence support for Diversified (our rating = 18), as taught in chiropractic colleges, for the treatment of pain subjects, while CBP((R)) (our rating = 46) and SMT for neck pain (rating = 58) and low back pain (our rating = 202) have evidence-based support.

Conclusions: While CBP((R)) Technique has approximately as much evidence-based support as SMT for neck pain, CBP((R)) has more evidence to support its methods than the Diversified technique taught in chiropractic colleges, but not as much as SMT for low back pain. The evolution of chiropractic specialization has occurred, and doctors providing structural-based chiropractic care require protocol guidelines for patient quality assurance and standardization. A structural rehabilitation protocol was developed based on evidence from CBP((R)) publications.

Citing Articles

Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics case report.

Oakley P, Gage W, Harrison D, Mochizuki G J Phys Ther Sci. 2024; 36(11):756-764.

PMID: 39493686 PMC: 11527466. DOI: 10.1589/jpts.36.756.

Improvement in Spine Pain, Functional Performance, and Quality of Life in a 26-Year-Old Male With a Failed Spine Fusion Surgery After Chiropractic BioPhysics® Structural Spinal Rehabilitation: A Case Report With a Six-Month Follow-Up.

Haas J, Fedorchuk C, Lightstone D, Oakley P, Harrison D Cureus. 2024; 16(10):e71544.

PMID: 39417063 PMC: 11483166. DOI: 10.7759/cureus.71544.

The Reduction of Cervical Hyperlordosis and Resolution of Craniocervical Symptoms in an Adolescent Female: A Chiropractic Biophysics Case Report With Long-Term Follow-Up.

Woodham T, Fortner M, Haas J, Oakley P, Harrison D Cureus. 2024; 16(9):e69913.

PMID: 39329043 PMC: 11427027. DOI: 10.7759/cureus.69913.

Resolution of Sporadic Hemiplegic Migraine by Correcting a Cervical Spine Kyphosis Utilizing the Chiropractic BioPhysics® (CBP®) Technique: A Case Report With Long-Term Follow-Up.

Woodham T, Haas J, Fortner M, Oakley P, Harrison D Cureus. 2024; 16(7):e63774.

PMID: 38974394 PMC: 11227427. DOI: 10.7759/cureus.63774.

Intra-Examiner Reliability and Validity of Sagittal Cervical Spine Mensuration Methods Using Deep Convolutional Neural Networks.

Hosseini M, Mahoor M, Haas J, Ferrantelli J, Dupuis A, Jaeger J J Clin Med. 2024; 13(9).

PMID: 38731102 PMC: 11084751. DOI: 10.3390/jcm13092573.

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