Journal of Physical Therapy Science
Online ISSN : 2187-5626
Print ISSN : 0915-5287
ISSN-L : 0915-5287
Case Study
Alleviation of pain and disability in a post-surgical C4–C7 total fusion patient after reducing a lateral head translation (side shift) posture: a CBP® case report with a 14 year follow-up
Paul A. OakleyDeed E. Harrison
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2018 年 30 巻 7 号 p. 952-957

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[Purpose] This case describes the long-term successful outcome in a chronic neck pain patient given Chiropractic Biophysics® treatment 14 years previously, and following surgical fusion of C4–C7 as performed 6.5 years prior to initial presentation. [Participant and Methods] The 56-year-old female had a severe right head translation (side shift) posture and surgical fusion of C4–7 with concomitant head and neck symptoms, high pain and neck disability scores, and low health-related quality of life scores. The patient was treated by Chiropractic BioPhysics methods in an attempt to restore the head and neck posture back towards vertical alignment by mirror image® (opposite posture positioning) exercises, adjustments and traction. [Results] The patient received 25 treatments over the course of 11 days due to special circumstances. Initial treatment resulted in a 50% improvement of posture, a marked improvement in health status and a near complete resolution of pain. Follow-up examinations at 7.5 years, 11.5 years, and 14 years, revealed the patient had lived a virtual pain-free life since those initial treatments. [Conclusion] This case illustrates what has previously been suggested in the literature, that lateral head translation postures can be overlooked and undiagnosed and these postures may play a significant role in the production of neck pain, headaches, and related disability.

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© 2018 by the Society of Physical Therapy Science. Published by IPEC Inc.

This article is distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
https://creativecommons.org/licenses/by-nc-nd/4.0/
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