C.B.P. and Structural Issues

Cervical radiographical alignment

Comprehensive assessment techniques and potential importance in cervical myelopathy Ames CP,et al. Spine (Phila Pa 1976). 2013 Oct 15;38(22 Suppl 1):S149-60. doi: 10.1097/BRS.0b013e3182a7f449. Affiliation *Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA †Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY ‡Université Aix-Marseille, Marseille, France §University of California, […]

Cervical spine alignment, sagittal deformity, and clinical implications: a review

The Study: Cervical spine alignment, sagittal deformity, and clinical implications: a review The Facts: a. The authors reviewed normal cervical alignment, how to measure cervical alignment in the sagittal plane and the effect of cervical misalignment (cervical kyphosis in this case) on health-related quality of life (HRQOL). b. Recent studies suggest a correlation between cervical […]

Spinal posture in the sagittal plane is associated with future dependence in activities of daily living

J Gerontol A Biol Sci Med Sci. 2013 Jul;68(7):869-75. doi: 10.1093/gerona/gls253. Epub 2013 Jan 28. Spinal posture in the sagittal plane is associated with future dependence in activities of daily living: a community-based cohort study of older adults in Japan. Kamitani K1, Michikawa T, Iwasawa S, Eto N, Tanaka T, Takebayashi T, Nishiwaki Y. Author information Abstract BACKGROUND: Accumulated evidence shows how […]

Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy

Review article Ames CP, et al. Spine (Phila Pa 1976). 2013. Abstract STUDY DESIGN: Narrative review. OBJECTIVE: To provide a comprehensive narrative review of cervical alignment parameters, the methods for quantifying cervical alignment, normal cervical alignment values, and how alignment is associated with cervical deformity and myelopathy with discussions of health-related quality of life. SUMMARY […]

Straightened cervical lordosis causes stress concentration

Australas Phys Eng Sci Med. 2013 Mar;36(1):27-33. doi: 10.1007/s13246-013-0182-4. Epub 2013 Jan 25. Straightened cervical lordosis causes stress concentration: a finite element model study. Wei W1, Liao S, Shi S, Fei J, Wang Y, Chen C. Author information Abstract In this study, we propose a finite element analysis of the complete cervical spine with straightened […]

Straightened cervical lordosis causes stress concentration

Australas Phys Eng Sci Med. 2013 Mar;36(1):27-33. doi: 10.1007/s13246-013-0182-4. Epub 2013 Jan 25. Straightened cervical lordosis causes stress concentration: a finite element model study. Wei W, Liao S, Shi S, Fei J, Wang Y, Chen C. Abstract In this study, we propose a finite element analysis of the complete cervical spine with straightened and normal […]

Biomechanical analysis of the spino-pelvic organization and adaptation in pathology

Eur Spine J. 2011 Sep; 20(Suppl 5): 609–618. Published online 2011 Aug 2. doi: 10.1007/s00586-011-1928-x PMCID: PMC3175914 PMID: 21809016 Pierre Roussouly Abstract Introduction Standing in an erect position is a human property. The pelvis anatomy and position, defined by the pelvis incidence, interact with the spinal organization in shape and position to regulate the sagittal […]

Flattening of sagittal spinal curvature as a predictor of vertebral fracture

Osteoporos Int. 2008 Jan;19(1):65-9. Epub 2007 Sep 14. Flattening of sagittal spinal curvature as a predictor of vertebral fracture. Kobayashi T Abstract In a 12-year prospective study of 100 adult volunteers, incident vertebral fractures were analyzed for potential predictors. Decreased sagittal spinal curvature and pre-existing fractures were identified as independent predictors. The risk of vertebral […]

Evidence-based protocol for structural rehabilitation of the spine and posture: review of clinical biomechanics of posture (CBP®) publications

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 […]

Effects of abnormal posture on capsular ligament elongations in a computational model subjected to whiplash loading

Journal of Biomechanics Volume 38, Issue 6, June 2005, Pages 1313-1323 Brian D.Stemper Abstract Although considerable biomechanical investigations have been conducted to understand the response of the cervical spine under whiplash (rear impact-induced postero-anterior loading to the thorax), studies delineating the effects of initial spinal curvature are limited. This study advanced the hypothesis that abnormal […]

Determining the relationship between cervical lordosis and neck complaints

J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. McAviney J1, Schulz D, Bock R, Harrison DE, Holland B. Abstract OBJECTIVE: To investigate the presence of a “functionally normal” cervical lordosis and identify if this and the amount of forward head posture are related to neck complaints. METHODS: Using the posterior tangent method, an angle of cervical lordosis was measured from C2 through C7 vertebrae on 277 lateral cervical x-rays. Anterior weight bearing […]

Anterior thoracic posture increases thoracolumbar disc loading

Harrison DE, et al. Eur Spine J. 2005. Abstract In the absence of external forces, the largest contributor to intervertebral disc (IVD) loads and stresses is trunk muscular activity. The relationship between trunk posture, spine geometry, extensor muscle activity, and the loads and stresses acting on the IVD is not well understood. The objective of […]

Forward Head Posture and Cervical Spine Degeneration

Evaluation of axial and flexural stresses in the vertebral body cortex and trabecular bone in lordosis and two sagittal cervical translation configurations with an elliptical shell model Harrison DE, et al. Journal J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):391-401. Affiliation Comment in J Manipulative Physiol Ther. 2003 Nov-Dec;26(9):608; author reply 608-12. Abstract BACKGROUND: Osteoarthritis and spinal degeneration are […]

Cervical Lordosis (reversed cervical curve) and Osteophyte Formation

Comparison of axial and flexural stresses in lordosis and three buckled configurations of the cervical spine. AuthorsHarrison DE, et al. Show all Journal Clin Biomech (Bristol, Avon). 2001 May;16(4):276-84. Affiliation Abstract OBJECTIVE: To calculate and compare combined axial and flexural stresses in lordosis versus buckled configurations of the sagittal cervical curve. DESIGN: Digitized measurements from […]

The straight cervical spine: does it indicate muscle spasm?

J Bone Joint Surg Br. 1994 Jan;76(1):103-6. Helliwell PS, Evans PF, Wright V.  Abstract The loss of cervical lordosis in radiographs of patients presenting with neck pain is sometimes ascribed to muscle spasm. We performed a cross-sectional study of the prevalence of ‘straight’ cervical spines in three populations: 83 patients presenting to an accident department […]