Objective: To examine the evidence of Chiropractic BioPhysics® (CBP®) technique methods in pediatric case reports describing the improvement of the cervical lordotic curve and concomitant effects on pain and presenting condition.
Methods: We searched the CBP NonProfit website as well as Pubmed and the Index to Chiropractic literature for clinical case reports describing rehabilitation of abnormalities of cervical sagittal alignment in pediatric patients.
Results: Our search found 11 pediatric patient cases reported in 10 publications. The average age was 8.8 years (5-13yrs), and included 8 males and 3 females. Number of treatments averaged 34.5 over a duration of 4.6 months. On post-treatment lateral cervical radiographs, there was an average 25° increase in lordosis, a 12.3° increase in atlas plane line, and a 7.2mm reduction in anterior head translation. There was an average 6.9 point improvement in pain severity. The range of primary complaints documented to be improved after treatment included: asthma, attention deficit hyperactivity disorder (ADHD), concentration difficulty, dizziness, headaches, neck pain, neck stiffness, nocturnal enuresis, otitis media and whiplash associated disorder. Six of 11 (55%) cases reported details of long-term follow-up, ranging from 3 months to 1.5 years after treatment. Most of the cases reporting a post-treatment follow-up lacked sufficient details of follow-up outcomes. The methodological quality of reports varied.
Conclusion: There is an evolving evidence base of cases reporting on the effectiveness of CBP structural rehabilitation procedures for improving the pediatric cervical lordosis. Suggestions to improve case report design and categories of future clinical research are discussed.
Author keywords: Pediatrics; Chiropractic BioPhysics; Cervical Lordosis; Cervical Spine; Rehabilitation
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