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. 2018 Feb;30(2):266-270.
doi: 10.1589/jpts.30.266. Epub 2018 Feb 20.

Cervical extension traction as part of a multimodal rehabilitation program relieves whiplash-associated disorders in a patient having failed previous chiropractic treatment: a CBP® case report

Miles O Fortner  1 , Paul A Oakley  2 , Deed E Harrison  3
Affiliations

Cervical extension traction as part of a multimodal rehabilitation program relieves whiplash-associated disorders in a patient having failed previous chiropractic treatment: a CBP® case report

Miles O Fortner et al. J Phys Ther Sci. 2018 Feb.

Abstract

[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a patient suffering from chronic whiplash syndrome including chronic neck pain and daily headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female presented with a chief complaint of chronic neck pain and headaches for 12 years, correlating temporally with a sustained whiplash. These symptoms were not significantly relieved by previous chiropractic spinal manipulative therapy. The patient had cervical hypolordosis and was treated with Chiropractic BioPhysics® protocol including extension exercises, manual adjustments and cervical extension traction designed to increase the cervical lordosis. [Results] The patient received 30 treatments over approximately 5-months. Upon re-assessment, there was a significant increase in global C2-C7 lordosis, corresponding with the reduction in neck pain and headaches. [Conclusion] This case adds to the accumulating evidence that restoring lordosis may be key in treating chronic whiplash syndrome. We suggest that patients presenting with neck pain and/or headaches with cervical hypolordosis be treated with a program of care that involves cervical extension traction methods to restore the normal cervical lordosis.

Keywords: Cervical hypolordosis; Extension traction; Whiplash associated disorder.

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Figures

Fig. 1.
Fig. 1.
Neutral lateral cervical radiographs. Left: Initial (4/4/17) showing cervical absolute rotation angle hypolordosis of −18.8° between C2–C7. Right: Follow-up (8/28/17) showing restoration of normal lordosis (−32.1°) after 30 treatment sessions. Green line represents ideal 42° curve; Red line highlights patient position.
Fig. 2.
Fig. 2.
Pope 2-way cervical extension traction.
Fig. 3.
Fig. 3.
Cervical mirror image extension exercises.
See this image and copyright information in PMC

References

    1. Coulter ID, Hurwitz EL, Adams AH, et al. : Patients using chiropractors in North America: who are they, and why are they in chiropractic care? Spine, 2002, 27: 291–296, discussion 297–298. - PubMed
    1. Braaf MM, Rosne RS: Trauma of cervical spine as cause of chronic headache. J Trauma, 1975, 15: 441–446. - PubMed
    1. Nagasawa A, Sakakibara T, Takahashi A: Roentgenographic findings of the cervical spine in tension-type headache. Headache, 1993, 33: 90–95. - PubMed
    1. Vernon H, Steiman I, Hagino C: Cervicogenic dysfunction in muscle contraction headache and migraine: a descriptive study. J Manipulative Physiol Ther, 1992, 15: 418–429. - PubMed
    1. Harrison DD, Harrison DE, Janik TJ, et al. : Modeling of the sagittal cervical spine as a method to discriminate hypolordosis: results of elliptical and circular modeling in 72 asymptomatic subjects, 52 acute neck pain subjects, and 70 chronic neck pain subjects. Spine, 2004, 29: 2485–2492. - PubMed

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