Don't Throw the 'Bio' out of the Bio-Psycho-Social Model: Editorial for Spine Rehabilitation in 2022 and Beyond

Abstract

Spinal injuries, disorders and disabilities are among the leading causes for work loss, suffering, and health care expenditures throughout the industrialized world [...].

Figure 1

This diagram is the CBP^® Full spine Normal Model. It documents the proper path of the spine from a side view. Ideally, the back of your vertebra should align along this mathematical model. It is composed of specific ellipses as shown in the following regions on the left: • C1-T1: cervical (neck) • T1-T12: thoracic (rib cage) • T12-S1 lumbar (low back). The ideal spine has near perfect vertical balance of the upper- and lower-most vertebra for each of these three spinal regions. Each region has points of inflection—the mathematical term for change in direction from concavity to convexity with which to compare your six spinal X-rays against. Along the entire spine, each vertebra has a graphed mathematical point to correspond to. Such a spinal analysis helps determine proper (or improper) posture and alignment and how much correction may be required.

Figure 2

Translational Components of Abnormal Body Postures. In each region (head, ribcage, and pelvis), six distinct translation displacements are shown with “engineering” lines. Thus, 18 postural abnormalities as single postures are shown.

Figure 3

Rotational Components of Abnormal Body Postures. In each region (head, ribcage, and pelvis), six distinct rotation displacements are shown with “engineering” lines. Thus, 18 postural abnormalities as single postures are shown.