Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics® case report.

Abstract

[Purpose] We document the significant improvement in posturography and spinal deformity by Chiropractic BioPhysics^® (CBP^®) technique methods. [Participant and Methods] A 78-year-old male presented with 20 years of chronic hip and lower back pain and stiffness. The pain was 5/10 and disability was 38%. The patient also complained of walking difficulty and balance problems. Radiographic assessment demonstrated a significant thoracolumbar kyphosis and anterior C7-S1 sagittal vertical axis (SVA). Force plate posturography showed high centre of pressure (COP) parameter values including the total path length, particularly for the vestibular condition of the modified clinical test of sensory integration and balance (mCTSIB). [Results] The patient was treated with 36 sessions of CBP corrective exercises and spinal traction as well as PowerPlate balance and gait exercises. Assessment after 4-months showed improvements in sleep, pain, disability, and mobility. There was a 79 mm reduction in SVA and improved postural control in many parameters including a 49 cm and 22 cm reduction in COP total path length for the vestibular and visual trials on the mCTSIB, respectively. The pain and disability were reduced to 0/10 and 22%. [Conclusion] This case demonstrates the significant improvement in postural control as quantified by the mCTSIB with the reduction of excessive SVA as demonstrated on post-treatment x-rays.