Computational protocol: Reversing thoracic hyperkyphosis: a case report featuring mirrorimage® thoracic extension rehabilitation

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Protocol publication

[…] A 15-year-old female was brought by her parents to one of our rehabilitation clinics suffering from back and neck pains as well as headaches. Upon visual inspection, it was obvious she had a pronounced thoracic hyperkyphosis.The patient reported her pains were rated as 3–5/10 for her neck (0= no pain; 10= worst pain ever), 5–10/10 for migraine headaches, 4–8/10 for chronic low back pain, 2–5/10 for mid back pain, and 2–4/10 for pain into the ribs and chest. She also reported to suffer from dizziness, visual disturbances, numbness and tingling into the hands, weakness and coldness in the left hand, heartburn, heart palpitations, shortness of breath, involuntary breathing patterns, as well as muscle cramps in the hips, thighs and calves bilaterally.Full spine radiographs were taken and biomechanically analyzed using the PostureRay® Software (Posture Co. Inc., Trinity, FL, USA). This system uses the Harrison posterior tangent method for lateral spine images, ) and the modified Riser-Ferguson method for AP spine images). These measurement methods are repeatable and reliable,,).The patient had several postural faults, the larger and notable ones included a forward head posture (35.6 mm vs. <15 mm normal), Fig. 1.), thoracic hyperkyphosis (T1–T12= 71.3° vs. 43.7° normal), Fig. 2.), and posterior thoracic translation posture (−59.2 mm vs. 0 mm normal), Fig. 3.).The patient was treated with a multimodal rehabilitation program, , ) including mirror image corrective exercises, spinal traction, and spinal manipulation. Since the patient had a large posterior thoracic translation, the prescribed mirror image corrective exercises included an anterior thoracic translation exercise as well as a prone back extension exercise on a PowerPlate® (Northbrook, IL, USA) which intensifies the muscular demand).The spinal traction was an anterior thoracic position performed for up to 20 minutes in both a supine position (for first 20 treatments) and then progressed to a standing position utilizing the SRBraceTM (Circular traction, Huntington Beach, CA, USA) on the PowerPlate (Fig. 4.). This positions the thoracic spine into its mirror image (hypo-kyphosis), as well as positions the posterior thoracic posture into its mirror image (anterior translation). Spinal manipulation was also applied for pain relief. The patient received 94 treatments over a period of 13-months. The patient and parents consented to the publication of these results. […]

Pipeline specifications

Software tools MUSCLE, Trinity
Application Nucleotide sequence alignment
Organisms Homo sapiens
Diseases Thoracic Diseases