• Cardwell A
• Barone B

• Adult
• Headache
• Male
• Orthotics
• Posture / abnormalities
• Respiratory System
• Sinusitis

Objective: To present a case of Chiropractic BioPhysics® (CBP®) protocol of care used on a patient with cervical and lumbopelvic postural distortions.

Clinical Features: A 34-year-old former rugby player presents to a CBP® chiropractic office with a history of the following chronic issues: headaches, mid and low back pain, congested sinuses, and upper respiratory symptoms for over twenty years. Postural analysis and x-ray revealed a 22mm right head-to-thorax translation (-TxH), a 28mm anterior head-to- thorax translation (+TzH), a right thorax-to-pelvis lateral flexion (+RzT), a left pelvis-to-foot rotation (+RyP), a 31° cervical lordosis, and an 81° lumbar lordosis. All measurements were based on CBP® protocol for x-ray line drawing.

Intervention and Outcomes: The patient received CBP® care over a 9-month period receiving approximately 33 sessions. Mirror-image® adjustments, mirror-image® exercises, and mirror-image® traction were used to reduce the patient’s spinal subluxations and postural distortions, in addition to a heel lift for his right shoe. The patient was seen 2 times per week for the first 12 weeks then was seen 1 time per week thereafter for an additional 6 months. Follow-up radiographs at both 18 weeks and 36 weeks of care showed progressive improvement in postural measurements toward normal. This was associated with improvement in headaches, sinus and respiratory symptoms.

Conclusion: Improvement in the patient’s abnormal posture and reductions of the radiographic spinal subluxations were achieved using CBP® protocol of care.

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