Sunset Chiropractic & Wellness Research Review: Relationships between forward head posture and lumbopelvic sagittal alignment in older adults with chronic low back pain
https://pubmed.ncbi.nlm.nih.gov/34776134/
Background: Abnormal posture creates abnormal stress and strain in many spinal structures which are considered predisposing factors for chronic mechanical low back pain.
Purpose: To examine the relationships among pain intensity, forward head posture (decreased craniovertebral angle) and lumbopelvic sagittal alignment
(pelvic incidence, pelvic tilt, sacral slope, and lumbar lordosis) in chronic mechanical low back pain patients.
Methods: A cross-section correlational study was conducted on one hundred patients. A numerical-pain-rating scale was used to determine pain intensity. Standardized standing lateral
radiographs were analyzed to measure the spinopelvic angles. Reported data were analyzed using correlation coefficients, and regression analyses.
Results: Lumbar lordosis had very strong positive correlations with each pain intensity and sacral slope. Pain intensity had a strong positive correlation with sacral slope. Moderate positive correlations highlighted between pelvic tilt and craniovertebral angle. Moreover, the pelvic incidence had weak positive correlations with each sacral slope and pelvic tilt. Negative correlations were strong between pelvic tilt and each of pain intensity, lumbar lordosis and sacral slope. Craniovertebral angle had moderate negative correlations with each of pain, lumbar lordosis, and sacral slope. However, the pelvic incidence had no relations with pain, craniovertebral angle lumbar lordosis. Overall, an association of demographic data and measured variables had a significant effect on the pain multi-regression equation prediction model. They accounted for 76.60% of the variation in pain.
Conclusion: Abnormal spinopelvic posture relates to chronic mechanical low back pain. There are significant associations among pain intensity, FHP and lumbopelvic sagittal alignment in chronic mechanical low back pain patients.
At Sunset Chiropractic & Wellness treatments for forward head posture and other postural distortions are selected and designed from a compressive consultation, health history, physical examination (orthopedic/neurological testing), digital posture analysis, weight bearing sitting x-rays using 41
measurements and 23 angles analyzing and comparing the spine to a mathematical model. In specific cases additional diagnostics could be ordered (Digital Motion X-rays/CTs/MRIs) to obtain or confirm a diagnosis.
Sunset Chiropractic and Wellness’s Structural Correction Chiropractic Care rehabilitate the damaged spine and its damaged structures (muscles, ligaments, fascia, discs, bone, and nerves) improving the structure and functions, reducing and removing the pain, and improving overall quality of life.
For more information on our unique structural correction chiropractic treatment for forward head posture and other postural distortions please visit our treatment page on our website.
www.sunsetchiropractor.com/corrective-chiropractic-care/
If you have been experiencing spinal symptoms such as neck pain, back pain, headaches, migraines, mid back pain, rib pain, carpal tunnel, sciatica, disc herniations or protrusions, neuropathy, scoliosis, spinal stenosis, pain/numbness/weakness in your arms, hands, legs or feet……..
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We look forward to meeting you and helping you recover your health. You can get better! We can help! There is still hope !
Dr. Rodolfo Alfonso, D.C.
Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
8585 Sunset Dr.
STE 102
Miami, Florida 33143
305-275-7474
www.sunsetchiropractor.com
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