Background: Aging often results in thoracic kyphosis and adverse postural changes. This may interfere with physiologic activity of paraspinal muscles. Few styles of spinal orthosis have been already used to reduce thoracic kyphosis. This paper describes the development of a novel orthosis, which is designed based on the anatomy of the back muscles. This novel orthosis may potentiate muscle acti...

To the Editor: Thanks to the JAOA for the concise January 2000 supplement on osteoporosis. One small addition that would be especially relevant to osteopathic practice is specific inclusion of upper back extension exercises in the management of osteoporosis. Loss of height, the most clinically available indicator of osteoporotic vertebral wedging and compression fractures, is preceded by loss o...

PURPOSE Recent work has shown the safety and efficacy of halo-gravity traction as an operative adjunct. However, there are no reports specifically looking at halo-gravity traction in patients with skeletal dysplasia. Our purpose was to assess the safety and efficacy of traction in children with skeletal dysplasia who present with severe kyphoscoliosis. METHODS We retrospectively reviewed eigh...

BACKGROUND Treatment of unstable upper and middle thoracic spine fractures remains controversial. There is no consensus regarding optimal treatment. OBJECTIVES In this study, we evaluated the efficacy of pedicular screw in the management of middle thoracic spine fractures to correct kyphosis and anterolisthesis and improve neurologic condition of patients. PATIENTS AND METHODS Twenty-five p...

Based on clinical observations, foot hyperpronation is very common. Excessive pronation (hyperpronation) can cause malalignment of the lower extremities. This most often leads to functional and structural deficits. The aim of this study was to assess the effect of foot hyperpronation on lumbar lordosis and thoracic kyphosis. Thirty five healthy subjects (age range, 18030 years) were asked to st...

BACKGROUND The adapted arcometer has been validated for use in adults. However, its suitability for use in children can be questioned given the structural differences present in these populations. OBJECTIVE To verify the concurrent validity, repeatability, and intra- and inter-reproducibility of the adapted arcometer for the measurement of the angles of thoracic kyphosis and lumbar lordosis i...

Objective: Subacromial impingement syndrome has been described as the most common form of shoulder pathology. The literature suggests that the aetiology of subacromial impingement is multifactorial. These causes include anatomical and mechanical factors, rotator cuff pathology, glenohumeral instability, restrictive processes of the glenohumeral joint, imbalance of the muscles controlling the sc...

[Purpose] To present the clinically significant improvement of straight back syndrome (SBS) in a patient with spinal pain and exertional dyspnea. [Subject and Methods] A 19 year old presented with excessive thoracic hypokyphosis and other postural deviations. A multimodal CBP® mirror image® protocol of corrective exercises, traction procedures and spine/posture adjusting were given over an init...

BACKGROUND Thoracolumbar junction (TLJ) is the transitional area between the lower thoracic spine and the upper lumbar spine. Vertebral compression fractures and proximal junctional kyphosis following spine surgery often occur in this area. Therefore, the study of development and mechanisms of thoracolumbar junctional degeneration is important for planning surgical management. This study aimed ...