title: Cervical hyperlordosis, forward head posture, and lumbar kyphosis correction: A novel treatment for mid-thoracic pain.
abstract: OBJECTIVE
  To describe a novel approach to correcting cervical hyperlordosis and forward head posture in the treatment of mid-thoracic pain using specific rehabilitative equipment
  
  
  METHODS
  A 27-yr-old male patient had a chief complaint of intense, episodic mid-thoracic pain. A posture examination revealed several abnormalities, including apparent thoracic humping or buckling, along with significantly rounded shoulders. Radiological study resulted in a finding of a 52 degrees cervical lordosis and forward head posture (FHP) validated by 2 separate measurements.
  
  
  RESULTS
  Treatment included 10 visits in 24 days, consisting of spinal manipulative therapy (SMT) combined with a 4-lb headweight device and a figure-8 clavicle brace, followed by positional traction on an intersegmental traction table. Specific instructions for home care were provided to the patient. Post-trial radiographs showed a reduced cervical lordosis of 40 degrees and a reduction in FHP of 12mm, according to 1 of the 2 FHP measurements. An incidental improvement was also recorded for the lumbar lordosis. Patient symptoms were alleviated by the end of the trial period.
  
  
  CONCLUSIONS
  This comprehensive approach appeared to correct specific posture abnormalities seen on x-ray, and had an apparent positive effect on the patient's chief complaint. Each procedure in this treatment method needs to be tested separately to determine which procedures had the greatest effect.
authors.affiliation: Private Practice of Chiropractic, Flint, MI.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Morningstar
references.citation: J Chiropr Med. 2003 Spring;2(2):51-4
references.pmid: 19674595
references.citation: Prog Brain Res. 1988;76:1-442
references.pmid: 3217526
references.citation: J Manipulative Physiol Ther. 1999 Jul-Aug;22(6):399-410
references.pmid: 10478773
references.citation: Spine (Phila Pa 1976). 1998 Apr 15;23(8):921-7
references.pmid: 9580960
references.citation: J Chiropr Med. 2002 Summer;1(3):113-5
references.pmid: 19674570
references.citation: Spine (Phila Pa 1976). 2002 Aug 1;27(15):E348-55
references.pmid: 12163735
references.citation: J Vestib Res. 1998 May-Jun;8(3):187-200
references.pmid: 9626646
references.citation: Arch Phys Med Rehabil. 2002 Nov;83(11):1585-91
references.pmid: 12422330
references.citation: J Manipulative Physiol Ther. 1993 Jul-Aug;16(6):384-91
references.pmid: 8409786
references.citation: J Manipulative Physiol Ther. 1994 Sep;17(7):454-64
references.pmid: 7989879
references.citation: J Manipulative Physiol Ther. 1998 May;21(4):267-80
references.pmid: 9608382
references.citation: Arch Phys Med Rehabil. 2002 Apr;83(4):447-53
references.pmid: 11932844
references.citation: J Manipulative Physiol Ther. 1997 May;20(4):246-56
references.pmid: 9168409