Evidence map›Paper›PMID 30154615›Full record

ArticleJournal of physical therapy science2018

Non-operative correction of flat back syndrome using lumbar extension traction: a CBP

Deed E Harrison, Paul A Oakley

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Journal of physical therapy science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Deed E HarrisonCBP NonProfit, Inc., USA.
Paul A OakleyPrivate Practice: 11A-1100 Gorham Street, Newmarket, Ontario, L3Y8Y8, Canada.
Canadian Rheumatology Association · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

[Purpose] To document the non-operative rehabilitation of lumbar lordosis in two cases with chronic low back pain and flexible flat back syndrome. [Participants and Methods] Two young adult males reported suffering from chronic low back pain associated with anterior sagittal balance and severe loss of lumbar lordosis, aka 'flat back syndrome.' Lumbar extension traction was applied 3-5 times per week for 16.5-20 weeks. A torsion type lumbar spinal manipulative therapy was provided in the initial 3 weeks for short-term pain relief. [Results] Both patients had dramatic improvement in lumbar lordosis with simultaneous reduction in pain levels. One patient had a 50° lordosis improvement in 100 treatments over 20 weeks; the other had a 26° lordosis improvement in 70 treatments over 16.5 weeks. There were also improvements in sacral base angle, pelvic tilt and sagittal balance. One patient demonstrated stability of health status and further improvements in radiographic measures including lordosis angle nearly 10-months post-treatment. [Conclusion] This is the first successful non-operative correction of flat back syndrome. This approach seems highly effective, is a fraction of the cost of spinal surgery typically used to treat this condition, and offers no health risks including those assumed from radiography necessary for screening and follow-up.

Indexed as

Flat back syndromeLumbar extension tractionLumbar lordosis

Identifiers

PMID30154615
PMCPMC6110233
OpenAlexW2887943130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.