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Logo for the Journal of Rehab R&D
Volume 41 Number 4, July/August 2004
Pages 631 — 640


Conservative methods for reducing lateral translation postures of the head: A nonrandomized clinical control trial

Deed E. Harrison, DC; Rene Cailliet, MD; Joseph Betz, BS, DC; Jason W. Haas, DC; Donald D. Harrison, PhD, DC, MSE; Tadeusz J. Janik, PhD; Burt Holland, PhD

Private Practice, Elko, NV; Department of Rehabilitative Medicine, University of Southern California School
of Medicine, Pacific Palisades, CA; Private Practice, Boise, ID; Private Practice, Windsor, CO; Biomechanics
Laboratory, Universite du Quebec a Trois-Rivieres, Evanston, WY; CompMathRC, Huntsville, AL; Department
of Statistics, Temple University, Philadelphia, PA
Abstract — Fifty-one retrospective, consecutive patients were compared to twenty-six prospective volunteer controls in a nonrandomized clinical control trial. Both groups had chronic neck pain and lateral head translation posture. For treatment subjects, beginning and follow-up pain scales and anteroposterior (AP) cervical radiographs were obtained after 12.8 weeks of care (average of 37 visits), while the duration was a mean of 12 months for control subjects. Digitized radiographs were analyzed for Risser-Ferguson angles and a horizontal translation distance of C2 from a vertical line through T3. For treatment, patients received the Harrison mirror-image postural methods, which include mechanically assisted manipulation, opposite head posture exercise, and opposite head translation posture traction. While no significant differences were found in the control group subjects' pain scores and AP radiographic measurements, statistically significant improvements were observed in the treatment group subjects' pain scores and lateral translation displacements of C2 compared to T3 (pretrial score: 13.7 mm, posttrial score: 6.8 mm) and in angle measurements.

Key words: exercise, head posture, lateral translation, rehabilitation, traction, x-ray.

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