Importance of Posture and Spine Alignment and Its Impact on Health-Related Quality of Life

Chiropractic Coeur d'Alene ID Rehabilitation

Normal spine alignment and posture is critical for optimal biomechanical function including spinal joint health and longevity. There is an abundance of scientific literature substantiating the importance of optimal spine alignment and balance for normal activities of daily living, sports and physical performance, lifting and injury prevention. Additional research has shown how a loss of normal spine alignment and balance is associated with increased neck pain, back pain, headaches, dizziness, ect.


What is normal?

Before you can discuss what abnormal is you must establish where normal is supposed to be. Normal spinal alignment when viewed form the front consists of the spine being in straight line with the skull being centered over the pelvis with the head, shoulders and pelvis being level. Viewed from the side (sagittal alignment), there should be a lordotic curves (C-shaped curve) in the cervical and lumbar spine and kyphotic curves (reversed C-shaped curves) in the thoracic spine and sacrum.


What if I’m abnormal?

Once normal spinal alignment is defined then we can discuss the consequences of being abnormal. Anterior head translation (forward head posture) is correlated with increased likelihood of headaches, migraines, decreased cervical range of motion, chronic neck tension, etc. Anterior head translation also has a strong correlation with temporal mandibular joint dysfunction. Hypolordosis (decreased neck curve) and cervical kyphosis (reversal of the normal cervical curve) have been associated with increased neck pain. Loss or reversals of cervical lordosis is also correlated to degenerative disc disease in the cervical spine. In a normal cervical spine approximately 1/3 of the weight of the head is loaded vertebral body and disc and 2/3rds is on the posterior column with the weight on the facet joints. With a loss or reversal of the normal cervical curve the increased weight on disc leads to degenerative disc disease. Additionally, the average adult head weighs between 12-15lbs, for every inch of anterior head translation the work required by posterior cervical spine muscles is effectively increase by a factor of 10, leading to chronic muscle tension, muscle fatigue and pain.
Thoracic hyperkhyphosis, refers to an excessive curvature of the thoracic spine, commonly referred to as hunchback., is associated with increased risk of several problems including increased risk of cardiovascular problems, pulmonary problems, increased risk of compression fracture of the spine and predictor of loss of physical function.
Flattening of the curve in the lumbar spine has also been found to be positively associated with back pain. Individuals with scoliosis have been found to have twice the incidence of back pain when compared to normal controls. The evidence that demonstrates abnormal spinal alignment and balance is associated with pain, disability and poor health related quality of life. New research is constantly coming out demonstrating how spine alignment is link to health and functionality.


Is spine alignment correctable?

Chiropractic BioPhysics (CBP®) is chiropractic technique that focuses on restoring normal posture and spine alignment as its primary goals, while simultaneously improving pain and functional outcomes. CBP focuses on correcting spine alignment through Mirror-Image® rehab methods involve exercises, spinal adjustments and mechanical traction. This has demonstrated that spinal rehab methods that show improvements in spinal curve alignments have superior long-term reductions in pain levels versus ‘cookie-cutter’ rehab methods for pain relief.
Surgery is generally only considered when all conservative methods have failed. Both spinal alignment and spinal balance is a major goal and consideration in spinal fusion. Failing to improving sagittal and coronal alignment and balance increases the risk of poor outcomes post-surgery.

When dealing with any health problem once should begin by investigating what is causing the problem and what can be done to address cause instead of trying to only eliminate symptoms. Even better, many problems may be predictable and preventable with early detection. In 2015 the Scoliosis Research Society posted a position statement that the recommended adolescent teenagers be screened for scoliosis treatment as early detection leads to earlier treatments and better outcomes. The same approach can be applied to all individuals as we live in an age of cell phones and tablets, being chronically sedentary and putting out bodies through repetitive micro traumas in daily life. Like many chronic health conditions, the symptoms and side effects of poor posture and spinal alignment resultant from modern day living generally do not show until their later stages but when caught earlier they are much easier to correct with much better outcomes.


Long Term Success of Treatment

Patients often ask: "Am I going to have to keep coming back forever?"

An important part of the long term success of treatment and our Protocol is to strengthen and stabilize the spine. In order to ensure the most long lasting results we will test and measure the following:

  • Your strength
  • Your range of motion
  • Your balance and coordination
  • Your posture
  • and your muscle performance

Then we will develop an individualized rehabilitation program specific to your needs. This will help to ensure patients the most long lasting and permanent success with even the most painful and debilitating conditions and even when other forms of treatments have failed."


Links to research:

https://pettibonsystem.com/?gclid=Cj0KCQiApY6BBhCsARIsAOI_Gjb8xvpUnI1VUNbomDjczmrPMF4tKto5hCzkYwxsO3n54tclmHMc0S0aAvc5EALw_wcB
https://journals.lww.com/nsca-jscr/Fulltext/2011/09000/Effects_of_Balance_Training_Using_Wobble_Boards_in.34.aspx
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499985

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Natural Spine Solutions
3913 North Schreiber Way
Coeur d'Alene, ID 83815
(208) 966-4425