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[Purpose] This case series presents the unique application of the non-commutative property of finite rotation angles under addition to the CBP ® mirror image ® treatment protocol for adult lumbar and thoraco-lumbar scoliosis. [Subjects and Methods] Five adult patients having lumbar/thoraco-lumbar scoliosis and back pain, and having at least two prominent thoracic postural abnormalities according to Harrison's rotations and translations of thoracic postures were included. After initial assessment, mirror-image stress x-rays were taken. For each patient, one stress film was taken using the order of mirror image movements with the largest displacement followed by the second largest (primary + secondary) and one stress film was taken in the opposite order (secondary + primary). The consecutive ordered movements that resulted in the largest reduction of curvature were chosen as the order-specific series of movements all exercises and postural traction were to be performed for each patient. Spinal manipulation was also performed. [Results] All patients had a reduction of curvature concomitant with a reduction in pain levels. [Conclusion] This unique treatment approach offers a patient-specific, targeted structural rehabilitative procedure to stress the spine towards a more straightened configuration. Adult lumbar and thoraco-lumbar curves can be reduced and improved by these non-invasive CBP methods.

journal of physical therapy science

Scoliosis deformity reduction in adults: a CBP&lt;sup&gt;®&lt;/sup&gt; Mirror Image&lt;sup&gt;®&lt;/sup&gt; case series incorporating the ‘non-commutative property of finite rotation angles under addition’ in five patients with lumbar and thoraco-lumbar scoliosis