CBP Technique
CBP applies the sciences of mathematics, physics and biophysics to the practice and theory of chiropractic. While the simple analogies of a bone "stuck" or "out of place" may serve doctors well when communicating with patients regarding spinal adjustments or some form of therapy, they hardly reflect the degree of sophistication which is necessary in communicating with the rest of the scientific community. The plight of our profession can be simply summed up in the following statement from the report of the New Zealand Commission of Inquiry Into Chiropractic: "The exact nature of such defects (subluxations) has not yet been demonstrated; nor has the mechanism by which its apparent effects are produced." The 1975 NINDS workshop on the status of spinal manipulative therapy made the observation that "there was no quantitative or qualitative reproducible description of subluxation."
Chiropractic biophysics is addressing these shortcomings by combining the discipline of science, the foundational principles of chiropractic and the application of technical skills to attempt to elucidate the truth about what we do, how we do it and how we can do it better. CBP attempts to understand and apply the universal laws which govern the behavior of matter and energy and their interactions in biological systems. The result of over 12 years of development is an ever-expanding and evolving base of work and literature relating to the science of what chiropractic is and does. Currently, the CBP technique represents a full spine and pelvis corrective/rehabilitative procedure having a firm foundation in the sciences of mechanics and physics and providing both a qualitative and quantitative model of chiropractic practice.
The overall goal of the CBP technique is to restore normal three-dimensional human posture. Methods include "mirror image" posture adjustments, rehabilitative exercises, cervical extension traction and manual procedures. In CBP, the overall posture or global positioning of the spinal column is targeted for correction, as opposed to individual spinal segments.
In CBP, the optimum static position of the upright human spine is established with the Harrison spinal model. A subluxation is considered to be any postural deviation from this mathematical norm. The model represents the most complete chiropractic effort to date to establish what constitutes "normal."
Although not perfect, the Harrison model is a starting point and a reasonable clinical objective for corrective care. It is expected that as our knowledge expands, so too will the model expand and evolve.
Protocol of Care
The CBP protocol of care begins with the initial patient encounter and a case history, followed by a traditional orthopedic and neurological examination. The patient is then analyzed for abnormal posture in every possible degree of freedom of the skull, thoracic cage and pelvis. Next, an exacting series of radiographs is performed which are then analyzed using geometry to obtain information for formulating care plans and later to serve as an objective standard against which to evaluate the efficacy of care.
Following careful consideration of pertinent clinical findings, especially the correlation of the patient’s three-dimensional posture with its two-dimensional X-ray image, a patient’s case is either accepted or referred to an appropriate specialist. Patients who are accepted for care are generally assigned to one of two regimens (i.e., acute or corrective care). Factors, which might influence the appropriate type of care, could be numerous, such as the nature of their specific complaint, the magnitude of their postural distortions and the degree of pathophysiology associated with subluxation degeneration.
Patients who are selected for acute care would receive a program of care perhaps not unlike that of many non-CBP offices. They would undergo "diversified"-type adjustments (both long- and short-lever) to restore segmental mobility, cryotherapy to reduce localized inflammation, passive and active stretching and massage as indicated to reduce spasm and myofascial involvement. Acute care programs may also apply to corrective care patients who enter the office symptomatic.
The CBP corrective care regimen includes the use of drop table and upper cervical instrument-assisted adjustive procedures, as well as a variety of corrective extension traction procedures and corrective postural exercises. It is not the methods themselves, which are unique to CBP, but rather the rationale behind their use and the way in which these tools are employed to accomplish stated clinical objectives.
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Chiropractic biophysics is addressing these shortcomings by combining the discipline of science, the foundational principles of chiropractic and the application of technical skills to attempt to elucidate the truth about what we do, how we do it and how we can do it better. CBP attempts to understand and apply the universal laws which govern the behavior of matter and energy and their interactions in biological systems. The result of over 12 years of development is an ever-expanding and evolving base of work and literature relating to the science of what chiropractic is and does. Currently, the CBP technique represents a full spine and pelvis corrective/rehabilitative procedure having a firm foundation in the sciences of mechanics and physics and providing both a qualitative and quantitative model of chiropractic practice.
The overall goal of the CBP technique is to restore normal three-dimensional human posture. Methods include "mirror image" posture adjustments, rehabilitative exercises, cervical extension traction and manual procedures. In CBP, the overall posture or global positioning of the spinal column is targeted for correction, as opposed to individual spinal segments.
In CBP, the optimum static position of the upright human spine is established with the Harrison spinal model. A subluxation is considered to be any postural deviation from this mathematical norm. The model represents the most complete chiropractic effort to date to establish what constitutes "normal."
Although not perfect, the Harrison model is a starting point and a reasonable clinical objective for corrective care. It is expected that as our knowledge expands, so too will the model expand and evolve.
Protocol of Care
The CBP protocol of care begins with the initial patient encounter and a case history, followed by a traditional orthopedic and neurological examination. The patient is then analyzed for abnormal posture in every possible degree of freedom of the skull, thoracic cage and pelvis. Next, an exacting series of radiographs is performed which are then analyzed using geometry to obtain information for formulating care plans and later to serve as an objective standard against which to evaluate the efficacy of care.
Following careful consideration of pertinent clinical findings, especially the correlation of the patient’s three-dimensional posture with its two-dimensional X-ray image, a patient’s case is either accepted or referred to an appropriate specialist. Patients who are accepted for care are generally assigned to one of two regimens (i.e., acute or corrective care). Factors, which might influence the appropriate type of care, could be numerous, such as the nature of their specific complaint, the magnitude of their postural distortions and the degree of pathophysiology associated with subluxation degeneration.
Patients who are selected for acute care would receive a program of care perhaps not unlike that of many non-CBP offices. They would undergo "diversified"-type adjustments (both long- and short-lever) to restore segmental mobility, cryotherapy to reduce localized inflammation, passive and active stretching and massage as indicated to reduce spasm and myofascial involvement. Acute care programs may also apply to corrective care patients who enter the office symptomatic.
The CBP corrective care regimen includes the use of drop table and upper cervical instrument-assisted adjustive procedures, as well as a variety of corrective extension traction procedures and corrective postural exercises. It is not the methods themselves, which are unique to CBP, but rather the rationale behind their use and the way in which these tools are employed to accomplish stated clinical objectives.
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