Utilizing an Aqualizer® appliance to address back pain through a dental/physical therapy approach

This guest editorial and physical therapy (PT) pilot study presents observations of a mechanical dysfunction – asymmetrical iliac crest heights – which significantly resolved through application of an Aqualizer® splint. Resolution of pelvic dysfunction by balancing bite forces has far-reaching implications for managing care and costs associated with back pain. Ira L. Shapira, DDS, DABDSM, DAPPM, MICCMO, performs iliac crest height evaluation as part of his diagnostic workup to determine which patients need a physical therapy referral. Dr. Shapira observed that placing an Aqualizer® splint in the mouth of asymmetrical iliac crest height patients followed by walking or stair climbing for 3 minutes often resolved the asymmetry. Jennifer Hobson, a TMD physical therapist extensively trained in orthopedics, including pelvic dysfunction, was intrigued by Dr. Shapira’s observation. This study was subsequently designed to answer the following: