CHIROPRACTIC MANAGEMENT OF A PATIENT WITH CEREBELLAR ATROPHY

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

Published Jun 13, 2017
Adam Sergent

Abstract

Objective: To describe the chiropractic management of a patient with cerebellar atrophy.Clinical Presentation: A 38-year-old female sought care for cerebellar atrophy of her left cerebellar lobe. She had cognitive difficulties, nystagmus in certain head positions, vertigo, difficulty with fine movement patterns, and balance issues, all of which affected her day-to-day life.Intervention and Outcome: She was treated with neurological exercises primarily targeting her left cerebellum as well as its neurological pathways, in conjunction with chiropractic manipulative therapy. Within 3 weeks of treatment, she saw reduction in her symptoms and improvement in her condition, which caused her to have a more positive outlook for her future.Conclusion: For this particular patient, the use of chiropractic care and functional neurology appeared to help with her signs and symptoms. Her response to treatment plateaued after 3 months of treatment as she later began to miss appointments due to external stressors. (Chiropr J Australia 20178;45:175-183)
Abstract 118 | PDF Downloads 99

##plugins.themes.bootstrap3.article.details##

Keywords

Chiropractic Manipulation, Cerebellar Atrophy, Chiropractic Adjustment, Functional Neurology

References
1. Office of Communications and Public Liaison, NINDS Cerebellar Degneration information Pae (Internet). Bethesda (MD): National Institute of Neurological Disorders and Stroke (NINDS); 2014 Oct 29 [updated 2014 Feb 28; cited 2014 Sep 23]. Available from:
http://www.ninds.nih.gov/disorders/cerebellar-degeneration/cerebellar-degeneration.htm
2. Miyai I, Ite M, Hatteri N, et al. Cereballar ataxia rehabilitation trial in degenerative cerebellar diseases. Neurorehabil Neural Repair 2011;26:515-522
3. Marsden, J, Harris C. (2011). Cereballar ataxia: pathophysiology and rehabilitation. Clin. Rehabil 2011;25:195-216
4. Namavar Y, Barth PG Poll The BT, Baas F. Classification, diagnosis and potential mechanisms in pontocerebellar hypoplasia. Orphanet J Rare Dis. 2011;6:5 0. doi: 10.1186/1750 1172 6 50
5. Gilman S, Newman S. Clinical neuroanatomy and neurophysiology, 10th Edition. Philadelphia (PA): F.A. Davis Company, 2003.
6. Thurman D, Alverson C, Dunn K, Guerrero J, Niezek J. Tramatic Brain injury in the United States: a public health perspective. JHead Trauma Rehabil 1999;14:602-615. doi:10.1097/00001199-1999912000-00009.
7. Potts M, Adwanikar H, Noble-Haeusslein L. Models of traumatic cerebellar injury. Cerebellum 2009;8:211-221. doi:10.1007/s12311-009-0114-8
8. Byrne J. Neuroscience online: an electronic textbook for the neurosciences. Texas: The University of Texas Medical School at Houston; 2014:3-5
9. Pascual-Leone A, Amedi A, Fregni F, Merabet L. The plastic human brain cortex. Annu Rev Neurosci 2005;28:377-401. doi:10.1146/annurev.neuro.27.070203.144216
10. Anderson N, Rosenblum M, Posner J. Paraneoplastic cerebellar degeneration: clinical-immunological correlations. AnnNeurol 1988;24:559-567
11. Francio V, Boesch R, Tunning M. Treatment of a patient with posterior cortical atrophy. (PCA) with chiropractic manipulation and dynamic neuromuscular stabilization (DNS): A case report. J Canadian Chiropr Assoc 59(1)
12. Song L, Zhang T, Liu H. Changes in brain activation in stroke patients after mental practice and physical exercise: a functional MRI study. Neural Regeneration Res 2014;9:1474. doi:10.4103/1673-5374.139465
13. Hamdy S, Rothwell JC, Aziz Q, Singh KD, Thompson DG. Long-term reorganization of human motor cortex driven by short-term sensory stimulation. Nat Neurosci 1998 1(1); 64-8
14. Carrick F. Changes in brain function after manipulation of the cervical spine. J Manipulative Physiol Ther 1997;20:529-545
15. Haavik-Taylor H, Murphy B. Cervical spine manipulation alters sensorimotor integration: A somatosensory evoked potential study. Clin Neurophysio;2007;118:391-402. doi:10.1016/j.clinph.2006.09.014
16. Silva A, Marinho M; Gouveia F, Silva J, Ferreira A, Cal R. Benign paroxysmal positional vertigo: comparison of two recent international guidelines. Brazilian J Otorhinolaryngology (Impresso) 2011:77:191-200. doi:10.1590/s1808-86942011000200009
17. Takeuchi N, Oouchida Y, Izumi S. Motor Control and neural plasticity through interhemispheric interactions. Neural Plasticity 2012. doi:10.1155/2012/823285
18. Cramer S, Sur M, Dobkin B et al. 2011. Harnessing neuroplasticity for clinical applications. Brain: J Neurol 2011;34;1591-1609
Section
Articles