Osteopathic treatment of a person with Arnold-Chiari malformation and Syringomyelia: A case report

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Osteopathic Medicine Pub Date : 2024-07-30 DOI:10.1016/j.ijosm.2024.100730

Ramon Cases-Solé , David Varillas-Delgado , Ferran Trinidad-Cascudo , Ma Carmen Pino-Tamayo , Óscar García-Algar

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引用次数: 0

Abstract

We present the case of a symptomatic patient diagnosed with Arnold Chiari I malformation (ACI) and Syringomyelia (S) who evolves favorably through an initial osteopathic treatment plan lasting 6 months and osteopathic maintenance treatment up to 36 months. The objectives of the treatment were to reduce pain and increase mobility of the shoulders and Scapular waist/Shoulder/Elbow/Wrist with a secondary objective to improve balance and coordination.

After the administration of 32 sessions of Osteopathic Manipulative Treatment (OMT) started in August 2020, applying an initial treatment plan of 6 sessions monthly the patient was asymptomatic with remission of pain and increased mobility in the shoulders and cervical spine and a normal neurological examination (including normal gait).

The main symptoms and relevant clinical findings were: functional impairment of the upper extremities that limited activities of daily living (ADLs) requiring assistance, headaches, cervical and dorsal spine pain in bilateral belt at T6 level, vertiginous sensation and gait instability. The patient was diagnosed with ACI and Syringomyelia in 2012. She received surgical and pharmacological treatment without clinical improvement and performed relaxation and breathing exercises on her own.

We present evidence of the beneficial effect of osteopathic treatment on the associated symptomatology in a case of ACI and Syringomyelia.

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对阿诺德-卡氏畸形和脊髓膜膨出症患者的整骨疗法：病例报告

我们介绍了一例被诊断为阿诺德-奇拉氏Ⅰ型畸形（ACI）和鞘膜积液（S）的无症状患者，经过为期 6 个月的初始整骨疗法治疗计划和长达 36 个月的整骨疗法维持治疗后，患者病情得到了良好的发展。治疗的目的是减轻疼痛，增加肩部和肩胛腰/肩/肘/腕的活动度，其次是改善平衡和协调能力。2020 年 8 月开始，患者接受了 32 次整骨疗法（OMT）治疗，采用每月 6 次的初始治疗计划，治疗后无症状，疼痛缓解，肩部和颈椎的活动度增加，神经系统检查正常（包括步态正常）。主要症状和相关临床发现是：上肢功能障碍，限制了日常生活活动（ADL），需要他人协助；头痛；双侧 T6 水平带状颈椎和背椎疼痛；眩晕感和步态不稳。患者于 2012 年被诊断出患有 ACI 和脊髓膜炎。她接受了手术和药物治疗，但临床症状未见好转，并自行进行了放松和呼吸练习。我们提供的证据表明，整骨疗法对 ACI 和鞘膜积液病例的相关症状具有有益影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.