Chiropractic care for low back pain, gait and posture in a patient with Parkinson's disease: a case report and brief review.
| Autor: | Chu ECP; New York Chiropractic and Physiotherapy Centre, 41/F Langham Place Office Tower, Hong Kong, China., Wong AYL; Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China., Lee LYK; School of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong, China. |
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| Jazyk: | angličtina |
| Zdroj: | AME case reports [AME Case Rep] 2021 Oct 25; Vol. 5, pp. 34. Date of Electronic Publication: 2021 Oct 25 (Print Publication: 2021). |
| DOI: | 10.21037/acr-21-27 |
| Abstrakt: | Parkinson's disease (PD) is a progressive neurological disorder with cardinal motor features of tremor, bradykinesia, muscle rigidity, impaired gait and posture. Muscular pain or arthralgia is a common non-motor symptom in PD. The PD-related pain is probably attributed to a combination of altered posture, abnormal muscle tone, and truncal dystonia. A 59-year-old male taxi-driver with PD treated with levodopa for 18 months complained of progressive low back pain and gait difficulties that prevented him from normal activities in the past 2 months. Magnetic resonance imaging showed degenerative disc disease with multiple levels of bulging discs in the lumbar spine. After 35 chiropractic sessions, there was a significant improvement in various aspects of well-being, including pain resolution measured by a numeric rating scale, physical and mental improvement measured by the Parkinson's Disease Questionnaire, gait stability depicted by gait cyclogram, and better postural alignment and stability assessed by radiographic parameters. The current study may serve as an example of spinal manipulation showing the potential to address gait and posture problems associated with pain in a patient with PD. Aging changes in the muscles, bones and joints may accompany PD. Although PD itself is an incurable neurodegenerative disease, functional capacity of the musculoskeletal system can be enhanced by different types of manual therapy, by means of improving muscle strength, joint mobility, and postural balance. The actual duration in sustaining improved outcomes following a course of manipulative intervention remains to be determined. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://dx.doi.org/10.21037/acr-21-27). The authors have no conflicts of interest to declare. (2021 AME Case Reports. All rights reserved.) |
| Databáze: | MEDLINE |
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