Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, February 18, 2020
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ID 19286
  Title Improvement of lower extremity electrodiagnostic findings following a trial of spinal manipulation and motion-based therapy
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1584242/
Journal Chiropr & Osteopat. 2006 ;14(1):Online access only 6 p.
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes BACKGROUND: Lumbar disc herniation is a problem frequently encountered in manual medicine. While manual therapy has shown reasonable success in symptomatic management of these cases, little information is known how manual therapy may affect the structure and function of the lumbar disc itself. In cases where lumbar disc herniation is accompanied by radicular symptoms, electrodiagnostic testing has been used to provide objective clinical information on nerve function. This report examines the treatment rendered for a patient with lower extremity neurological deficit, as diagnosed on electrodiagnostic testing. Patient was treated using spinal manipulation and exercises performed on a Pettibon Wobble Chairtrade mark, using electrodiagnostic testing as the primary outcome assessment.

CASE PRESENTATION: An elderly male patient presented to a private spine clinic with right-sided foot drop. He had been prescribed an ankle-foot orthosis for this condition. All sensory, motor, and reflex findings in the right leg and foot were absent. This was validated on prior electromyography and nerve conduction velocity testing, performed by a board certified neurologist. Patient was treated using spinal manipulation twice-weekly and wobble chair exercises three times daily for 90 days total. Following this treatment, the patient was referred for follow-up electrodiagnostic studies. Significant improvements were made in these studies as well as self-rated daily function.

CONCLUSION: Motion-based therapies, as part of a comprehensive rehabilitation program, may contribute to the restoration of daily function and the reversal of neurological insult as detected by electrodiagnostic testing. Electrodiagnostic testing may be a useful clinical tool to evaluate the progress of chiropractic patients with lumbar disc herniation and radicular pain syndromes.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. PubMed Record


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