Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23280
  Title Gait and sleep improvements after chiropractic adjustments in a pediatric patient after tibial fracture: A case study [case report]
Journal J Pediatr Matern & Fam Health - Chiropr. 2011 Spring;2011(2):Online access only p 50-53
Peer Review Yes
Publication Type Case Report

Objective:  To review the case study of a two year old patient with gait abnormality due to compensation post-fracture. 
Clinical Features:  A two year old boy presented with an altered gait pattern and disruption of sleep as a result of a tibial fracture and gait compensation two weeks after cast removal.
Intervention and Outcomes:  Physical examination revealed pelvic fixation, leg length inequality, and toe-in gait.  Drop table technique and Activator Instrument adjustments were utilized to reduce vertebral subluxations.  Normal gait and sleep patterns were restored. 
Conclusion:  This case study described the chiropractic care of a two year old male with abnormal gait and disrupted sleep habits post-casting due to a tibial fracture.  This shows the benefits of chiropractic adjustments in a pediatric patient with gait abnormalities following fracture.  More research is warranted to better understand the pediatric patient and the biomechanics of gait after fractures.

Author Keywords: Tibial fracture, gait abnormality, pediatric trauma, Activator technique, extremity adjustments, leg length inequality, sleep patterns, subluxation, drop table technique

This abstract is reproduced with the permission of the publisher. Full text is available by subscription.

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