Objective: To discuss the case of a patient diagnosed with Gilles de la Tourette syndrome (GTS) and chronic tic disorder that showed positive improvements following Chiropractic Biophysics® technique (CBP) interventions designed to correct/improve a cervical kyphosis.
Clinical Features: A 19-year old male was diagnosed with GTS and chronic tic disorder at age 14 by a medical general practitioner. He was treated unsuccessfully by both Haloperidol as well as previous spinal manipulative therapy. The tics were simple phonic, simple and complex motor, and were present “almost always” and overall impairment on the Yale Global Tic Severity Scale (YGTSS) was rated at 40%. A lateral cervical radiograph showed a cervical kyphosis with anterior head posture.
Intervention and Outcome: The patient was treated by CBP technique protocol and procedures. The patient received 81 treatments over the course of 12- weeks. At the 3-month re-exam, a change to a cervical lordosis and reduced anterior head posture was observed on follow up radiography. The YGGTS showed significant improvement in tics and were present “frequently” and overall impairment was rated at 20%. Additionally, the patient was able to self-reduce the needed dose of Haloperidol by 50%. A 13-year follow-up indicated the patient was able to discontinue use of medication permanently and had remained well.
Conclusion: The patient experienced significant reduction in symptoms and improvement in quality of life. Additionally, the MD prescribing Haloperidol concluded that the reduction in symptoms was significant enough to discontinue the medication. These changes in function may be related to the correction of cervical kyphosis.
Author keywords: Gilles de la Tourette syndrome; Chronic tic disorder; Cervical kyphosis
Author affiliations: PAO: Private Practice (Canada / Ontario / Newmarket); DEH: CBP NonProfit, Inc.(United States / Idaho / Eagle); JWH: Private Practice (Canada / Ontario / Windsor); SKL: Private Practice (Canada / Ontario / Thunder Bay)
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