Abstract: Objective/Clinical Features A 9-year-old male presented for chiropractic care with nocturnal enuresis
(bedwetting). The child had a history of chiropractic care, but there was a significant time period from his last
adjustment. During this time the bedwetting frequency had increased to 3-4 nights in a row. The child had received
repetitive antibiotic prescriptions from the ages 0-7 and had injured their ‘tailbone’ two years previous.
Upon examination it was identified that the child was experiencing severe mental stress, high emotional stress, and
moderate physical stress. Objective measures of thermal scanning, static EMG, and heart rate variability were
recorded and analysed both pre and post chiropractic care.
This examination revealed a minor AHC, a high right shoulder with corresponding right foot flare and sacral torsion.
Spinal Galant and ATNR reflexes were retained bilaterally, and the Palmer reflex on the right. Increased tension was
noted in sub-occipital muscles, right trapezius, right rhomboid, and bilateral gluteus medius. Subluxations were
identified at the levels of C3/4, C6/7, T6/7, and about the Sacrum.
Intervention/Outcomes: Care followed a schedule of 2 sessions per week for 6 weeks, followed by a review.
Techniques employed included Diversified Manual, Thompson and Logan Protocols. Following the review the
schedule of care was revised to weekly sessions for a duration of 4 weeks. At the review it was found there was a
complete resolution of nocturnal enuresis for several weeks, significant improvements in muscle tension,
improvement in posture, and a reduction in subluxations at the upper cervical complex and Sacrum. Retained
primitive reflexes also integrated during this course of care, with the exception of ATNR which remained positive.
Conclusion: Chiropractic care may be of assistance in the management of nocturnal enuresis
Author keywords: Chiropractic - Subluxation - Enuresis.
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