• Willis SA

• Activator Method
• Child
• Proprioceptive Neuromuscular Facilitation
• Sacro Occipital Technique
• Sprains and Strains / therapy
• Thigh / injuries
• Trigger Points

Objective: To describe the successful management of a young female diagnosed with thigh adductor muscle strain and its association to pelvic subluxation.

Clinical Features: A 7-year-old female sought chiropractic care for the management of adductor muscle strain of her right thigh, which prevented her from performing passive full-thigh abduction. She was also experiencing pain during right thigh abduction at the proximal attachment of the right thigh adductor group, just distal to the pubic bone. The patient is involved in competitive dance, and has a very physically active lifestyle.

Intervention and Outcome: Sacro Occipital Technic (SOT) chiropractic analysis and adjusting, Activator instrument adjusting, as well as trigger point therapy, effleurage, Proprioceptive Neuromuscular Facilitation (PNF) and dynamic stretching of the adductor muscles of the right thigh were administered over 2 visits. Thigh abduction range of motion, pain at end abduction range of motion, adductor muscle hypertonicity, pain on palpation of adductor musculature and pain in the adductor musculature with manual muscle testing were the criteria by which the outcome was assessed. Symptoms were reported as completely resolved immediately following the second adjustment. By the second treatment, the patient was able to fully abduct the previously painful thigh and perform previously affected functional movements in the absence of pain or dysfunction.

Conclusions: A young girl with right thigh adductor strain experienced improvement following 2 chiropractic treatments; however, soft tissue technique was employed in addition to chiropractic adjustments. Future research should be conducted to investigate the role of chiropractic adjustments in the treatment of adductor muscle strain.

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• Fleuchaus S
• Oman RE

• Activator Method
• Child
• Electromyography
• Male
• Neck Pain
• Pediatrics
• Proprioceptive Neuromuscular Facilitation
• Subluxation
• Thermography
• Torque Release Technique
• Torticollis

Objective: To present the chiropractic care of a patient with torticollis and neck pain concomitant with spinal subluxations.

Clinical Features: A 10-yr-old male presented with torticollis and complaints of neck pain as a result of muscle spasms in the cervical spine. The previous day, the patient had awakened with severe neck pain and the inability to lift his head from his pillow due to pain. The patient was taken to the emergency room where he was examined and given a prescription of Motrin and Valium prior to being released.

Interventions and Outcome: The patient was treated with low force, site-specific, full-spine chiropractic care using the Torque Release Technique in combination with Activator Methods at a frequency of 3 times per week for 4 weeks. Adjunctive therapies using interferential and moist heat to the cervical or thoracic spine were utilized for 3 visits along with proprioceptive-neuro-facilitation (PNF) stretching on one occasion. Icing home instructions for 10 minutes at least twice per day were given along with instructions to cease participating in any sports activity. Following 12 visits, the patient was pain-free with improved posture and full range of motion in the cervical spine.

Conclusion: This case report provides supporting evidence on the use of site-specific chiropractic adjustments to sites of vertebral subluxations in the care of patients with acquired torticollis.

Author Keywords: Torticollis, vertebral subluxation, surface electromyography, thermography, chiropractic, neck pain

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• Moreau SR
• Moreau CE

• Hockey
• Proprioceptive Neuromuscular Facilitation
• Shoulder Dislocation / complications
• Shoulder Pain / etiology
• Shoulder Pain / therapy

CLINICAL FEATURES: A 23-year-old professional hockey player with recurrent left shoulder pain and instability. He had two previous unsuccessful shoulder operations to correct the instability. He reported that the shoulder "slips out" in positions of abduction and external rotation or when the left arm is moved suddenly above shoulder height. The patient was still playing hockey professionally at the time of the initial visit and did not want to have to take time off for another surgery, so he chose to attempt a conservative approach.

INTERVENTION AND OUTCOME: The patient had undergone strength training for rehabilitation after each of the previous two shoulder operations and had very strong rotator cuff and scapular musculature. Proprioceptive testing revealed a poor response in the left shoulder compared with the right shoulder. Two subjective outcome measures were used to determine the effectiveness of the treatment protocol in reducing the symptoms of recurrent shoulder instability. Much of the treatment focused on proprioceptive training, soft tissue mobilization, and improving joint function.

CONCLUSION: This case demonstrates the potential benefit of chiropractic management and proprioceptive exercises to decrease the symptoms of recurrent shoulder instability.

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