Chiropractic spinal manipulative treatment of cervicogenic dizziness using Gonstead method: a case study
Journal of Chiropractic Medicine
Volume 10, Issue 3 , Pages 194-198, September 2011
Objective The purpose of this case report is to present the response of a patient with chronic nonresponsive cervicogenic dizziness to chiropractic care.
Case report A 29-year-old man had a 10-year history of progressive cervicogenic dizziness with symptoms including a sensation of excessive motion, imbalance, and spinning associated with neck pain and stiffness. After treatment, he reported a reduction in pain and dizziness and an improved quality of life following Gonstead method of chiropractic spinal manipulative therapy.
Conclusion This case study suggests that a patient with nonresponsive cervicogenic dizziness might respond to chiropractic spinal manipulative therapy approach using Gonstead method.
Chiropractic care of a patient with Erb’s Palsy with a review of the literature
Volume 11, Issue 2 , Pages 70-76, June 2008
Background Descriptions of the inability of children to move their arms following birth have been recorded since the days of Hippocrates. In industrialized countries, the incidence ranges from 0.38 to 3.0 per thousand live births, making it a very common injury in neonates and a clinically common presentation. Sentinel observations by Erb (due to injury to the upper brachial plexus) and Klumpkey (due to injuries to the lower brachial plexus) now bear their names. Birth weight greater than 4000 g,
the use of forceps and a very difficult delivery are just some of the risk
factors involved. An alternative explanation for obstetric palsy may involve an
irregular contour of the posterior pelvis of the mother causing impaction of
the posterior shoulder of the fetus as it passes over the sacral promontory.
Although testimonials are replete in chiropractic on the successful care of
patients with various pediatric conditions, documentation in the scientific
literature is wanting. To address this issue, we provide the following case
report as a first step towards establishing an evidence base for chiropractic
management of the condition.
Case Presentation The patient was an 8-year-old female with medically diagnosed Erb’s Palsy. She presented with the typical ‘waiter’s tip’ deformity in the right arm. Since birth, the patient had restricted range of motion in the right upper extremity at all involved joints along with muscle rigidity despite long-term medical care. Her condition affected several aspects of her life including interpersonal processes with her peers at school and in her social environment.
Methodology Single case report.
Intervention The patient was cared for with site-specific, low amplitude, high velocity chiropractic adjustments (Gonstead Technique) to sites of vertebral and extravertebral subluxations as well as myofascial release of the right upper extremity.
Outcome Following 3 months of care, the patient’s range of motion was bilaterally symmetrical and muscle tonicity had normalized. The patient was able to fully participate in social and sporting activities, including rock climbing.
Conclusion This case report demonstrates a single case in which a pediatric patient suffering from obstetric palsy (i.e., Erb’s Palsy) benefited from chiropractic care.
Resolution of Childhood Nocturnal Enuresis Following Subluxation-Based Chiropractic Care: A Retrospective Case Report
Journal of Pediatric, Maternal & Family Health – Chiropractic ~
Volume 2010 ~ Issue 4 ~ Pages 159 -162 Abstract
Objective: Case study of resolution of nocturnal enuresis following the introduction of subluxation based chiropractic care in a pediatric patient.
Clinical Features: An 11-year-old boy with a history of nocturnal enuresis and attention problems was determined to have subluxations noted during chiropractic examination.
Interventions and Outcomes: Contact-specific, high velocity, low-amplitude adjustments (Gonstead technique), as well as Activator instrument adjustments, were applied at sites of vertebral subluxations at the C2, C6, T1, T5, T12, L3, L5 and pelvic segments. The patient and mother reported a significant decrease in episodes of bedwetting and an improvement in his attention problems.
Conclusion: The chiropractic care of a patient presenting with nocturnal enuresis and attention problems is presented. There was significant decrease in episodes of bedwetting and a marked increase in attentiveness. This is one of few studies regarding chiropractic care and its effect on childhood bed wetting. More studies need to be performed in order to further explore chiropractic’s role in the management of enuresis.