Event Abstract

Back to Event

Neurological & Myofascial Treatment of a patient with inflexibility of the Hamstrings and Core Weakness: A Case Study

Marc Ellis1 and Christopher J. Kahanec2*
  • 1 Georgia Chiropractic Neurology Center, United States
  • 2 Life University, United States

Objective: The purpose of this Case Study is to demonstrate and discuss the effectiveness of Vestibular Rehabilitation exercises combined with Myofascial Release techniques on a patient with weak hip muscles, core muscles and vestibular dysfunction. Clinical History: Patient is a 49-year-old male who was receiving physical therapy care for weak core muscles causing secondary pain for a year and a half. Previous care was provided by a local physical therapist who determined that rehabilitation and stretching therapies were not effective in treating the patient’s complaints. Upon clinical evaluation, saccadic intrusions were present with vertical pursuits and the patient was unstable on a perturbed surface. Intervention & Outcome: Vestibular therapies were initiated at the start of care. In the following visits, myofascial release techniques were applied in the neck, shoulder, low back and lower extremities in conjunction with vestibular therapy. Over the course of ten visits, patient was able to efficiently and safely touch his toes, and decreased neck and back pain. The patient’s vestibular status was also improved; this was determined through improvement of gaze stabilization. Conclusion: Research on Muscle Release and vestibular therapy has shown these modalities may be effective in improving core strength, musculoskeletal dysfunction and hip flexibility in adults. This study provides evidence to support the need to study the integration of these different techniques into the chiropractic practice that could, in turn, provide a multifaceted approach to providing care and a higher understanding of the interactions of these different bodily systems.

References

1. Asai M, Watanabe Y, Shimizu K.. Effects of vestibular rehabilitation on postural control.. Acta Oto-Laryngol. Suppl. 1997; 528(1): 16-20.
2. Runge CF, Shupert CL, Horak FB, Zajac FE.. Role of vestibular information in initiation of rapid postural responses. Experimental Brain Research 1998; 122(4): 403-412.
3. Baloh R, Honrubia V. Clinical neurophysiology of the vestibular system, 3rd ed. New York City, NY: Oxford University Press; 2001.
4. Tosi Rodriguesa S, Fávaro Polastria P, Cristina Carvalhoa J, Angelo Barelac J, Moraese R, Augusto Barbieria F, . Saccadic and smooth pursuit eye movements attenuate postural sway similarly. Neurosci. Lett. 2015; 584(14): 292-295.
5. Herdman S. Vestibular Rehabilitation , 3rd ed. Philadelphia, PA: F.A. Davis Company; 2007
6. Hall J, Guyton A. Guyton and Hall Textbook of Medical Physiology, 12th ed. Philadelphia, PA: Saunders Elsevier; 2010.
7. Lee HY, Wang JD, Yao G, Wang SF. Association between cervicocephalic kinesthetic sensibility and frequency of subclinical neck pain. Man. Ther. 2008; 13(5): 419-425.
8. Vernon H, Schneider M. Chiropractic Management of Myofascial Trigger Points and Myofascial Pain Syndrome: A Systematic Review of the Literature. J of Man. & Physio. Ther. 2009; 32(1): 14-24.
9. Travell JG, Simons DG, Myofascial Pain and Dysfunction The trigger point Manual The lower Extermities, 2nd ed. Baltmore, Maryland: Wiliams & Wilkins; 1992.
10. Travell JG, Simons DG, Simons LS. Myofascial Pain and Dysfunction The trigger point Manual The Upper Half of Body, 2nd ed. Baltmore, Maryland: Wiliams & Wilkins; 1992
11. Paige G.D.. Senescence of human visual-vestibular interactions: Smooth pursuit, optokinetic, and vestibular control of eye movements with aging. Exp. Brain Res. 1994; 98(2): 355-372.
12. Tosi Rodriguesa S, Fávaro Polastria P, Cristina Carvalhoa J, Angelo Barelac J, Moraese R, Augusto Barbieria F, Saccadic and smooth pursuit eye movements attenuate postural sway similarly. Neurosci. Lett. 2015; 584(14): 292-295.
13. Harrison DD, Jackson BL, Troyanovich S, Robertson G, de George D, Barker WF. The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study. J. of Man. and Physiol. Ther. 1994; 17(7): 454-464.
14. Souza. Differential Diagnosis and management for the chiropractor protocols and algorithms, 4th ed. Burlington, MA: Jones and Bartlett Learning; 2009.
15. Pickar JG, Bolton PS. Spinal manipulative therapy and somatosensory activation. J of Electromyo. and Kines. 2012; 22(5): 785-794.
16. Bronfort G, Haas M, Evans R, Bouter L. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. The Spine J 2004; 4(3): 335-356.
17. Whitney S, Gregory F. Marchettib, c, Miranda Pritcherd, Joseph M. Furmanb, a. Gaze stabilization and gait performance in vestibular dysfunction. Gait & Post. 2009; 29(2): 194-198.
18. Palmgren P, Sandstrom P, Ludqvist F, Heikkila H. Improvement after Chiropractic Care in Cervicocephalic Kinesthetic Sensibility and Subjective Pain Intensity in patients with Nontraumatic Chronic Neck Pain. J. of Man. and Physiol. Ther. 2006; 29(2): 100-106.
19. Strunk R, Hawk C. Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study. J. of Chiro. Med. 2009; 8(4): 156-164.
20. Schleip R, Findley T, Chaitow L, Huijing P. Fascia. London: Elsevier Health Sci. UK; 2013.
21. McPartland J. Travell Trigger Points-Molecular and Osteopathic Perspectivea. J. of the Osteo. Assoc. 2004; 104(6): 244-249.

Keywords: Vestibular Rehabilitation, Triggerpoint therapy, Gaze stabilization, Muscle flexibility, Myosynaptics

Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.

Presentation Type: Poster Presentation

Topic: Case Study Reports

Citation: Ellis M and Kahanec CJ (2015). Neurological & Myofascial Treatment of a patient with inflexibility of the Hamstrings and Core Weakness: A Case Study. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00022

Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.

The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.

Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.

For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.

Received: 01 Nov 2015; Published Online: 02 Nov 2015.

* Correspondence: Mr. Christopher J Kahanec, Life University, Marietta, GA, 30060, United States, kahaneccj@yahoo.com