A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient

Michael Oppelt; Dave Juehring; Glenn Sorgenfrey; Phyllis J Harvey; Susan M Larkin-Thier

doi:10.1016/j.jbmt.2013.04.003

A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient

J Bodyw Mov Ther. 2014 Jan;18(1):17-22. doi: 10.1016/j.jbmt.2013.04.003. Epub 2013 May 21.

Authors

Michael Oppelt¹, Dave Juehring², Glenn Sorgenfrey³, Phyllis J Harvey⁴, Susan M Larkin-Thier⁵

Affiliations

¹ Academic Health Center, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA. Electronic address: Oppelt_m@palmer.edu.
² Director Palmer Chiropractic Rehabilitation and Sports Injury Department, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
³ Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
⁴ Collection Management Librarian, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
⁵ Academic Health Center, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.

PMID: 24411145
DOI: 10.1016/j.jbmt.2013.04.003

Abstract

Introduction: This case report demonstrated physical function improvement of a 31-year-old male, four years post cerebral vascular compromise, with 32 weeks of Chiropractic adjustive and Dynamic Neuromuscular Stabilization (DNS) rehabilitation care.

Methods: Chiropractic care occurred weekly over a 32 week care program with the inclusion of DNS treatments over the final 16 weeks. Functional changes were tracked via Low Back Bournemouth assessment, objective findings and independent clinical examination.

Results: Throughout care the patient progressed with non-assisted ambulation, global improvement in balance and movement pattern, decreased Low Back Bournemouth assessment scores from 43% to 23%.

Discussion: This therapeutic approach reduced the patient's physical disabilities, enhancing quality of life.

Conclusion: Chiropractic adjustive care combined with DNS treatment improved functional deficits warranting consideration in subsequent care investigations.

Keywords: Cerebrovascular accident; Chiropractic; Dynamic neuromuscular stabilization.

Publication types

Case Reports

MeSH terms

Adult
Humans
Male
Manipulation, Chiropractic / methods*
Movement
Postural Balance
Stroke / therapy*
Time Factors