Chiropractic care of Parkinson's disease and deformity.
COG – Center of gravity
MCP – metacarpophalangeal
MRI – Magnetic resonance image
PD – Parkinson's Disease
PDQ – PD Questionnaire
PET – Positron emission tomography
PIP – Proximal interphalangeal
Parkinson's
SH – striatal hand.
TrMS – Transcranial magnetic stimulation
chiropractic therapy
striatal deformity
Journal
Journal of medicine and life
ISSN: 1844-3117
Titre abrégé: J Med Life
Pays: Romania
ID NLM: 101477617
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
22
12
2021
accepted:
07
03
2022
entrez:
11
7
2022
pubmed:
12
7
2022
medline:
14
7
2022
Statut:
ppublish
Résumé
Parkinson's disease (PD) is a progressive neurological disease characterized by muscle stiffness, tremor, slowness of movement, and difficulties with posture and walking. Muscle and joint pain are frequent non-motor symptoms of PD. Pain associated with PD is mainly caused by a combination of truncal dystonia, stooped posture, and muscle rigidity. However, PD deformities were rarely discussed in the literature. A 68-year-old Asian female with PD treated with Levodopa for six years complained of progressive neck pain, contractures, and subluxation of both hands in the last two years. A positron emission tomography (PET) scan revealed decreased rostrocaudal gradient uptake in both posterior putamen. After 9 months of multimodal chiropractic rehabilitation, the patient had significant improvement in symptoms, including pain resolution as per the numeric rating scale and physical and mental improvement as per the PD questionnaire. Radiographic measurement showed significantly improved postural alignment and stability. Measurement of joint motion and angles showed an improvement in hand deformity. Although PD is a neurodegenerative disease that is not curable, multimodal rehabilitation may improve neurological and musculoskeletal functions by inducing proprioceptive balance, motor strength, and joint movement. The current study may illustrate multimodal rehabilitation addressing orthopedic deformity associated with symptoms in a PD patient.
Identifiants
pubmed: 35815091
doi: 10.25122/jml-2021-0418
pii: JMedLife-15-717
pmc: PMC9262267
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
717-722Informations de copyright
© 2022 JOURNAL of MEDICINE and LIFE.
Références
J Neurol Neurosurg Psychiatry. 2005 Dec;76(12):1614-23
pubmed: 16291882
Neuromodulation. 2008 Apr;11(2):124-7
pubmed: 22151045
J Multidiscip Healthc. 2016 Sep 30;9:469-479
pubmed: 27757037
NPJ Parkinsons Dis. 2020 Jul 17;6:16
pubmed: 32699818
AME Case Rep. 2021 Oct 25;5:34
pubmed: 34805753
Eur J Neurol. 2013 Oct;20(10):1398-404
pubmed: 23679105
Noro Psikiyatr Ars. 2019 Nov 25;57(1):56-60
pubmed: 32110152
Clin Park Relat Disord. 2019 Nov 28;2:1-8
pubmed: 34316612
Electromyogr Clin Neurophysiol. 1999 Mar;39(2):101-5
pubmed: 10207679
J Neurol. 2014 Jan;261(1):117-20
pubmed: 24158274
J Med Cases. 2022 Mar;13(3):140-144
pubmed: 35356393
Parkinsons Dis. 2016;2016:6067132
pubmed: 27800210
J Formos Med Assoc. 2017 Aug;116(8):571-581
pubmed: 28532582
Lancet Neurol. 2005 Jul;4(7):423-31
pubmed: 15963445
J Neurol. 2013 Jan;260(1):330-4
pubmed: 23180185
J Am Osteopath Assoc. 1999 Feb;99(2):92-8
pubmed: 10079641
AME Case Rep. 2021 Apr 25;5:12
pubmed: 33912801
Neurology. 1994 Mar;44(3 Pt 1):376-8
pubmed: 8145901
Front Neurol. 2018 May 02;9:313
pubmed: 29770123
Pain Med. 2016 Mar;17(3):456-462
pubmed: 26352288
Clin Pharmacol Ther. 2019 Oct;106(4):763-775
pubmed: 31179534
Clin Med Insights Case Rep. 2019 Dec 29;12:1179547619882707
pubmed: 31908560
Neurol Int. 2020 Nov 18;12(3):61-76
pubmed: 33218135
Neurology. 2014 Apr 15;82(15):1362-9
pubmed: 24634456