Nicoleta Borcean, D.C.1
Abstract
Objective: To report on the response of a pediatric patient with cerebellar ataxia undergoing chiropractic care.
Clinical Features: A seven-year-old female presented for chiropractic care and cerebellar ataxia was noted. A thorough examination was performed and isolated the location of trans-neuronal dysfunction to the right cerebellum.
Interventions and Outcomes: Chiropractic analysis of static and motion palpation were used to examine the spine for subluxations. High velocity-low amplitude chiropractic adjustments were delivered to the area of subluxation in either the cervical, thoracic, lumbar and/or pelvic region as needed. Neuro-rehabilitative exercises were given either at home and/or during the office visit. Within four visits there was marked improvement of gait patterns and resolution of the ataxia.
Conclusion: Understanding and applying foundational neurological principles via a patient specific, individually tailored, chiropractic management plan is essential. Assessing and optimizing asymmetrical neurological indicators should be part of screening and management procedures. In this case, addressing the dysfunction concerning the central integrative state of the cerebellum was necessary for optimum functioning of this seven-year-old female.
Key Words: Chiropractic, ataxia, cerebellum, trans-neuronal degeneration, chiropractic neurology, pediatrics, vertebral subluxation
Introduction
Research in the field of neuroscience is rapidly developing and expanding with concepts, that while new to the general chiropractic and medical profession, are not so new to those health professionals studying and examining the nervous system on a daily basis. Some of these concepts include transneuronal dysfunction, diaschisis, plasticity, long-term potentiation, and metabolic capacity. 1-5
These concepts all incorporate neuro-cellular physiology and metabolic Ataxia The concept of integration between neuro-cellular physiology, clinical evaluation and treatment to promote long term potentiation through neuronal activation is the fundamental concept behind functional neurology. 2,4,7 The purpose of this paper is to report on a case showing the central effects of the spinal adjustment and other appropriate exercises in an effort to correct neurophysiological dysfunction of the human brain.
References
- Private Practice-Tucker, GA
Matthew McCoy DC, MPH: http://www.chiropracticpediatricresearch.net
