CHIROPRACTIC CARE AND REHABILITATION COMBINED WITH MYOFASCIAL RELEASE FOR A PATIENT WITH A HARRINGTON ROD FUSION OF C7-T12: A CASE REPORT

Main Article Content

Jesse Hodges
Marc Lucente

Keywords

Migraine Headache, Harrington Rods, Rehabilitation

Abstract

Objective: To describe a course of spinal manipulation and myofascial release for the management of daily migraines in a young adult female with surgical spinal fusion.


Clinical Features: A 20-year-old female sought care for the management of daily migraines that had been present for 7 years. Harrington rods had previously been surgically implanted when she was 13-years-old to correct cervicothoracic scoliosis from C7-T12. Cervical range of motion was decreased at the start of treatment. O’Donoghue's test was positive during resisted range of motion bilaterally, indicating musculature involvement.


Intervention and Outcome: Treatments involved with this episode of care included cervical spinal manipulative therapy using diversified technique and passive myofascial release, to help normalize ranges of motion of the cervical spine. An immediate increase in all cervical range of motion was observed. The patient was treated at a frequency of 1 session per week for a total of 6 weeks and home-based cervical spine stretches were recommended to be performed between 3-to-5 times per day.


Conclusion: After the second treatment session, migraine occurrence had diminished from once daily to once per week over the first 2 weeks of treatment, and at the time of reevaluation she reported experiencing no migraines for 3 weeks. This case demonstrates a favorable reduction in migraine frequency following a 6-week episode of chiropractic care in a person with a Harrington rod.

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References

1. Bettany-Saltikov J, Weiss H, Chockalingam N et al. Comparison of patient-reported outcome measures following different treatment approaches for adolescents with severe idiopathic scoliosis: a systematic review. Asian Spine J 2016;10(6):1170-1194
2. Crawford C, Larson A, Gates M et al. Current evidence regarding the treatment of pediatric lumbar spondylolisthesis: a report from the Scoliosis Research Society Evidence Based Medicine Committee. Spine Deformity 2017;5(5):284-302
3. Sud A, Tsirikos A. Current concepts and controversies on adolescent idiopathic scoliosis: part I. Indian J Orthop 2013;(47):117-128
4. Bettany-Saltikov J, Weiss H, Chockalingam N et al. Surgical versus non-surgical interventions in people with adolescent idiopathic scoliosis. Cochrane Database Syst Rev. 2015;(4):CD010663
5. Edwards J, Alcantara J. The chiropractic care of a patient with Harrington rods, scoliosis and back pain during pregnancy. J Pediatric Maternal Fam Health Chiropr 2017;(1):32-39
6. Pialasse J, Simoneau, M. Effect of bracing or surgical treatments on balance control in idiopathic scoliosis: three case studies. J Canadian Chiropr Assoc 2014;58(2):131-140
7. Riebel G, Yoo J, Fredrickson B, Yaun H. Review of Harrington rod treatment of spinal trauma. J Canadian Chiropr Assoc 1993;37(3):182
8. Morningstar M, Joy T. Scoliosis treatment using spinal manipulation and the Pettibon weighting system: a summary of 3 atypical presentations. Chiropr Osteopat 2006;(14):1
9. Jaszewski E, Sorbara A. Improvement in a child with scoliosis, migraines, attention deficit disorder and vertebral subluxations utilizing the pierce chiropractic technique. J Pediatric Maternal Fam Health Chiropr 2010;(1):30-34
10. Rusy L, Weisman S. Complementary therapies for acute pediatric pain management. Pediatric Clin North Am 2000;47(3):589-599
11. Manheim C. The myofascial release manual. 4th edition. Thorofare, NJ; Slack Incorporated, 2008
12. Knudson D, Morrison C. Qualitative analysis of human movement. 2nd edition. Champaign, IL; Human Kinetics, 2002
13. Maleki N, Becerra L, Borsook D. Migraine: maladaptive brain responses to stress. Headache 2012;52 Suppl 2:102-106