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将整脊疗法纳入普拉德-威利综合征患儿的多学科管理:一例报告。

Inclusion of chiropractic care in multidisciplinary management of a child with Prader-Willi syndrome: a case report.

作者信息

Wittman Rebekah A, Vallone Sharon A

机构信息

Clinic Doctor, Kentuckiana Children's Center, Kentuckiana Center for Education, Health, and Research, Inc., Louisville, KY 40206.

出版信息

J Chiropr Med. 2009 Dec;8(4):193-9. doi: 10.1016/j.jcm.2009.08.001.

Abstract

OBJECTIVE

The purpose of this paper is to present a case of a child with Prader-Willi syndrome and the observed improvement in the degree of scoliosis, immune function, and behavior documented during the course of her treatment.

CLINICAL FEATURES

A 7-year-old girl presented to Kentuckiana Children's Center with a 15 degrees lumbar levoscoliosis and diagnosis of Prader-Willi syndrome.

INTERVENTION AND OUTCOME

The treatment plan consisted of chiropractic adjustments, craniosacral therapy, movement therapy, and nutritional therapy. Over the course of treatment, her muscle strength, tone, and motor activity increased. She improved in coordination of gait and balance. Over the course of 3 years, her scoliosis decreased to 4 degrees to 5 degrees . Improvements in immune function and a reduction in anxiety type behaviors were documented by the parents and doctor of chiropractic over the course of 5 years.

CONCLUSIONS

This case report describes the improvements and progression of one female child with Prader-Willi syndrome under chiropractic and multidisciplinary care.

摘要

目的

本文旨在介绍一例普拉德-威利综合征患儿的病例,以及在其治疗过程中观察到的脊柱侧弯程度、免疫功能和行为方面的改善情况。

临床特征

一名7岁女孩因15度腰椎左旋脊柱侧弯就诊于肯塔基纳儿童中心,并被诊断为普拉德-威利综合征。

干预措施与结果

治疗方案包括整脊调整、颅骶疗法、运动疗法和营养疗法。在治疗过程中,她的肌肉力量、张力和运动活动有所增加。她的步态协调性和平衡能力得到改善。在3年的时间里,她的脊柱侧弯度数降至4度至5度。家长和整脊医生记录了她在5年时间里免疫功能的改善以及焦虑类行为的减少。

结论

本病例报告描述了一名患有普拉德-威利综合征的女童在整脊和多学科护理下的改善情况和进展。

相似文献

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Scoliosis associated with Prader-Willi syndrome.与普拉德-威利综合征相关的脊柱侧弯。
Spine J. 2007 May-Jun;7(3):345-8. doi: 10.1016/j.spinee.2006.05.017.

本文引用的文献

1
Recommendations for the diagnosis and management of Prader-Willi syndrome.普拉德-威利综合征的诊断与管理建议。
J Clin Endocrinol Metab. 2008 Nov;93(11):4183-97. doi: 10.1210/jc.2008-0649. Epub 2008 Aug 12.
4
Scoliosis in patients with Prader-Willi Syndrome.普拉德-威利综合征患者的脊柱侧弯
Pediatrics. 2008 Aug;122(2):e499-503. doi: 10.1542/peds.2007-3487. Epub 2008 Jul 7.
8
Scoliosis associated with Prader-Willi syndrome.与普拉德-威利综合征相关的脊柱侧弯。
Spine J. 2007 May-Jun;7(3):345-8. doi: 10.1016/j.spinee.2006.05.017.

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