一名患有非器质性步态障碍的10岁男孩的整脊治疗：病例报告
Chiropractic Care of a 10-Year-Old Boy With Nonorganic Gait Disorder: A Case Report.
作者信息
Wasylynko David E
机构信息
Private Practice, Surrey, BC, Canada.
出版信息
J Chiropr Med. 2017 Jun;16(2):175-179. doi: 10.1016/j.jcm.2017.02.003. Epub 2017 Mar 30.
OBJECTIVE
The purpose of this case report is to describe the multidisciplinary management of a boy with nonorganic gait disorder.
CLINICAL FEATURES
A 10-year-old boy presented to a chiropractic clinic having had a concussion 1 week prior. He presented with lower limb muscle weakness and ataxia while weight bearing. He was referred immediately to the emergency department, from which he was sent to a neurologist at a children's hospital. The neurologist's diagnosis was nonorganic gait disorder.
INTERVENTION/OUTCOME: Treatment consisted of physiotherapy, occupational therapy, and a psychiatric assessment. Chiropractic care including manipulative therapy was initiated 6 months after diagnosis. After 1 year, the gait disorder was resolved.
CONCLUSION
The addition of chiropractic care to conventional treatment may have been supportive in the recovery process for this patient. The condition required 1 year to resolve, with questions remaining as to whether the symptom resolution was a result of treatment or natural history.
目的
本病例报告旨在描述一名患有非器质性步态障碍男孩的多学科管理。
临床特征
一名10岁男孩1周前因脑震荡就诊于一家整脊诊所。他在负重时出现下肢肌肉无力和共济失调。他立即被转诊至急诊科，随后被送往一家儿童医院的神经科医生处。神经科医生的诊断为非器质性步态障碍。
干预措施/结果：治疗包括物理治疗、职业治疗和精神科评估。诊断6个月后开始进行包括手法治疗在内的整脊护理。1年后，步态障碍得到解决。
结论
在常规治疗中加入整脊护理可能对该患者的康复过程起到了支持作用。该病症需要1年时间才能解决，关于症状的缓解是治疗的结果还是自然病程仍存在疑问。
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