Russell Brent S, Hosek Ronald S, Hoiriis Kathryn T, Drake Emily D
Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia.
J Chiropr Med. 2019 Jun;18(2):144-154. doi: 10.1016/j.jcm.2018.11.004. Epub 2019 Jul 1.
The purpose of this report is to describe care of a patient with chronic progressive external ophthalmoplegia and bilateral vestibular hypofunction.
A 66-year-old patient presented with limited eye movement and mild ptosis, which led to a diagnosis of chronic progressive external ophthalmoplegia. Rotary chair testing suggested vestibular involvement. Other symptoms included dizziness, problems with balance, and chronic stiffness in his cervical and thoracic regions. He had anxiety about loss of function and limited exercise habits because of fear of falling. Examination methods included balance assessment, kinetic aspects of walking, and videonystagmography.
He had already begun regular practice of vestibular rehabilitation exercises before receiving 18 sessions of manual and instrument-assisted chiropractic manipulation, along with mobilization, stretching, and transverse massage, over 37 weeks. In addition to self-reported improvements, there was substantially decreased postural sway during balance assessment and there were small improvements in eye movement, ptosis, and walking.
This patient showed improvements in balance, eye movements, and walking while undergoing multimodal chiropractic care and practicing eye and balance exercises.
本报告旨在描述一名患有慢性进行性眼外肌麻痹和双侧前庭功能减退患者的护理情况。
一名66岁患者出现眼球运动受限和轻度上睑下垂，由此诊断为慢性进行性眼外肌麻痹。转椅测试提示前庭受累。其他症状包括头晕、平衡问题以及颈部和胸部慢性僵硬。由于担心跌倒，他对功能丧失感到焦虑且运动习惯有限。检查方法包括平衡评估、行走的动力学方面以及视频眼震图检查。
在接受37周内的18次手法和器械辅助整脊治疗，以及松动、拉伸和横向按摩之前，他已经开始定期进行前庭康复锻炼。除了自我报告的改善情况外，平衡评估期间的姿势摆动显著减少，眼球运动、上睑下垂和行走也有小幅改善。
该患者在接受多模式整脊治疗并进行眼球和平衡锻炼时，平衡、眼球运动和行走方面均有改善。
