The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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Effect of Manual Therapy on a Patient With Atlantoaxial Rotatory Subluxation

환축추 회전 아탈구 환자에 대한 도수치료 효과

  • Jeon, Jae-guk (Dept. of Physical Therapy, Wooridul Hospital) ;
  • Yang, Seong-hwa (Dept. of Physical Therapy, Gyeong-in Medical Rehabilitation Center Hospital Redcross) ;
  • Shin, Eui-ju (Dept. of Physical Therapy, Dasan First Hospital)
  • 전재국 (우리들병원 척추건강치료실) ;
  • 양성화 (대한적십자사 경인의료재활센터병원) ;
  • 신의주 (다산퍼스트정형외과의원)
  • Received : 2019.04.30
  • Accepted : 2019.06.15
  • Published : 2019.06.30
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Abstract

Background: An 8-year-old girl had severe neck pain and stiffness after trauma. CT scan showed atlantoaxial rotatory subluxation (AARS). She had conservative treatment because she did not have neurological symptoms and spinal basilar artery dysfunction. Conservative therapy was halter traction twice for 4 weeks. However, pain and stiffness persisted. She had been recommended to have surgery from her physician, but she received manual therapy for non-surgical procedures. Methods: The joint mobilization, muscle energy technique, motor control exercise, and deep neck flexor (DNF) endurance exercise were applied as manual therapy and 10 session for 2weeks. Results: Clinical outcomes were measured at initial baseline, after 2 weeks, and after 6weeks. Active range of motion was completely restored after 6weeks and numeric pain rating scale was completely reduced after 2 weeks. The strength of neck flexor muscle recovered to normal after 2 weeks, and the DNF endurance was improved to 25 seconds after 2 weeks and to 42 seconds after 6weeks. Motor control capacity recovered to 30 ㎜Hg after 2 weeks. Conclusions: This case report describes the immediate and short-term clinical outcomes for a patient presenting with symptoms of neck pain following AARS. Clinical rationale and patient preference aided the decision to incorporate manual therapy as a treatment for this patient. Manual therapy has shown a successful recovery in AARS patients, more research is needed to validate the inference of this case report.

Keywords

References

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