Session Information
Session Title: AA 2022 Posters - Neurological Rehabilitation
Session Time: None. Available on demand.
Disclosures: Derek S. Dixon, DO, MA: No financial relationships or conflicts of interest
Case Diagnosis: Upper Crossed Syndrome in setting of Cerebral Palsy
Case Description: A 54-year-old female with cerebral palsy with mixed athetoid greater than spastic tetraparesis who was initially referred to the neurorehabilitation clinic for consideration of Botox for her upper back pain. The pain had been present for nearly eight years at the time of presentation. Pain pattern was found to fit with an upper crossed syndrome as a likely compensatory pattern to her scissoring gait. It was decided to pursue osteopathic manipulative medicine (OMM), given the mechanism of pathophysiology was not related to spasticity as previously thought.
Setting: Outpatient Neurorehabilitation Clinic
Assessment/Results: The patient completed a total of three sessions of OMM with complete resolution in her pain by the start of the third treatment session.
Discussion: Given the patient’s athetosis she was treated with balanced ligamentous tension (BLT) and facilitated positional release (FPR). These particular techniques allowed for compensation while continuing to treat during her writhing movements.
Conclusion: This case shows one example of the use of OMM in a patient with a complex movement disorder. The treating physician needed to be selective in choosing techniques that allowed for compensation due to the patient’s writhing movements.
Level of Evidence: Level V
To cite this abstract in AMA style:
Dixon DS, McDermott GA, Elwert NC. Osteopathic Manipulative Medicine for Chronic Pain in the Setting of Cerebral Palsy [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/osteopathic-manipulative-medicine-for-chronic-pain-in-the-setting-of-cerebral-palsy/. Accessed September 7, 2024.« Back to AAPM&R Annual Assembly 2022
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/osteopathic-manipulative-medicine-for-chronic-pain-in-the-setting-of-cerebral-palsy/