Improved Health Outcomes in Parkinson’s Disease Utilizing Specific Upper Cervical Chiropractic Protocol: A Case Series
Tron Malachowski, DC Bio & Ruvayn Rubinstein, DC
Journal of Upper Cervical Chiropractic Research ~ May 15, 2014 ~ Pages 23-33
Objective: To report reductions in the Unified Parkinson’s Disease Rating Scale (UPDRS) in three patients diagnosed with Parkinson’s disease (PD) utilizing Kale Upper Cervical Specific Chiropractic protocol over 3 years.
Objective: To analyze a case which appears to support chiropractic success in treating neurovascular symptoms through adjustment of the first cervical vertebrae.
Clinical Features: The patient was a 75 year old female presenting with gait ataxia, strabismus, fatigue, blood pressure fluctuations, seizures of two weeks duration, and history of concussion with similar symptoms. Previous medical diagnosis and care had been unrewarding.
Intervention and Outcomes: The patient presented to an Atlas Orthogonal chiropractic clinic where she was examined and her atlas vertebra adjusted per the SCALE method. The patient’s symptoms were quickly and painlessly reduced and/or resolved.
Conclusion: Results suggest that Atlas Orthogonal care may be responsible for the reduction and elimination of neurological symptoms in this patient. Removal of intracranial insufficiency due to chronic compression of the vertebral artery by misalignment of the first cervical vertebra is a possible explanation for the mechanism of management success. These results suggest that chiropractic care, specifically adjustment of the atlas vertebrae, may be a useful treatment for conditions with neurovascular symptomatology.
Objective: To outline clinical changes after chiropractic care in a patient with vertigo, headaches and post concussion syndrome.
Clinical Features: A 23-year-old female presented for chiropractic care five months after a slip and fall that resulted in a concussion. The patient presented with symptoms of vertigo and headaches consistent with post concussion syndrome. The patient had a longstanding history of headaches that were exacerbated by the concussion and a new complaint of positional vertigo that occurred immediately following the trauma. Radiographs ruled out fracture but were remarkable for upper cervical subluxation.
Intervention and Outcomes: The patient received upper cervical specific chiropractic care through the technique of Atlas Orthogonal Chiropractic. Atlas Orthogonal protocol of upper cervical palpatory scanning and supine leg length analysis were used to indicate when an upper cervical adjustment was to be administered. Radiographic analysis was used to determine the misalignment and the exact vectors of the upper cervical adjustment.
Conclusions: Clinical findings suggest that upper cervical vectored manipulation was beneficial in this patient with vertigo, headaches and post concussion syndrome.
Anatomical abnormalities of the cervical spine at the level of the Atlas vertebra are associated with relative ischaemia of the brainstem circulation and increased blood pressure (BP). Manual correction of this malalignment has been associated with reduced arterial pressure. This pilot study tests the hypothesis that correcting mal-alignment of the Atlas vertebra reduces and maintains a lower BP. Using a double blind, placebocontrolled design at a single center, 50 drug naı¨ve (n¼26) or washed out (n¼24) patients with Stage 1 hypertension were randomized to receive a National Upper Cervical Chiropractic (NUCCA) procedure or a sham procedure. Patients received no antihypertensive meds during the 8-week study duration.
The primary end point was changed in systolic and diastolic BP comparing baseline and week 8, with a 90% power to detect an 8/5mm Hg difference at week 8 over the placebo group. The study cohort had a mean age 52.779.6 years, consisted of 70% males. At week 8, there were differences in systolic BP ("1779mm Hg, NUCCA versus "3711mm Hg, placebo; Po0.0001) and diastolic BP ("10711mm Hg, NUCCA versus "277mm Hg; P¼0.002). Lateral displacement of Atlas vertebra (1.0, baseline versus 0.041 week 8, NUCCA versus 0.6, baseline versus 0.51, placebo; P¼0.002). Heart rate was not reduced in the NUCCA group ("0.3 beats per minute, NUCCA, versus 0.5 beats per minute, placebo). No adverse effects were recorded.We conclude that restoration of Atlas alignment is associated withmarked and sustained reductions in BP similar to the use of two-drug combination therapy.
Objective.—To determine the incidence and types of head or neck trauma and headache characteristics among US Army soldiers evaluated for chronic headaches at a military neurology clinic following a combat tour in Iraq.
Background.—Head or neck trauma and headaches are common in US soldiers deployed to Iraq.The temporal association between mild head trauma and headaches, as well as the clinical characteristics of headaches associated with mild head trauma, has not been systematically studied in US soldiers returning from Iraq.
Methods.—A retrospective cohort study was conducted with 81 US Army soldiers from the same brigade who were evaluated at a single military neurology clinic for recurrent headaches after a 1-year combat tour in Iraq. All subjects underwent a standardized interview and evaluation to determine the occurrence of head or neck trauma during deployment, mechanism and type of trauma, headache type, and headache characteristics.
Results.—In total, 33 of 81 (41%) soldiers evaluated for headaches reported a history of head or neck trauma while deployed to Iraq.A total of 18 (22%) subjects had concussion without loss of consciousness and 15 (19%) had concussion with loss of consciousness. Ten subjects also had an accompanying traumatic neck injury. No subjects had moderate or severe traumatic brain injury. Exposure to blasts was the most common cause of trauma, accounting for 67% of head and neck injuries. Headaches began within one week after trauma in 12 of 33 (36%) soldiers with head or neck injury. Another 12 (36%) reported worsening of pre-existing headaches after trauma. Headaches were classified as migraine type in 78% of soldiers with head or neck trauma. Headache types, frequency, severity, duration, and disability were similar for soldiers with and without a history of head or neck trauma.
Conclusion.—A history of mild head trauma, usually caused by exposure to blasts, is found in almost half of returning US combat troops who receive specialized care for headaches. In many cases, head trauma was temporally associated with either the onset of headaches or the worsening of pre-existing headaches, implicating trauma as a precipitating or exacerbating factor, respectively. Headaches in head trauma-exposed soldiers are usually migraine type and are similar to nontraumatic headaches encountered at a military specialty clinic.