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Article Publish Status: FREE
Abstract Title:

Chiropractic Management Using Multimodal Therapies on 2 Pediatric Patients With Constipation.

Abstract Source:

J Chiropr Med. 2017 Dec ;16(4):340-345. Epub 2017 Dec 7. PMID: 29276467

Abstract Author(s):

Madhu Mia Iyer, Evangelia Skokos, Denise Piombo

Article Affiliation:

Madhu Mia Iyer

Abstract:

OBJECTIVE: The purpose of this case report is to describe chiropractic management of 7-month-old male twins who had had constipation since birth.

CLINICAL FEATURES: Identical male twins presented with the chief complaint of constipation and bloating. Both patients were born premature after 29 weeks of gestation and had invasive abdominal surgeries in the right lower quadrant resulting in healed postsurgical scars. Patient A underwent ileostomy for a perforation in his ileum. Patient B underwent surgery to repair an inguinal hernia. Motion palpation restrictions indicated bilateral sacroiliac, cervical, and thoracic joint restrictions.

INTERVENTION AND OUTCOME: The treatment plan included chiropractic manipulation, acupressure stimulation, and dynamic neuromuscular stabilization. Manipulation of the sacroiliac, cervical, and thoracic spine joint restrictions was performed using minimal force. Cross-frictional massage and myofascial manipulation and scar tissue mobilization of the abdominal scar in the right lower quadrant were performed. Acupressure stimulation was performed on both patients' feet. Both patients had improved bowel movements after the first treatment. Patient A had 5 weeks of treatment (2 visits per week). Patient B had 4 weeks of treatment (2 visits per week). The patients' clinical progress improved, and once the goal of regular bowel movements was reached, as confirmed by their mother, follow-up visits were reduced to once a week and gradually to once a month.

CONCLUSION: Both pediatric patients with constipation responded to chiropractic care using multimodal therapies.

Study Type : Human: Case Report

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