Chiropractic management of a U.S. Veteran with myofascial pain and concurrent distal bimelic amyotrophy (Hirayama disease): a case report.

Q3 Health Professions Journal of the Canadian Chiropractic Association Pub Date : 2023-04-01

Kevin W Meyer, Morgan R Price, Sarah E Page, Clinton J Daniels

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Abstract

Background: Distal bimelic amyotrophy (DBMA) also known as Hirayama disease, is a rare, self-limiting motor neuron disease manifesting as atrophy of C7-T1 innervated muscles. We present a case report describing the chiropractic management of neck and thoracic pain in a patient with known DBMA.

Case presentation: A 30 year-old black male U.S. veteran with DBMA presented with myofascial pain of the neck, shoulder, and back. A trial of chiropractic care was undertaken involving spinal manipulation of the thoracic spine and cervicothoracic region, manual and instrument-assisted soft tissue mobilization, and home exercise prescription. The patient reported modest improvement in pain intensity and did not experience any adverse events.

Summary: This case presents the first documentation of chiropractic services in musculoskeletal pain management of a patient with concurrent DBMA. At this time there is no guidance in the existing body of literature for the safety and effectiveness of manual therapy in this population.

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美国退伍军人肌筋膜疼痛并发远端双侧肌萎缩症(平山病)的整脊治疗:一例报告。

背景:远端双侧肌萎缩症(DBMA)也被称为平山病，是一种罕见的自限性运动神经元疾病，表现为C7-T1神经支配肌肉萎缩。我们提出了一个病例报告，描述颈部和胸椎疼痛的捏脊管理的患者已知DBMA。病例介绍:一名30岁美国黑人退伍军人患有DBMA，表现为颈部、肩部和背部肌筋膜疼痛。我们进行了一项脊椎指压治疗的试验，包括胸椎和颈胸区域的脊柱操作，手动和器械辅助的软组织活动，以及家庭运动处方。患者报告疼痛强度适度改善，未发生任何不良事件。摘要:这个病例提出了脊椎按摩服务在肌肉骨骼疼痛管理患者并发DBMA的第一个文件。目前，在现有的文献中没有关于手工治疗在这一人群中的安全性和有效性的指导。

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来源期刊

Journal of the Canadian Chiropractic Association Health Professions-Chiropractics

CiteScore

0.90

自引率

0.00%

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期刊介绍： The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.