Brain mapping observations of a post-traumatic hemiplegic 14-year-old male before and after upper cervical adjustment. Hospers LA. Today’s Chiropractic (1986) Pp.46-50.

A 14-year-old boy had been in an automobile accident and was left hemiplegic from bilateral anterior and right cerebral hemisphere trauma. He lost the ability to write and draw and had long periods of drowsiness and enuresis. While the mother was pushing the boy in a wheelchair she chanced to meet the wife of a chiropractor who suggested the boy receive care.

Computerized brain EEG mapping was performed 10 minutes and 60 minutes after Upper Cervical adjustments. Significant changes to his brain were recorded implying increased brain activity in depressed areas. EEG readings were also taken 1 ½ years after the accident and 6 months after chiropractic and craniosacral care began.

Under chiropractic and craniosacral care, the boy regained his ability to walk with the help of a cane. His writing and drawing talents reappeared and his drowsiness and enuresis began to decrease. He stated as he improved, “I feel human again.”

The neuro-pathophysiology of traumatic hemiparesis and its association with dysfunctional upper cervical motion units: a case report. Schimp JA, Schimp DJ. Chiropractic Technique, 1992; 4:104-107.

This is the case of a 7-year-old boy suffering from traumatic hemiparesis following an auto-pedestrian injury. After the first adjustment the parents noticed a “quieting” in the boy’s behavior. On the third day of chiropractic management, notable improvement was evident in lower limb function, as observed during stair climbing. After 16 days of daily adjustments, 90% improvement in upper extremity function and 70% improvement in lower extremity function were noted. After 54 days of chiropractic, management all abnormal signs were abolished.

Post-traumatic myelpathy following flopping high jump: a pilot case of spinal manipulation. Woo CC. Journal of Manipulative and Physiological Therapeutics, 1993: 16: 336-341.

An 11-year-old boy became paralyzed after multiple flopping high jumps where the athlete lands on the back of his shoulders and head.

He was tetraplegic and unable to stand, had difficulty in moving fingers, poor bladder and bowel control and almost complete loss of voluntary trunk motion. He spent three months in the hospital where he had a thorough neurological examination, including myelogram, EEG, and skull and spinal x-rays, with normal findings. He did not respond to hospital management which included steroid therapy.

Spinal care of the lower cervical and upper thoracic spine was performed in a private chiropractic clinic for two weeks. He apparently recovered…he still suffers from hand muscle atrophy, hyperreflexia of the triceps, ankle reflex and bilateral positive Babinski reflex; ankle and patellar clonus are almost absent.

Dissociation of cerebral glucose metabolism and level of consciousness during the period of metabolic depression following human traumatic injury. Bergsneider M, Hovda DA, Lee SM et al. J Neurotrauma 2000;17(5):389-40.

This paper indicates that mild head traumas, like those suffered in motor vehicle collisions and sports injuries, are often more serious than many doctors realize.

Investigators examined positron emission tomography (PET) scans of 42 subjects who suffered mild head trauma during the past month. 84% showed reduced brain glucose uptake, an indicator of brain damage, and 61% had Glasgow Coma Scale (GCS) scores in the comatose range.

Osteopathic manipulative treatment applications for the emergency department patient. Paul, FA, Buser BR Journal of the American Osteopathic Association, 1996;96:403-409.

From the abstract:

The emergency department (ED) setting offers osteopathic physicians multiple opportunities to provide osteopathic manipulative treatment (OMT) as either the primary therapy or as an adjunct to the intervention. In doing so, osteopathic physicians can decrease or eliminate the morbidity and symptoms associated with protracted dysfunction. Low back pain, chest pain, torticollis, asthma and sinusitis are some of the illnesses in which OMT should be implemented as part of the management plan….

Mild head injury in preschool children: evidence that it can be associated with a persisting cognitive defect. Wrightson P. McGinn V, Gronwell D. J Neurol Neurosurg Psychiatry 1995;59:375-80.

This study tested children who had mild head injury, defined as an injury which, at the emergency room was not considered severe enough to require hospital admission for observation. The children were tested the year of the accident and at age 6 ½ for cognitive performance, particularly reading skills.

Seventy-eight children with mild head injury were compared with a group of eighty-six children with a minor injury elsewhere.

There were no differences soon after the injury but at six months and one year the children with the mild head injury scored less than controls on one test and were also more likely to have had another mild head injury. At 6 ½ years of age, they still scored less than controls and they were more likely to have needed help with reading.

Late outcome of mild head injury: results from a controlled postal survey. Bohnen N, Vanzutphen W, Twijnstra A et al. Brain Injury 8(8): 701-708, 1994.

In this study, a postal questionnaire was sent to a population of (mild head injury) MHI patients 1 to 5 years post accident and to a control group to measure subjective and psychological complaints, distresses and discomforts often mentioned by MHI patients. Interestingly, the distresses and symptoms of the MHI group were indistinguishable from the non-MHI, however the MHI group’s symptoms were significantly more severe.

Comment by Dr. Koren: One hypothesis as to the mechanism of action is that a pre-existing subluxation patterns are made much worse as a result of trauma. In other words, the patients were more “in pattern” or their subluxations were more severe as a result of their accident.

The conclusion from the abstract was interesting: “The results support the hypothesis that MHI may not ever be completely reversible.”

The neuropathophysiology of traumatic hemiparesis and its association with dysfunctional upper cervical motion units: a case report. Schimp, J. Schimp D. Chiropractic Technique Aug 1992, Vol: 4(3) pp.104-107.

A 7-year-old boy suffering from traumatic hemiparesis following an auto-pedestrian injury was found by MRI and CT to have an intact cervical spine and no evidence of pathology. Child was diagnosed at the hospital with “torqued brain stem.”

Child was adjusted in the upper cervical area and within two weeks the child was assessed as 90% functional for the upper extremity and 70% functional for the lower extremity. Hemiparesis eventually completely resolved under chiropractic care.

The authors do not feel it was a spontaneous recovery since the hemiparesis persisted for the week before presentation and resolved immediately after the adjustments.

Post-traumatic myelopathy following high jump: a pilot case of spinal manipulation. Woo CC. J Manipulative Physiol Ther, June 1993, Vol.16 (5), pp.336-341.

An 11-year-old tetraplegic boy did not respond to 3 months of orthodox conservative hospital management, including steroid therapy. He greatly recovered after 3 months of chiropractic care with some residual hand muscle atrophy, and some increased reflexes of the triceps, ankle reflex and ankle and patellar clonus was absent.

Traumatic spinal myoclonus. Woo CC. Journal of Manipulative and Physiological Therapeutics, 1989;12:478-481.

A 24-year-old woman suffered from myoclonus of the inner thighs and abdomen (seizures involving rapid phasic contractions of muscles or groups of muscles) after a diving accident 17 years prior. She had not responded to medicines. The condition was apparently resolved after a single chiropractic adjustment relieved a subluxation of the thoraco-lumbar junction.

EEG and CEEG studies before and after upper cervical or SOT category II adjustment in children after head trauma, in epilepsy, and in “hyperactivity.” Hospers LA, Proceedings of the National Conference on Chiropractic and Pediatrics (ICA) 1992;84-139.

Five cases were presented. Conventional EEG studies demonstrate responses of two children with petite mal (absent) seizure with potential for generating into grand mal. Upper cervical adjustment reduced negative brainwave activity and reduced the frequency of seizures over a four month period.

In two cases of “hyperactivity” and attention deficit disorder, upper cervical adjustment reduced non-coherence between right and left hemispheres in one child and in another, CEEG demonstrated restoration of normal incidence of the alpha frequency spectrum. Increased attention span and improvement of social behavior were reported in both cases.

A child rendered hemiplegic after an auto accident displayed abnormal brainwave readings. After adjustment, the CEEG demonstrated more normalized brainwave readings. Child was able to utilize his left arm and leg contralaterally to the injured side of the brain without assistance after upper cervical adjustments.

Post-traumatic evaluation and treatment of the pediatric patient with head injury: a case report. Araghi HJ. Proceedings of the National Conference on Chiropractic and Pediatrics, 1992:1-8 and Int’l Review of Chiropractic 1995; Jan/Feb:29-31.

From the abstract:

A two-year-old boy suffering from vomiting and loss of energy following impact trauma to the head (head first fall from a shopping cart) was found by neurological exam and CT scan to have suffered a concussion with no evidence of brain or spinal cord pathology. Chiropractic adjustment of occiput resolved the patient’s symptoms.

Monocular visual loss after closed head trauma: immediate resolution associated with spinal manipulation. R. Frank Gorman. Journal of Manipulative and Physiological Therapeutics. Vol. 18, No.3, June 1995.

The author, a medical doctor, discusses the relationship between spinal health and blood supply to the head.

From the paper (p.310):

I hold the opinion, based on two decades of dedication to the intricacies of the ‘Cervical Syndrome’ and from a personal experience of 6,000 spinal manipulations done under anesthesia, that concentric narrowing of the visual fields indicates that the child has inferior brain function, which is a serious detriment in both the child’s internal and external environment.

13-year-old with headache, depression, poor appetite, nausea, general muscular weakness, dizziness and sensitivity to light and noise. Case reports in chiropractic pediatrics. Esch, S. ACA J of Chiropractic December 1988.

This is the case of a 13 day-old with a history of respiratory difficulty since birth (home birth, uncomplicated). Infant had difficulty nursing due to “stuffiness.”

Upon presentation, patient was in considerable pain, wearing dark glasses and ear plugs to compensate for increased sensitivity to sound and light. One week beforehand he had been injured in a football game collision. Medical doctors had given the child pain killers.

Patient was hospitalized in traction for two weeks with no improvement.

Chiropractic examination included x-ray (Davis series) of the cervical spine that showed right lateral displacement of atlas with right rotation of C-2. Following initial adjustment the patient could ride home without wearing his sunglasses and for the first time in two weeks expressed an interest in food. He returned the next day saying he felt, “The best I’ve felt in six weeks.”

Osteopathic manipulative treatment applications for the emergency department patient. Paul, FA, Buser BR Journal of the American Osteopathic Association, 1996;96:403-409.

The authors wish to make their profession aware of how osteopathic manipulative therapy can help in the emergency room such as decreasing the morbidity and symptoms associated with problems such as low back pain, chest pain, torticollis, asthma, sinusitis and other conditions.

Copyright 2004 Koren Publications, Inc. & Tedd Koren, D.C.

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