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Physical therapy management of a patient with Eagle syndrome

WONG ML; ROSSI MD; GROFF W; CASTRO S; POWELL J
PHYSIOTHER THEORY PRACT , 2011, vol. 27, n° 4, p. 319-327
Doc n°: 151195
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2010.498036
Descripteurs : AC231 - ATTEINTES DES NERFS CRANIENS, KA - KINESITHERAPIE

The purpose of this care report was to describe the physical therapy management
of a unique case involving a 50-year-old white female with complaints pertaining
to the craniofacial, cervical, thoracic, and brachial regions with known Eagle
syndrome as a complicating factor. Intervention consisted of manual therapy and
therapeutic exercises.
The Craniocervical Flexion Test (CCFT), Neck Disability
Index (NDI), and subjective complaints were used as outcome measures. The patient
was tested at initial visit, discharge, and at a 3-month follow-up. At discharge
the patient reported complete cessation of craniofacial symptoms, her CCFT score
had improved by 4 mmHg, and the NDI score had improved by 10%. At the 3-month
follow-up, the patient's CCFT had improved an additional 4 mmHg and the NDI score
had declined by 4%. The cumulative outcomes were an 8 mmHg improvement in the
CCFT and a 6% increase on the NDI. Although subjective complaints and CCFT scores
improved, clinically significant improvement with the NDI was not maintained.
Limitations of this case study include the substitution of standardized equipment
for the CCFT and the presence of numerous comorbidities that possibly influenced
results. Further research is necessary.

Langue : ANGLAIS

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