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Role of Osteopathic Manipulative Treatment in a Dynamic Case of Parkinson Disease and Levodopa-Induced Dyskinesia: A Case Report

Journal: The AAO Journal Date: 2015/06, 25(1):Pages: 21-24, type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/)

Keywords:

dyskinesia [5]
movement disorder [4]
parkinson disease [10]
imbalance [8]
osteopathic manipulative treatment [2973]
OMT [2951]
case report [514]

Abstract:

Levodopa-induced dyskinesia (LID) is a hyperkinetic movement disorder that may develop in patients with Parkinson disease (PD) after prolonged use of levodopa. Dyskinesia can manifest in virtually any area of the body, and it often presents as choreas or dystonias. Pharmacologic treatment is limited, and thus prevention and early detection are critical. An 81-year-old man visited the New York Institute of Technology College of Osteopathic Medicine’s clinic with orofacial symptoms of LID and with worsening symptoms of PD, including tremors, imbalance, and memory deficits. Osteopathic manipulative treatment (OMT) was performed during 4 visits, during which orofacial LID symptoms, balance, and mobility improved. The authors postulate that OMT addresses the cranial strain patterns, blood supply insufficiencies, and nervous system output that may contribute to LID symptoms and to PD-related motor and balance deficits. As a consequence, the authors propose that OMT should be considered part of a comprehensive treatment plan for PD patients with LID. A literature review on the role of OMT on LID and balance and on gait in PD was performed.


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