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Case study: Can craniosacral osteopathic manual treatment (OMT) decrease intensity and frequency of headaches in an adult with a past traumatic head injury associated with abducens nerve paralysis in childhood?

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA18. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

case report [723]
cranio-sacral osteopathy [224]
headache [161]
injury [110]
male [826]
trauma [120]

Abstract:

Background: Headaches have a wide variety of types and causes, including traumatic head injury. If untreated, headaches can lead to important functional impairment on a daily basis. Several approaches are proposed to address this symptom. Objectives: This case study aims to describe the effects of craniosacral osteopathic treatment on a certain type of headaches, specifically related to a childhood head trauma that led to unilateral strabismus due to abducens nerve paralysis. Methods: A 25-year-old man presented with frequent headaches following a head trauma 19 years ago. The headaches were suboccipital and left hemicranial with retro-orbital traction sensation. He underwent 2 surgeries, at 8 and 14 years old, for his strabismus. A validated headache scale (HIT-6) was used to evaluate functional impacts of the headaches pre and post intervention. The score of the HIT-6 range from 36 (activities never limited by the headaches) to 78 (always affected). The craniosacral osteopathic assessment was done independently by two evaluators and only the dysfunctions found by both were considered in treatments. Three treatments were done over a three-month period. The first two treatments addressed only craniosacral dysfunctions. Thoracic techniques were included in the last treatment to optimize the previous cranial treatments. Results: Initial cranial dysfunctions were resolved after treatments. The subjective feedback revealed an improvement in the headaches intensity and frequency. After each treatment, there was an absence of headaches for few days. The duration of headaches went from few consecutive days to an hour period. The general improvement of symptoms was confirmed by HIT-6 score that decrease from 60/78 to respectively 51/78 and 53/78. Persistent symptoms were associated by the patient to stress at work. Conclusion: Craniosacral OMT approach seems to have had positive impacts on intensity and frequency of headaches following a traumatic head injury during childhood for this patient. According to observations for this case, further research on the subject might highlight alternative treatment options for posttraumatic headaches such as craniosacral osteopathy. Further research should include global osteopathic approach as we noticed an improvement of the symptoms following the addition of thoracic techniques to craniosacral treatment.


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