Journal of Chiropractic Medicine
Volume 8, Issue 4 , Pages 193-199, December 2009

Inclusion of chiropractic care in multidisciplinary management of a child with Prader-Willi syndrome: a case report☆

  • Rebekah A. Wittman, DC, DACCP

      Affiliations

    • Clinic Doctor, Kentuckiana Children's Center, Kentuckiana Center for Education, Health, and Research, Inc., Louisville, KY 40206
    • Corresponding Author InformationCorresponding author. Kentuckiana Children’s Center, Kentuckiana Center for Education, Health, and Research, Inc., 1810 Brownsboro Road, Louisville, KY 40206. Tel.: +1 502 893 7227x19; fax: +1 502 368 2308.
    • ,
  • Sharon A. Vallone, DC, FICCP

      Affiliations

    • Chair of the Board, Kentuckiana Children's Center, Kentuckiana Center for Education, Health, and Research, Inc., Louisville, KY 40206

Received 11 May 2009; received in revised form 30 July 2009; accepted 7 August 2009.

Abstract 

Objective

The purpose of this paper is to present a case of a child with Prader-Willi syndrome and the observed improvement in the degree of scoliosis, immune function, and behavior documented during the course of her treatment.

Clinical Features

A 7-year-old girl presented to Kentuckiana Children's Center with a 15° lumbar levoscoliosis and diagnosis of Prader-Willi syndrome.

Intervention and Outcome

The treatment plan consisted of chiropractic adjustments, craniosacral therapy, movement therapy, and nutritional therapy. Over the course of treatment, her muscle strength, tone, and motor activity increased. She improved in coordination of gait and balance. Over the course of 3 years, her scoliosis decreased to 4° to 5°. Improvements in immune function and a reduction in anxiety type behaviors were documented by the parents and doctor of chiropractic over the course of 5 years.

Conclusions

This case report describes the improvements and progression of one female child with Prader-Willi syndrome under chiropractic and multidisciplinary care.

Key indexing terms: Prader-Willi syndrome, Chiropractic, Manipulation, Spinal, Massage, Nutrition therapy, Disabled child, Scoliosis

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☆ Kentuckiana Children's Center is a 501c3 not-for-profit corporation that receives funding from grants and private donors, including chiropractors and local and national associations. Foot Levelers provides gratis custom orthotics to children that are in need and under care at Kentuckiana Children's Center. At the time of this child's treatment, independent distributors of Life Force International donated Body Balance for use at Kentuckiana Children's Center. There were no other identified conflicts of interest declared by the authors.

PII: S1556-3707(09)00104-7

doi:10.1016/j.jcm.2009.08.001

Journal of Chiropractic Medicine
Volume 8, Issue 4 , Pages 193-199, December 2009

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