Osteopathie bij duizeligheid
Object
Titel
Osteopathie bij duizeligheid
Author(s)
M. Nijdam
Abstract
As part of the final phase in becoming an osteopath at College Sutherland in Amsterdam this case study has been written to investigate the effects of osteopathic treatment in chronic dizziness. The described case was extraordinary because of the presence of congenital esophageal atresia and tracheo-esophageal fistula.
This case study describes a literature study of the current situation regarding the treatment of dizziness in regular medicine and within the osteopathic medicine. The treatment course and osteopathic treatments performed are described with possible explanatory models. These models are substantiated with information considering anatomical, embryological, physiological and mechanical connections. It also provides background information on balance in general and the specific birth defect as mentioned before.
The treatment course consisted of four osteopathic treatments over 13 weeks. At the start, the frequency of the dizziness was 2x per month. At the end of the course, there was a complete reduction in the frequency of the vertigo symptoms. The effects are measured by means of a VAS questionnaire and the tally of the frequency of the vertigo attacks during the treatment period of 13 weeks.
In this case the dizziness complaints are explained as an expression of a compensation at the level of the SSB.
Most probably the congenital defect, disturbes the (motor) function of the esophagus. In addition, the necessary recovery operation has resulted in scar tissue and thus influenced the organs and structures of the neck (esophagus), and surrounding structures. Given the connections of organs and structures of the neck to the SSB, vasculo-nervous structures (carotid vagina, pericardium) and to the visceral aspect (stomach, diaphragm abdominal) an optimal mobility of these structures seems vital for the proper functioning. The connection from the SSB and the naso-pharyngeal space to the temporal bone, herein with the vestibular system, possibly leads to dizziness complaints.
The literature review revealed another interesting statement, that gastro-esophageal reflux can cause dizziness symptoms and / or affect the Eustachian tube.
The positive results in combination with the literature review can support promotion for the osteopathic treatment of this patient category. Large-scale case study research into the effects of osteopathy in the dizzy patient is desired. Research would preferably also be carried out into the effects of osteopathy with gastro-esophageal reflux symptoms in patients with esophagusatresia and tracheo-esophageal fistula.
This case study describes a literature study of the current situation regarding the treatment of dizziness in regular medicine and within the osteopathic medicine. The treatment course and osteopathic treatments performed are described with possible explanatory models. These models are substantiated with information considering anatomical, embryological, physiological and mechanical connections. It also provides background information on balance in general and the specific birth defect as mentioned before.
The treatment course consisted of four osteopathic treatments over 13 weeks. At the start, the frequency of the dizziness was 2x per month. At the end of the course, there was a complete reduction in the frequency of the vertigo symptoms. The effects are measured by means of a VAS questionnaire and the tally of the frequency of the vertigo attacks during the treatment period of 13 weeks.
In this case the dizziness complaints are explained as an expression of a compensation at the level of the SSB.
Most probably the congenital defect, disturbes the (motor) function of the esophagus. In addition, the necessary recovery operation has resulted in scar tissue and thus influenced the organs and structures of the neck (esophagus), and surrounding structures. Given the connections of organs and structures of the neck to the SSB, vasculo-nervous structures (carotid vagina, pericardium) and to the visceral aspect (stomach, diaphragm abdominal) an optimal mobility of these structures seems vital for the proper functioning. The connection from the SSB and the naso-pharyngeal space to the temporal bone, herein with the vestibular system, possibly leads to dizziness complaints.
The literature review revealed another interesting statement, that gastro-esophageal reflux can cause dizziness symptoms and / or affect the Eustachian tube.
The positive results in combination with the literature review can support promotion for the osteopathic treatment of this patient category. Large-scale case study research into the effects of osteopathy in the dizzy patient is desired. Research would preferably also be carried out into the effects of osteopathy with gastro-esophageal reflux symptoms in patients with esophagusatresia and tracheo-esophageal fistula.
Date Created
Oktober 2016
Type
Casestudie
number of pages
92