Abstract

Abstract

Mechanical dyspnea (breathing pattern disorders), such as hyperventilation or hypoventilation, can result in increased pain and have negative mechanical, psychological, emotion, and biochemical effects.^1,2,3 Proper breathing helps to stabilize the spine, maintain posture, and decrease anxiety. Injuries to the abdominal and pelvic diaphragms can disrupt proper breathing mechanics, leading to increased pain, anxiety, poor posture, and poor spinal and overall body mechanics. Osteopathic manipulative treatment can help restore proper diaphragmatic motion and proper breathing mechanics as the present case will demonstrate.

Abstract

Concussions are a form of mild traumatic brain injury, which are caused by trauma to the head or body. Symptoms of concussion can include headaches, dizziness, imbalance, and difficulty with concentration, which can persist for weeks, months, or even years after the event. This case report details the treatment of a 17-year-old girl suffering from postconcussion symptoms, which prevented her from full participation in school for 2 months after the injury. The patient’s symptoms greatly improved with the application of osteopathic manipulative treatment (OMT).

Treatment focused on balancing and restoring proper proprioceptive input, addressing musculoskeletal restrictions, and improving circulatory and lymphatic flow. Posttreatment, the patient was able to return to full activities at school. This case demonstrates the positive effect of integrating OMT into a case of postconcussion syndrome.

Abstract

Bipolar disorder is a severe psychiatric illness associated with profound impairment in social and occupational functioning. Several conditions, including psychiatric disorders, have been associated with a decreased cranial rhythmic impulse (CRI). In this case report, a 20-year-old man with a recent manic episode is found to have a normal cranial rhythmic impulse, which is found to be decreased following resolution of the manic episode. This case illustrates the potential that a relative CRI increase in bipolar disorder may be a sign of an active manic state.