Objective/Clinical Features: A 30-year-old male presented for chiropractic care, with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) type of Motor Neurone Disease (MND). He became symptomatic in 2017 and was diagnosed in March of 2019. At the time of presentation, he was newly diagnosed, receiving acupuncture, and was beginning to see a physiotherapist. His primary concern relative to the condition was emerging speech difficulty.
His initial consultation revealed balance difficulty, compromised Achilles and patella reflexes bilaterally and a positive Shimizu test along with muscle fasciculations noted in deltoids and triceps. The patient also had notable muscle wastage in the levator scapulae supraspinatus and tongue muscles.
Intervention/Outcomes: Predominant adjustments included Sacro-Occipital Technique (SOT) blocking, activator methods technique, shoulder mobilisation, TMJ adjustments and muscle releases, as well as wrist diversified adjustments, Talus traction pull, drop piece adjusting, and gentle diversified technique at approximately 10% of the normal strength used on an adult of that age and size. The focus was on the whole body due to the nature of disease.
Conclusion: This case suggests that subluxation-based, whole-of-body focused chiropractic care may contribute to successful management of ALS type Motor Neurone Disease.
Indexing terms: Amyotrophic Lateral Sclerosis, Motor Neurone Disease, Chiropractic Care, Subluxation, Speech difficulty, chiropractic, sacro-occipital technique, activator methods, cranial chiropractic care
Cite: Ullman E, Postlethwaite R, McIvor C. Chiropractic management of a 30-year-old male with Motor Neurone Disease: A case report. Asia-Pac Chiropr J. 2021;2.3. URL www.apcj.net/papers-issue-2-3/#UllmanALS