Objective: The purpose of this case report is to describe the multidisciplinary management of a boy with nonorganic gait disorder.
Clinical Features: A 10-year-old boy presented to a chiropractic clinic having had a concussion 1 week prior. He presented with lower limb muscle weakness and ataxia while weight bearing. He was referred immediately to the emergency department, from which he was sent to a neurologist at a children’s hospital. The neurologist’s diagnosis was nonorganic gait disorder.
Intervention/Outcome: Treatment consisted of physiotherapy, occupational therapy, and a psychiatric assessment. Chiropractic care including manipulative therapy was initiated 6 months after diagnosis. After 1 year, the gait disorder was resolved.
Conclusion: The addition of chiropractic care to conventional treatment may have been supportive in the recovery process for this patient. The condition required 1 year to resolve, with questions remaining as to whether the symptom resolution was a result of treatment or natural history.
Author keywords: Postconcussion Syndrome; Chiropractic; Psychomotor Disorders
Author affiliation: Private Practice (Canada / British Columbia / Surrey)
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