RESEARCH POSTER PRESENTATION DESIGN © 2011

www.PosterPresentations.com

QUICK DESIGN GUIDE (--THIS SECTION DOES NOT PRINT--)

This PowerPoint 2007 template produces a 36”x56” professional poster. It will save you valuable time placing titles, subtitles, text, and graphics. Use it to create your presentation. Then send it to PosterPresentations.com for premium quality, same day affordable printing. We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. View our online tutorials at: http://bit.ly/Poster_creation_help (copy and paste the link into your web browser). For assistance and to order your printed poster call PosterPresentations.com at 1.866.649.3004

Object Placeholders

Use the placeholders provided below to add new elements to your poster: Drag a placeholder onto the poster area, size it, and click it to edit. Section Header placeholder Use section headers to separate topics or concepts within your presentation. Text placeholder Move this preformatted text placeholder to the poster to add a new body of text. Picture placeholder Move this graphic placeholder onto your poster, size it first, and then click it to add a picture to the poster.

QUICK TIPS (--THIS SECTION DOES NOT PRINT--)

This PowerPoint template requires basic PowerPoint (version 2007 or newer) skills. Below is a list of commonly asked questions specific to this template. If you are using an older version of PowerPoint some template features may not work properly.

Using the template Verifying the quality of your graphics Go to the VIEW menu and click on ZOOM to set your preferred magnification. This template is at 100% the size of the final poster. All text and graphics will be printed at 100% their size. To see what your poster will look like when printed, set the zoom to 100% and evaluate the quality of all your graphics before you submit your poster for printing. Using the placeholders To add text to this template click inside a placeholder and type in or paste your text. To move a placeholder, click on it once (to select it), place your cursor on its frame and your cursor will change to this symbol: Then, click once and drag it to its new location where you can resize it as needed. Additional placeholders can be found on the left side of this template. Modifying the layout This template has four different column layouts. Right-click your mouse on the background and click on “Layout” to see the layout options. The columns in the provided layouts are fixed and cannot be moved but advanced users can modify any layout by going to VIEW and then SLIDE MASTER. Importing text and graphics from external sources TEXT: Paste or type your text into a pre-existing placeholder or drag in a new placeholder from the left side of the template. Move it anywhere as needed. PHOTOS: Drag in a picture placeholder, size it first, click in it and insert a photo from the menu. TABLES: You can copy and paste a table from an external document onto this poster template. To make the text fit better in the cells of an imported table, right-click on the table, click FORMAT SHAPE then click on TEXT BOX and change the INTERNAL MARGIN values to 0.25 Modifying the color scheme To change the color scheme of this template go to the “Design” menu and click on “Colors”. You can choose from the provide color combinations or you can create your own.

©  2011  PosterPresenta.ons.com          2117  Fourth  Street  ,  Unit  C          Berkeley    CA    94710          posterpresenter@gmail.com  

Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon.

Chiropractic as part of an interdisciplinary team for the care of a patient with diplopia: A case report

Introduction

Thomas Bloink, DC and Charles L. Blum, DC Sacro Occipital Technique Organization – USA • Sacro Occipital Technique Organisation - Australasia

It is difficult to generalize from case reports however the ongoing nature of the patient’s condition and the temporal relationship between the care received and his significant response warrants further study. Determining if there might be a subset of patients with visual or ocular disorders that might be helped with chiropractic and/or interdisciplinary care also deserved greater exploration.

Patient History:

Patient’s Minor Criteria: 1. Right thumb opposition: 1 pt. Case report cont. Case Report cont. Case Report Conclusion

The patient was making consistent progress with reduced neck pain, antalgia, and significantly improved cervical ranges of motion so at that time was referred to have the splint dentally equilibrated after the third visit and noted at that time a 70% reduction in diplopia. By the fifth dental visit on April 2, 2015 he stopped needing prism glasses. Follow-up ophthalmology exam in May of 2015 found no evidence of diplopia.

A 56-year-old female patient presented for chiropractic and dental care with persistent symptoms of sleep apnea, excessive daytime sleepiness, short-term memory loss, foggy-headedness, TMJ pain, chronic myofascial neck and shoulder pain, fatigue, and vertigo.

Cranial palpatory pain was noted at the right zygomaticomaxillary joint, upper medial orbit, sphenoid wing, coronal and squamosal sutures, and an occipital extension cranial distortion pattern. Pelvic torsion with sacroiliac joint hypermobility was noted on the left (category two). Palpatory pain and hypertonicity of right sub occipital muscles was noted along with palpatory pain from C-1-6. He had cervical spine antalgia with decreased rotation range of motion to 25°.

The patient was treated for a total of six visits between February and April that was directed at stabilizing the sacroiliac instability SOT blocks and sacroiliac support belt. Spheno-maxillary cranial adjustments were administered to the maxilla and zygomatic bones along with intraoral cranial therapy for the occipital extension cranial distortion. Cranial dental co-treatment consisted of a lower occlusal splint, which involved one-visit per week three-weeks in a row, with the splint equilibrated immediately after cranial treatment.

    Baseline                                                                    9-­‐20-­‐2011   11-­‐23-­‐2011   2-­‐10-­‐2012   5-­‐16-­‐2012   4-­‐4-­‐13   6-­‐5-­‐13  

NDI  (%)   70   *   42   36   38   60   42  HDI  (%)   72   *   36   38   44   74   30  Oswestry(%)   74   *   16   22   40   44   38  LEFI  (%)   68   *   48   20   30   *   *  UEFI    (%)   *   44   22   12   28     *   *  

References

A 59-year-old male began to experience intermittent diplopia 50% of the time, which after three-days became constant. Over the previous 30 years it was not uncommon for him to initial awaken with “double vision” but after a few minutes it would go away. When his condition became constant he consulted with an ophthalmologist who diagnosed him with a fourth cranial nerve palsy causing a vertical displacement of his eye. He was given prism glasses to correct the displacement. He presented on February 17, 2015 for an assessment and treatment at this clinic.

1.  Tymms G. Visual recovery from diplopia in a 13-year-old following chiropractic intervention. J Clin Chiropr Pediatr. 2011 Jun;12(1):876-878.

2.  Wingfield BR, Gorman RF. Treatment of severe glaucomatous visual field deficit by chiropractic spinal manipulative therapy: a prospective case study and discussion. J Manipulative Physiol Ther. 2000 Jul-Aug;23(6):428-34.

3.  Stephens D, Gorman RF. Does 'normal' vision improve with spinal manipulation? J Manipulative Physiol Ther. 1996 Jul-Aug;19(6):415-8.

4.  Gorman RF. Monocular scotomata and spinal manipulation: the step phenomenon. J Manipulative Physiol Ther. 1996 Jun;19(5):344-9.

5.  Gorman RF. Monocular visual loss after closed head trauma: immediate resolution associated with spinal manipulation. J Manipulative Physiol Ther. 1995 Jun;18(5):308-14.

6.  Gorman RF. The treatment of presumptive optic nerve ischemia by spinal manipulation. J Manipulative Physiol Ther. 1995 Mar-Apr;18(3):172-7.

With cases that do not have a discrete relationship it is difficult to explain what were the specific mechanisms that affected improved ocular function following a chiropractic intervention. Many types of possibilities relating to chiropractic manipulative therapy and its affect on visual fields, vision, and optic nerve function have been discussed by Gorman et al in the literature 2-6.

Methods

Results

Conclusion

Discussion (Continued)

There is not much in the literature regarding chiropractic and optometric or ophthalmological co-treatment of patients. One study by Tymms discussed a 13-year-old male with intermittent diplopia referred for chiropractic care by his optometrist. In this case only one treatment achieved a full resolution of the patients symptoms with the optometrist finding on re-examination a correction of the over-convergence 1.

Results

Discussion