International Journal of Physical Medicine & Rehabilitation
Open Access

Abstract

Manual Therapies Promote Continence and Mobility in a Patient with Cerebellar Agenesis

Susan Vaughan Kratz

Objective: Present single case study of a 26 year old female with congenital agenesis of cerebellum and other congenital malformations who achieved fecal continence and measurable mobility improvements following a prolonged series of craniosacral therapy.

Design: Retrospective review of data based on several interviews with the patient’s mother, her primary caregiver and review of the medical record.

Setting: Community based private therapy clinic in the upper Midwest. Interventions: Craniosacral Therapy and minimal use of other therapies.

Results: Craniosacral Therapy over the course of 4 years contributed to unexpected attainment of fecal continence as well as other areas of functional improvements. The patient was 22 years of age at the time this therapy series began and had life-long neurogenic bowel and bladder dysfunction. Gains were indirectly achieved. Treatment had been initiated to address chronic pain from an older spinal surgery and sessions continued long term for health and wellness. Mobility improvements beyond pre-surgery status and fecal continence were a surprise to all parties involved.

Conclusion: Clinical significance of these outcomes stimulates curiosity as to the actual type of stimulation CST actually provides to the central nervous system and its effect upon neuroplasticity.