The purpose of this study was to determine the effect of chiropractic care for two children with long-term nocturnal enuresis (bedwetting).
Bedwetting is highly prevalent amongst young children with approximately 15% of children experiencing bedwetting by the age of 5-years-old. As the child matures, there is a poorer outcome for resolving bedwetting. Bedwetting is associated with other problems like poor cognition, constipation, and depression. Education and behavioral therapy, as well as enuresis alarms and medications all have limitations in terms of care.
The current study examined two cases of nocturnal enuresis. The first case involved a 10-year-old male who visited a doctor of chiropractic for neck pain after the patient fell off a trampoline. When he was 6-years-old he was diagnosed with Asperger’s and had also been bedwetting every night since he was 2-years-old.
After physical examination, the doctor of chiropractic found misalignments only in the patient’s upper and middle back. The patient began chiropractic care where the doctor of chiropractic adjusted his upper and middle back by using the Diversified technique (high velocity, low amplitude thrusts).
The following week, the patient returned for a follow-up visit and his mother reported that he had not experienced any bedwetting since his last visit. The patient continued care once a week as described previously. He received care once a week for ten weeks, then once every two weeks for four visits, and finally once a month for four months. During the patient’s care, he did not regress and continued to have dry nights. The doctor of chiropractic followed up with him two years later which revealed that he was free of bedwetting.
The second case involved a 9-year-old male who was medically diagnosed with Asperger’s Syndrome and had been experiencing bedwetting every night since he was 5-years-old.
During the initial examination, the doctor of chiropractic found misalignments only in the patient’s upper and middle back. He began chiropractic care and was adjusted in his upper and middle back by using the Diversified technique (high velocity, low amplitude thrusts).
The child saw the doctor of chiropractic once a week for care described previously. His response to care was an occasional dry night throughout the week, but then the bedwetting resumed to 7 days a week.
The patient was adjusted once a week over nine weeks with minimal dry nights.
On the patient’s 10th visit, the doctor of chiropractic changed her adjusting technique to an adapted version of Logan Basic to focus on his parasympathetic nervous system since he was displaying hyperactivity. The doctor of chiropractic applied one thumb to the patient’s left sacrum area and one thumb behind his head lateral to the external occipital protuberance. The contact was applied for about two minutes and his breathing became noticeably slower.
No other areas were adjusted after this visit. He was calm and relaxed after the visit.
The patient was seen for twenty-two visits over twenty-two weeks and with the adapted Logan Basic method of care, he stopped bedwetting. The doctor of chiropractic followed up with the patient two years later to find he continued having dry nights.
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MLA Citation: Neally, Rochelle, & Alcantara, Joel. “Resolution of Chronic Nocturnal Enuresis in Children with Asperger’s Syndrome Following Subluxation Based Chiropractic Care: A Case Series.” Journal of Pediatric, Maternal, & Family Health. 2015.4 (2015): 131-139.