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Home Wellness Articles ADD/ADHD ADHD: A Patient’s Perspective - Page 3

ADHD: A Patient’s Perspective - Page 3

Written by Greg Buchanan   
Friday, 01 September 2006 00:00
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ADHD: A Patient’s Perspective
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ADD a Patients PerspectiveIn Chapter 12, “Attention deficit disorder and the upper cervical spine,” Theiler discusses findings relating upper cervical spine (sub-occipital) subluxations or what they call KISS (kinematic sub-occipital strain syndrome) to the symptoms of ADD/ADHD. In particular, he notices that children diagnosed with ADHD exhibit postural distortions and associated movement deficits of the upper cervical spine. He notes that, following manual therapy applied to the cervical spine, not only do postural deficits resolve in the children but, concentration and cognitive abilities improve as well. As such, visual concentration span and thus reading difficulties were improved immediately following manual manipulation. “Ten children achieved an oral reading fluency appropriate for their age usually in the days following therapy.” Interestingly, there is a discussion about one of the main findings being “reduced capacity for processing information” which is “an expression of deficiencies in executive functions, which are carried out in the dopaminedependent structures of the frontal lobe and corpus striatum.”

The chapter finishes with the discussion of three case studies of ADHD, the first one of a 7.2-year-old female who apart from a “fall from a swing” had no other trauma. She showed “persistent postural asymmetry and insufficient gross motor functions” and “her attention span was short and she was impulsive when assigned tasks.” Examination revealed head tilted to the right and rotated to the left with a C1/C2 blockage. Her upper cervical spine was adjusted. Apart from initial giddiness, her posture straightened and motor coordination improved and her verbal capacities and visual component became better than an 8 year old. A later reoccurrence of the subluxation was subsequently corrected following a return of symptoms, and after the correction function normalized.

The second case study is of 6.5-year-old female who was born with a fractured clavicle. It was noticed that as she developed, her clumsiness was remarked and her drawing and scribbling skills lagged compared to her age group. At age 6 she could not use scissors nor fasten her shoes and jumping on one leg was impossible for her. Fine motor tasks were also below par and her memory capacity and processing capacity were 1.5 years below average. An examination revealed impaired side bending of the head and reduced left sided rotation, as well as abnormal mid back curvature. X-rays showed upper cervical subluxation. The doctor administered a specific upper cervical “adjustment.” Two months post the manipulation and even though the mother reported no change, the doctors found the child now had unhindered head movements, could “jump a bit on one leg now,” was more considered and less impulsive when working, was able to concentrate longer, and had a verbal memory +2 years her age. Her mother conceded an improvement when showed comparisons of test results.

The third case study is of an 11.5-year-old female with concentration and long-term attention span problems, fine motor coordination difficulties with increasing speed, problems with writing, and becoming impulsive when tackling difficult tasks. “In copying of dots and in repeating nonsense syllables, her performance was at the level of an 8 – 8.5 year old.” Examination revealed scoliosis with associated postural deviations, a blockage at the SI joint, right head tilt, C1/C2 blocked on the right and x-rays revealed “an offset of the atlas to the right.” The family decided upon Ritalin therapy and the girl’s symptoms improved immediately. After a time, manual therapy was finally applied and simultaneously the medication was stopped. She was able to function normally without medication but the parents requested resumption of the Ritalin to see if they could get further improvement. When it was determined there were no more “perceptible gains” the medication was stopped. The improvements have lasted well into the next school year. The authors conclude “we are in favour of examining and treating functional problem of the cervical spine...even if a pharmacotherapy seemed to have already resolved the problem at hand.”