International Journal of Neurorehabilitation

Ashley Varkey

Publications

• Case Report
  Integration of Osteopathic Manual Treatments in the Management of Foot Dystonia in Parkinson's Disease: A Case Series
  Author(s): Jayme D Mancini and Ashley VarkeyJayme D Mancini and Ashley Varkey
  
  Parkinson’s disease and focal limb dystonia are neurological movement disorders that may occur co-morbidly, often leading to more severe gait impairment and pain. Treatment options for foot dystonia in Parkinson’s disease are limited and have variable outcomes. Osteopathic manual treatment techniques were previously found to improve gait in Parkinson’s disease. Here, we present three cases in which osteopathic manual treatment was used to treat foot dystonia in patients with Parkinson’s disease. The most prominent features of the foot dystonia were cramping and pain in the foot and ankle radiating up to the ipsilateral torso and involuntary foot inversion. The common musculoskeletal dysfunctions found were spasm of ipsilateral hip adductor muscles, psoas, gastrocnemius, and one or more intrinsic ankle and foot muscles as well as calcaneal inversion and restrict.. Read More»
  DOI: 10.4172/2376-0281.1000229

  Abstract PDF