Dysphagia in an elderly due to change in cervical spine curvature treated by manual therapy – A diagnostic and therapeutic challenge
Journal Title: IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain - Year 2018, Vol 4, Issue 3
Abstract
Dysphagia in elderly could be attributable to a number of etiological causes ranging from neurologic causes like stroke malignancies motility disorders cervical osteophytic compression and changes in cervical spine curvature There are studies which have reported the occurrence of dysphagia in patients with cervical spine osteophytes However the loss of cervical lordosis as a cause of dysphagia has not received much attention and is primarily a diagnosis of exclusion Most of the studies have focused on dysphagia following anterior cervical spine surgery This is probably first report of a case of dysphagia attributable to cervical spine curvature change due to neck muscle spasm which was treated by manual therapy in a 70 year old male where all other known causes of dysphagia were excluded We found improvement in angle of cervical lordosis between C2 and C7 vertebrae both by Posterior tangent technique and Cobb Angle Method KeywordsCervical spine Lordosis Dysphagia Manual therapy Elderly
Authors and Affiliations
Shraddha Jain, Shyam Jungade, Shalaka D. Khobragade, Priyanka A. Telang
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