Vectored upper cervical manipulation for chronic sleep bruxism, headache, and cervical spine pain in a child
Received 23 January 2002; received in revised form 20 February 2002
Abstract
Objective
To discuss the management of chronic sleep bruxism in a 6-year old girl.
Clinical features
The patient had morning headaches and cervical spine pain. Due to abnormal tooth wear, bruxism had been previously diagnosed and was verified by observation during sleep. She also had abnormal postural and palpatory findings, indicating upper cervical joint dysfunction.
Intervention and outcome
Bilateral rotary cervical stretching/mobilization and a vectored high-velocity, low-amplitude adjustment were performed in the upper cervical spine, using the atlas transverse process as the contact point. There was complete relief of the chronic subjective symptoms concomitant with remission of the objective signs of joint dysfunction.
Conclusions
Cervical, particularly upper cervical, spine muscle-joint dysfunction should be considered as a potential etiology in chronic childhood sleep bruxism.
ABSTRACT