Journal of Manipulative and Physiological Therapeutics
Volume 26, Issue 7 , Pages 448-459 , September 2003

Chiropractic management of ehlers-danlos syndrome: a report of two cases

  • Christopher J Colloca, DC

      Affiliations

    • Corresponding Author InformationSubmit requests for reprints to: Dr. Christopher Colloca, 11011 S 48th St, Suite 205, Phoenix, AZ 85044, USA
    • Clinic Director, State of the Art Chiropractic Center, PC, Phoenix, Ariz, and Faculty, Postgraduate and Continuing Education Department, New York Chiropractic College, Seneca Falls, NY, USA
  • ,
  • Bradley S Polkinghorn, DC

      Affiliations

    • Private practice of chiropractic, Santa Monica, Calif, USA

Received 15 April 2003

References 

  1. Stanitski DF, Nadjarian R, Stanitski CL, Bawle E, Tsipouras P. Orthopaedic manifestations of Ehlers-Danlos syndrome. Clin Orthop. 2000;376:213–221
  2. Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndromes (revised nosology, Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos Support Group (UK)). Am J Med Genet. 1998;77:31–37
  3. Nuytinck L, Freund M, Lagae L, Pierard GE, Hermanns-Le T, De Paepe A. Classical Ehlers-Danlos syndrome caused by a mutation in type I collagen. Am J Hum Genet. 2000;66:1398–1402
  4. Sacheti A, Szemere J, Bernstein B, Tafas T, Schechter N, Tsipouras P. Chronic pain is a manifestation of the Ehlers-Danlos syndrome. J Pain Symptom Manage. 1997;14:88–93
  5. Jacome DE. Headache in Ehlers-Danlos syndrome. Cephalalgia. 1999;19:791–796
  6. Berglund B, Nordstrom G, Lutzen K. Living a restricted life with Ehlers-Danlos syndrome (EDS). Int J Nurs Stud. 2000;37:111–118
  7. Carbone L, Tylavsky FA, Bush AJ, Koo W, Orwoll E, Cheng S. Bone density in Ehlers-Danlos syndrome. Osteoporos Int. 2000;11:388–392
  8. Dolan AL, Arden NK, Grahame R, Spector TD. Assessment of bone in Ehlers-Danlos syndrome by ultrasound and densitometry. Ann Rheum Dis. 1998;57:630–633
  9. Brandt T, Orberk E, Weber R, Werner I, Busse O, Muller BT, et al.  Pathogenesis of cervical artery dissections (association with connective tissue abnormalities). Neurology. 2001;57:24–30
  10. Izumi M, Terao S, Osano Y, Hoshino A, Koshimura J, Tong J, et al.  An autopsy case of Ehlers-Danlos syndrome showing various types of cerebrovascular disease. Rinsho Shinkeigaku. 2001;41:140–143
  11. Fuhr AW, Colloca CJ, Green JR, Keller TS. Activator methods chiropractic technique. St. Louis: Mosby; 1997
  12. Harrison DD, Janik TJ, Harrison GR, Troyanovich S, Harrison DE, Harrison SO. Chiropractic biophysics technique (a linear algebra approach to posture in chiropractic). J Manipulative Physiol Ther. 1996;19:525–535
  13. Harrison DD. Chiropractic: the physics of spinal correction with CBP technique. Harvest (AL): D.D. Harrison; 1988
  14. Reinhardt R. Scalloping (Eindellung) am Lumbosakralkanal. [Scalloping at the lumbosacral canal] Rontgenblatter. 1987;40:229–231
  15. Vernon H, Mior S. The neck disability index (a study of reliability and validity). J Manipulative Physiol Ther. 1991;14:409–415
  16. Hains F, Tibbles AC, Waalen JK. Response set bias, internal consistency and construct validity of the Oswestry low back pain disability questionnaire. J Can Chiropr Assoc. 1998;42:141–149
  17. Hains F, Waalen J, Mior S. Psychometric properties of the neck disability index. J Manipulative Physiol Ther. 1998;21:75–80
  18. Harrison DE, Harrison DD, Cailliet R, Troyanovich SJ, Janik TJ, Holland B. Cobb method or Harrison posterior tangent method (which to choose for lateral cervical radiographic analysis). Spine. 2000;25:2072–2078
  19. Jackson BL, Harrison DD, Robertson GA, Barker WF. Chiropractic biophysics lateral cervical film analysis reliability. J Manipulative Physiol Ther. 1993;16:384–391
  20. Plaugher G, Cremata EE, Phillips RB. A retrospective consecutive case analysis of pretreatment and comparative static radiological parameters following chiropractic adjustments. J Manipulative Physiol Ther. 1990;13:498–506
  21. Polly DW, Kilkelly FX, McHale KA, Asplund LM, Mulligan M, Chang AS. Measurement of lumbar lordosis. Evaluation of intraobserver, interobserver, and technique variability. Spine. 1996;21:1530–1535
  22. Harrison DE, Harrison DD, Cailliet R, Janik TJ, Holland B. Radiographic analysis of lumbar lordosis (Centroid, Cobb, Trall, and Harrison posterior tangent methods). Spine. 2001;26:E235–E242
  23. Troyanovich SJ, Robertson GA, Harrison DD, Holland B. Intra- and interexaminer reliability of the chiropractic biophysics lateral lumbar radiographic mensuration procedure. J Manipulative Physiol Ther. 1995;18:519–524
  24. Cobb JR. Outline for the study of scoliosis. J Am Acad Orthop Surg 1948;5
  25. Kozlowski K, Padilla C, Sillence D. Lumbar platyspondyly—characteristic sign of Ehlers-Danlos syndrome. Skeletal Radiol. 1991;20:589–590
  26. Galan E, Kousseff BG. Peripheral neuropathy in Ehlers-Danlos syndrome. Pediatr Neurol. 1995;12:242–245
  27. Herzog W, Conway PJ, Kawchuk GN, Zhang Y, Hasler EM. Forces exerted during spinal manipulative therapy. Spine. 1993;18:1206–1212
  28. Haldeman S, Chapman-Smith D, Petersen DM. Guidelines for chiropractic quality assurance and practice parameters. Gaithersburg (MD): Aspen Publishers; 1993
  29. Habib K, Memon MA, Reid DA, Fairbrother BJ. Spontaneous common iliac arteries rupture in Ehlers-Danlos syndrome type IV (report of two cases and review of the literature). Ann R Coll Surg Engl. 2001;83:96–104
  30. Karkos CD, Prasad V, Mukhopadhyay U, Thomson GJ, Hearn AR. Rupture of the abdominal aorta in patients with Ehlers-Danlos syndrome. Ann Vasc Surg. 2000;14:274–277
  31. Mattar SG, Kumar AG, Lumsden AB. Vascular complications in Ehlers-Danlos syndrome. Am Surg. 1994;60:827–831
  32. Tuling JR, Crowther ET, McCord P. Clinical considerations in the chiropractic management of the patient with Marfan syndrome. J Manipulative Physiol Ther. 2000;23:498–502
  33. Mierau D. Spinal manipulation in the clinical management of spine pain. In:  Herzog W editors. Clinical biomechanics of spinal manipulation. New York: Churchill Livingstone; 2000;p. 209–221
  34. Christensen MG, Morgan DRD. Job analysis of chiropractic. Greeley (CO): National Board of Chiropractic Examiners; 1993; p. 78
  35. Cooperstein R, Perle SM, Gatterman MI, Lantz C, Schneider MJ. Chiropractic technique procedures for specific low back conditions (characterizing the literature). J Manipulative Physiol Ther. 2001;24:407–424
  36. Keller TS, Colloca CJ, Fuhr AW. Validation of the force and frequency characteristics of the activator adjusting instrument (effectiveness as a mechanical impedance measurement tool). J Manipulative Physiol Ther. 1999;22:75–86
  37. Cooperstein R. Activator methods chiropractic technique. Chiropr Tech. 1997;9:108–114
  38. Fuhr AW. Rating the techniques. Today's Chiropr. 1986;15:77–78
  39. Yurkiw D, Mior S. Comparison of two chiropractic techniques on pain and lateral flexion in neck pain patients (a pilot study). Chiropr Tech. 1996;8:155–162
  40. Gemmell HA, Jacobson BH. The immediate effect of Activator vs. Meric adjustment on acute low back pain (a randomized controlled trial). J Manipulative Physiol Ther. 1995;18:453–456
  41. Wood TG, Colloca CJ, Matthews R. A pilot randomized clinical trial on the relative effect of instrumental (MFMA) versus manual (HVLA) manipulation in the treatment of cervical spine dysfunction. J Manipulative Physiol Ther. 2001;24:260–271
  42. Gleberzon BJ. Name techniques in Canada (current trends in utilization rates and recommendations for their inclusion at the Canadian Memorial Chiropractic College). J Can Chiropr Assoc. 2000;44:157–168
  43. Polkinghorn BS. Treatment of cervical disc protrusions via instrumental chiropractic adjustment. J Manipulative Physiol Ther. 1998;21:114–121
  44. Terrett AG. Misuse of the literature by medical authors in discussing spinal manipulative therapy injury. J Manipulative Physiol Ther. 1995;18:203–210
  45. Ferezy JS. Neurovascular assessment for risk management in chiropractic practice. In:  Lawrence DJ editors. Advances in chiropactic. Vol 1:Baltimore: Williams & Wilkins; 1994;p. 455–456
  46. Colloca CJ, Fuhr AW. Safety in chiropractic practice. Part II (Treatment to the upper neck and the rate of cerebrovascular incidents). [letter] J Manipulative Physiol Ther. 1997;20:567–568
  47. Triano J. The mechanics of spinal manipulation. In:  Herzog W editors. Clinical biomechanics of spinal manipulation. Philadelphia: Churchill Livingstone; 2000;p. 92–190
  48. Bishop PB, Bray RC. Abnormal joint mechanics and the proteoglycan composition of normal and healing rabbit medial collateral ligament. J Manipulative Physiol Ther. 1993;16:300–305
  49. Clark RK, Wyke BD. Temporomandibular arthrokinetic reflex control of the mandibular musculature. Br J Oral Surg. 1975;13:196–202
  50. Wyke B. The neurological basis of thoracic spinal pain. Rheumatol Phys Med. 1970;10:356–367
  51. Wyke B. Neurology of the cervical spinal joints. Physiotherapy. 1979;65:72–76
  52. Wyke B. Articular neurology and manipulative therapy. In:  Glasgow E,  Twomey L,  Scull E,  Kleynhans A,  Idczak R editor. Aspects of manipulative therapy. New York: Churchill-Livingstone; 1985;p. 72–77
  53. Denslow JS, Korr IM, Krems AD. Quantitative studies of chronic facilitation in human motoneuron pools. Am J Physiol. 1947;150:229–238
  54. Korr IM. The neural basis of the osteopathic lesion. J Am Osteopath Assoc. 1947;47:191–198
  55. Bullock-Saxton JE, Janda V, Bullock MI. Reflex activation of gluteal muscles in walking. An approach to restoration of muscle function for patients with low-back pain. Spine. 1993;18:704–708
  56. Cox JM, Hazen LJ, Mungovan M. Distraction manipulation reduction of an L5-S1 disk herniation. J Manipulative Physiol Ther. 1993;16:618–620
  57. Gillette RG. A speculative argument for the coactivation of diverse somatic receptor populations by forceful chiropractic adjustments. A review of the neurophysiologic literature. Man Med. 1987;3:1–14
  58. Haldeman S. Spinal manipulative therapy in sports medicine. Clin Sports Med. 1986;5:277–293
  59. Keller TS, Colloca CJ. Mechanical force spinal manipulation increases trunk muscle strength assessed by electromyography (a comparative clinical trial). J Manipulative Physiol Ther. 2000;23:585–595
  60. Haldeman S. Neurological effects of the adjustment. J Manipulative Physiol Ther. 2000;23:112–114
  61. Colloca CJ, Keller TS, Gunzburg R, Vandeputte K, Fuhr AW. Neurophysiologic response to intraoperative lumbosacral spinal manipulation. J Manipulative Physiol Ther. 2000;23:447–457

 This research was supported, in part, by Chiropractic Biophysics Non-profit, Inc.

PII: S0161-4754(03)00095-2

doi: 10.1016/S0161-4754(03)00095-2

Journal of Manipulative and Physiological Therapeutics
Volume 26, Issue 7 , Pages 448-459 , September 2003