The AAO Journal, 2025/06, 35(2):16. doi: 10.53702/i2375-5717-35.2.13, type of study: ,cr,

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p13.xml)

Keywords:

case report [736]
dementia [11]
Lewy body dementia [1]
male [861]
OMT [3925]
osteopathic manipulative treatment [3946]

Abstract:

Introduction: Lewy Body Dementia (LBD) is a progressive neurodegenerative disorder characterized by alpha-synuclein accumulation in the brain, causing cognitive decline and motor impairment, including rigidity and bradykinesia. Most cases occur after age 65, making this case in a 30-year-old rare. Osteopathic Manipulative Treatment (OMT) shows promise in improving motor symptoms by addressing autonomic balance and somatic dysfunctions. This case highlights OMTs potential in managing LBD in this rare, early-onset presentation. Case: A 30-year-old male presents with increased stiffness and rigidity secondary to LBD diagnosed in 2021. Main complaints included challenges with gait and coordination of movement. Key somatic dysfunctions were noted in the cranium, spine, and lower extremities. Lower extremity range of motion (ROM), timed up and go (TUG), and tibialis anterior muscle parameter measurements were taken before and after treatment each visit. OMT was applied for 3 visits with key techniques including lower extremity MET, cranial techniques, and balance ligamentous tension. Results: Single visit measurements for lower extremity joint ROM improved 19% overall immediately post-treatment (p=0.036), with the greatest change in bilateral hip flexion (43%), knee flexion (9%), plantarflexion (12%), and dorsiflexion (140%). Tibialis anterior measurement post-OMT showed decreased stiffness (11%) and increased relaxation (18%). Over the course of three visits, TUG decreased 13% with times improving from 23 to 13 seconds. The patient's parents also reported he was able to use the bathroom by himself, and had more successful gym sessions with his trainer following OMT. Discussion: This case highlights the use of OMT in improving mobility, ROM, muscle qualities, and TUG scores, as well as increasing independence in daily activities. Further research is warranted to explore OMT’s broader application in neurodegenerative conditions.