Massage therapy treatment and outcomes in a patient with Charcot-Marie-Tooth disease: A case report |
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| Affiliation: | 1. Federal University of Amazonas, Institute of Social Sciences, Education and Animal Science, Parintins Macurany Road, 1805, Parintins, Amazonas, 69152-240, Brazil;2. Associated Graduate Program in Physical Education UPE/UFPB, University of Pernambuco, Brazil;3. Nove de Julho University – UNINOVE, Sao Paulo, Brazil;4. State University of Maringa – UEM, Maringa, Brazil;5. University Institute of Maia – ISMAI, Porto, Portugal;6. Faculty of Physical Education and Physiotherapy, Federal University of Amazonas, Manaus, Amazonas, Brazil;7. Faculty of Sport, University of Porto, Portugal;8. Faculty of Sport, University of Porto, Porto, Portugal;1. SCM Kinéquipe, 15 Rue Lacuzon, 39200, St Claude, France;2. IFMK de Lyon (University of Physiotherapy), 8, Avenue Rockefeller, 69008, Lyon, France;3. Le Gitalet, Route de La Vie Neuve, 39310, Septmoncel, France;1. Department of Rehabilitation Sciences, University of Kentucky, 900 S. Limestone, Lexington, KY, 40536, USA;2. Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA;1. Service de Médecine Physique et de Réadaptation, Centre hospitalier universitaire Clermont-Ferrand, Institut national de la recherche agronomique, Université Clermont Auvergne, Clermont-Ferrand, France;2. Service de neurologie, Centre hospitalier universitaire Clermont-Ferrand, Institut national de la santé et de la recherche médicale Clermont Auvergne Université, Clermont-Ferrand, France;3. Clinique Charcot, Sainte-Foy-lès-Lyon, France;4. Direction Recherche clinique et innovation, Centre hospitalier universitaire de Clermont-Ferrand, France;5. Boucharenc Podo-orthèse, Saint-Chély d’Apcher, France |
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| Abstract: | BackgroundCharcot-Marie-Tooth (CMT) disease, a progressive hereditary peripheral neuropathy, leads to muscle weakness, wasting, and sensory and motor nerve deprivation. The two main types of CMT are CMT1 (demyelinating) and CMT2 (axonal). Initial findings include foot deformities and sensory changes with progression to altered gait, diminished reflexes, and muscle wasting and weakness. Treatment is aimed at reducing symptoms with physiotherapy, orthotics, splints, braces, fatigue and pain management and possible surgical intervention. Research is limited on the effects of massage or other complementary and alternative medicines (CAM) on CMT.ObjectiveTo determine whether massage therapy would aid in reducing bilateral foot and lumbar pain and increasing lumbar range of motion (ROM) in a CMT patient.MethodA 44-year-old male with CMT presented with lumbar and bilateral foot pain, and foot deformities. Treatment aims were to decrease lumbar and foot pain and increase lumbar ROM. A tape measure was used to measure lumbar flexion and extension pre- and post-treatment. The Numerical Rating Scale (NRS) was used to evaluate foot and lumbar pain intensity before and after each treatment. Rhythmical superficial touch, myofascial release, and petrissage techniques were applied to the back, legs, and neck. A massage therapy student provided treatments over seven weeks.ResultsBilateral foot and lumbar pain decreased and lumbar flexion and extension increased post-treatment, and overall. All other lumbar movements increased overall.ConclusionMassage therapy may positively affect pain intensity and ROM associated with CMT. Future studies linking massage therapy and CMT are needed. |
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| Keywords: | Massage therapy Charcot-Marie-Tooth Peripheral neuropathy |
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