Abstract

Background/Objective:  Charcot-Marie-Tooth type 1A disease (CMT1A) is the most common form of CMT, which leads to axonal suffering and muscle wasting.(1)” Later in the disease, weakness and muscle atrophy may occur in the hands, resulting in difficulty with fine motor skills”.(1)Measures taken to equalize leg length inequalities have been shown to eliminate functional scoliosis of the spine, (2)therefore may help to relieve the symptoms associated with the spinal curvature and postural distortions of the pelvis. The clinical investigator hypothesizes massage therapy and postural balancing would yield clinically significant results in relieving some pain or discomfort affecting a patient with CMT1A.

Case Presentation:  The client is a 56 year old male with CMT, who has also dealt with middle back pain, and numbness, pain, and tingling, in the left hip/leg/knee. The patient presented with a leg length inequality and a small hemi pelvis, as well as what appeared to be a functional scoliosis.

Intervention:  The treatment approach was geared towards reaching postural equilibrium in order to alleviate pain, by treating what is indicated by inequalities shown on the postural charts taken before the treatments, and symptoms of the patient. Protocols used for treatment include manual therapy for muscles, organs, and cranial bone alignment, and utilizing lifts to correct structural inequalities.

Outcome:  With the use of specific therapeutic techniques and procedures, massage therapy and postural balancing was able to reduce some pain and discomfort for a patient with Charcot-Marie-Tooth. The results for the patients CMTNSV2 and BQ for back pain were not clinically significant. The results for the patient’s hip/leg BQ is indecisive due to the lack of studies done on BQ for patients specifically with hip/leg pain, however the results at 44.44% improvement; met the criteria of clinical significance for patients with neck pain.

Keywords:  Charcot-Marie-Tooth type 1A, CMT1A, CMT, axonal, atrophy, massage, scoliosis