title: A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient.
abstract: BACKGROUND
  This case report demonstrated physical function improvement of a 31-year-old male, four years post cerebral vascular compromise, with 32 weeks of Chiropractic adjustive and Dynamic Neuromuscular Stabilization (DNS) rehabilitation care.
  
  
  METHODS
  Chiropractic care occurred weekly over a 32 week care program with the inclusion of DNS treatments over the final 16 weeks. Functional changes were tracked via Low Back Bournemouth assessment, objective findings and independent clinical examination.
  
  
  RESULTS
  Throughout care the patient progressed with non-assisted ambulation, global improvement in balance and movement pattern, decreased Low Back Bournemouth assessment scores from 43% to 23%.
  
  
  CONCLUSIONS
  This therapeutic approach reduced the patient's physical disabilities, enhancing quality of life.
  
  
  CONCLUSIONS
  Chiropractic adjustive care combined with DNS treatment improved functional deficits warranting consideration in subsequent care investigations.
authors.affiliation: Academic Health Center, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA. Electronic address: Oppelt_m@palmer.edu.
authors.forename: Michael
authors.initials: M
authors.lastname: Oppelt
authors.affiliation: Director Palmer Chiropractic Rehabilitation and Sports Injury Department, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
authors.forename: Dave
authors.initials: D
authors.lastname: Juehring
authors.affiliation: Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
authors.forename: Glenn
authors.initials: G
authors.lastname: Sorgenfrey
authors.affiliation: Collection Management Librarian, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
authors.forename: Phyllis J
authors.initials: PJ
authors.lastname: Harvey
authors.affiliation: Academic Health Center, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Larkin-Thier
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000379:methods*; D009068:Movement; D004856:Postural Balance; D020521:Stroke / Q000628:therapy*; D013997:Time Factors
keywords: Cerebrovascular accident; Chiropractic; Dynamic neuromuscular stabilization