Cranial Strain Patterns in Parkinson’s Disease

Rivera-Martinez S, Wells MR, Capobianco JDJAOA2000 Aug; 100(8): 512

ABSTRACT: In the course of providing osteopathic treatment to patients with Parkinson’s disease at the clinic of the New York College of Osteopathic Medicine, physicians noted that patients with this disease might exhibit particular cranial findings manifestly as a result of the disease. The purpose of this study was to compare the recorded observations of cranial strain patterns of Parkinson’s patient treated by different physicians for the detection of common cranial findings. Records of cranial strain patterns from physician recorded observations of 30 patients with idiopathic Parkinson’s disease and 20 age-matched normal controls were compiled. This information was used to determine if different physicians observed particular strain patterns in greater frequency between Parkinson’s patients and controls. Parkinson’s patients had a significantly higher frequency of bilateral occipitoatlantal (OA) compression (87% vs. 50%; p<0.02)and bilateral occipitomastoid (OM) compression (40% vs. 10%; p<0.05) compared to normal controls. Over subsequent visits and treatments, the frequency of both strain patterns were reduced significantly (OA compression p<0.01; OM compression p<0.05) back to statistically normal levels of occurrence. The data suggests that there are cranial findings that may be expected to occur at significantly greater frequency in patients with idiopathic Parkinson's disease and that recurrence can be reduced with treatment.

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