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Valentina Carlile Osteopata
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  • Writer's pictureValentina Carlile DO

Osteopathy and Voice: Dysarthrias and Dyslalia from neurological diseases, Parkinson: History of E.

Osteopathy and Voice: Dysarthrias and Dyslalia from neurological diseases, Parkinson: History of E.

E. 60 year old woman suffering from Parkinson's for about 10 years came to me for a balance problem. Once I arrive at the office, I ask for her data on her disorder, I begin to evaluate her osteopathically and I study how to plan the treatment. E. she presented herself in conditions of extreme rigidity and precariousness from the point of view of balance, complaining of frequent falls and giving the impression of having to make enormous efforts to coordinate all daily movements. Despite everything, the positive thing is that, by her own decision, she has always rejected the disease, doing everything that could help her maintain her functionality. Physically, she has always gone to the gym, she practices cross-walking but she gets very tired and then has to remain inactive for a long time. My thought was therefore that the treatment should not be too invasive because it had to benefit her without becoming a further cause of stopping her from daily activities. I therefore decided to only perform a global sympathetic release, making her lie supine on the table. This would not even have meant any difficulty for her in being treated, which if I had set the work on myofascial chains directly I would have had to move her several times during the session. However, E. also presented another problem which she did not complain about but which due to professional habit I immediately noticed: the "slurred" voice, significant dysarthria and dyslalia. The enormous rigidity of her structures sometimes made it impossible to understand speech. I therefore included specific fascial work on the articulators in the treatment. At the moment E. has been under my care for about 5 months, she no longer falls (which previously happened due to enormous rigidity of the posterior chains) and she has no difficulty in being understood, especially on the telephone, a device that very often alters sounds. After the first two treatment attempts which we set up once a month, we found that her ideal frequency is one treatment every 15-20 days. This regularity allows you to not have to come to me too often and benefit from the results of the treatment without ever regressing. The final objective is to bring her to a state of further autonomy so as to be able to further dilute the sessions without making her lose the benefits.

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