31 October 2022
: Case report 
Neck pain and Headache Complicated by Persistent Syringomyelia After Foramen Magnum Decompression for Chiari I Malformation: Improvement with Multimodal Chiropractic Therapies
Unusual or unexpected effect of treatment, Rare disease
Eric Chun-Pu Chu
1ABCDE, Robert J. Trager 2CDEF*, Gabriel Siu Nam Ng1ABDE, John Sing Fai Shum3BCDE
DOI: 10.12659/AJCR.937826
Am J Case Rep 2022; 23:e937826
Table 1. Timing and details of multimodal chiropractic and rehabilitative therapies.
| Intervention and description | Timing and frequency | Duration |
|---|---|---|
| Gentle manual spinal mobilization applied to the mid-to-lower cervical spine and upper thoracic spine | Month 1: 3×/weekMonths 2–4: 1×/weekMonths 4–6: 1×/month | 2–5 min |
| Therapeutic ultrasound applied to the cervical and upper thoracic spine | Month 1: 3×/weekMonths 2–4: 1×/weekMonths 4–6: 1×/month | 8 min |
| Instrument-assisted soft tissue manipulation applied to the cervico-thoracic musculature | Month 1: 3×/weekMonths 2–4: 1×/weekMonths 4–6: 1×/month | 5–10 min |
| Isometric core muscle stabilization training (AllCore360°, USA) | Months 2–4: 1×/weekMonths 4–6: 1×/month | 10 min |
| Hand exercises using robotic gloves (Ober, China) | Months 2–6: daily (at home) | 15–30 min |