• Martinez DA
• Marashi A

• Adult
• Diet Therapy
• Manipulation, Cervical
• Manipulation, Spinal
• Tics
• Tourette Syndrome
• Tourette Syndrome / diet therapy
• Tourette Syndrome / therapy

Case presentation: The patient is a 27-year-old female diagnosed with TS at age 23. Motor complaints centered on an eye blink. Vocal tics include throat clearing and sniffing. Obsessive compulsive components were described as touch-based and/or number-based.

Intervention and Outcome: Primary measures included the Yale Global Tic Severity Scale (YGTSS), Yale-Brown Obsessive Compulsive Scale (Y-BCOS), and the Health Status Questionairre-12 (HSQ-12). Secondary measures included documentation of appendicular coordination, balance, gait, and saccadic eye movements. Treatment consisted of vertebral and extremity adjusting, saccadic eye exercises, audio therapy, and supplementation of magnesium, vitamin B6, and omega 3 fatty acid for 4 weeks. At baseline the YGTSS score was 52, Y-BOCS was 22 and the HSQ-12 was 53. At two weeks, the YGTSS: 22 and the Y-BOCS: 17. At completion the YGTSS: 14, the Y-BOCS: 12, and the HSQ-12: 82.1.

Conclusion: The patient’s clinical picture indicated marked improvement in her symptoms. Although natural history cannot be disregarded, the clinical results documented suggest that a multimodal approach of diet, manipulation, and functional neurologic exercises may help in the management of Tourette syndrome symptoms. A controlled study is warranted.

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