• Walker R

• Child
• Chiropractic
• Chiropractic Manipulative Reflex Technique
• Enuresis
• Nocturnal Enuresis
• Open Access Document
• Sacro Occipital Technique

Introduction: Nocturnal Enuresis is when bedwetting continues past an age where the bladder is neurologically and physically developed to be able to hold the urine all night. This case series shares three children with nocturnal enuresis presenting for chiropractic assessment and treatment.

Methods/Intervention: The three children in this study had some common physical examination findings such as decreased right psoas and left lower core (transverse abdominus) muscle strength, persisting positive Spinal Galant primitive reflex, large right thoracic translations, and sacro occipital technique (SOT). Chiropractic manipulative reflex technique (CMRT) finding of occipital fibre line #2-T11/12 with CMRT kidney reflexes being active and signs of kidney ptosis.

A care plan began with two visits per week for three weeks, to be followed by a reassessment. The three children were each adjusted using SOT techniques including the pre-blocking techniques: Kidney ptosis and psoas correction. Spinal subluxations were monitored and adjusted as indicated. Occipital reflex lines were monitored and T11/12 reflexes were performed until the reflex was no longer active. CMRT reflex kidney technique was performed when indicated.

Results: At the three-week re-examination of all three children it was noted that: (i) All muscle tests were now within normal limits, (ii) Posture was significantly improved, (iii) The Spinal Galant primitive reflex was now absent, and (iv) Report of the parent and child indicated that bedwetting had significantly decreased.

Conclusion: After their plan of care, including spinal adjustments, plus SOT techniques to balance the viscerosomatic and somatovisceral reflex activity, their nocturnal enuresis markedly reduced. Following a series of adjustments, all muscle tests, and primitive reflexes were within normal limits and their posture had improved.

Author keywords: Enuresis - Bedwetting - Chiropractic - Sacro occipital technique - SOT - Chiropractic manipulative reflex technique - CMRT - Occipital fibres

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