Osteopathy and Voice - Dysarthria and Dyslalias from Neurological Diseases, Parkinson's: Story of E.
E. 60-year-old woman with Parkinson's for about 10 years came to me with a balance problem. Arriving in the office, I asked for her data about her disorder, I started to evaluate her osteopathically and to study how to set up the treatment. E. 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 she has always refused the disease, doing everything that could help her to maintain her functionality. She physically always goes to the gym, she performs cross-walking but she gets very tired and then has to remain inactive for some time. My thought was therefore that the treatment should not be too invasive because she had to benefit her without turning into a further cause of stoppage from daily activities. I therefore decided to perform only a global release of the orthosympathetic, making her lie supine on the couch. This would not have involved even fatigue 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 that she did not complain but that I immediately noticed out of professional habit: the thick voice, major dysarthria and dyslalias. The enormous rigidity of her structures sometimes made it impossible to understand the word. I therefore included in the treatment a specific fascial work on the articulators. At the moment E. has been treated by me for about 5 months, she no longer falls (which previously happened due to the enormous rigidity of the rear chains) and she does not find it difficult to be understood, especially on the phone, a device that very often alters sounds. After the first two treatment attempts we set up once a month, we found her ideal intervention timing to be one treatment every 15-20 days. This regularity allows her not to have to come to me too often and benefit from the results of the treatment without ever regressing. The ultimate goal is to bring her to a state of further autonomy in order to further dilute the sessions without making her lose the benefits.