Effects of Osteopathic Manipulative Treatment in a 3-Year-Old With Pitt-Hopkins Syndrome

Vaibhav Duggal1, Rachel Radigan1, Alexa Finkelstein1

  • 1Department of Osteopathic Manipulative Medicine (OMM), New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA, nyit.edu.

Insights

Pitt-Hopkins Syndrome (PTHS) is a rare neurodevelopmental disorder. Osteopathic manipulative treatment (OMT) effectively managed severe gastrointestinal issues like constipation and abdominal pain in a child with PTHS.

Area of Science:

  • Neuroscience
  • Gastroenterology
  • Genetics

Background:

  • Pitt-Hopson Syndrome (PTHS) is a rare neurodevelopmental disorder linked to TCF4 gene mutations, affecting enteric nervous system regulation.
  • Current management for PTHS focuses on alleviating comorbidities due to the absence of a cure.
  • Osteopathic manipulative treatment (OMT) shows promise for gastrointestinal issues, but its application in PTHS comorbidities is under-researched.

Purpose of the Study:

  • To present a case study on the efficacy of Osteopathic Manipulative Treatment (OMT) for managing gastrointestinal comorbidities in a patient with Pitt-Hopkins Syndrome (PTHS).
  • To highlight the potential of OMT as a complementary therapy for improving the quality of life in individuals with PTHS.

Main Methods:

  • A case report detailing the treatment of a three-year-old female diagnosed with Pitt-Hopkins Syndrome (PTHS).
  • Five sessions of Osteopathic Manipulative Treatment (OMT) were administered to address severe constipation, abdominal pain, discomfort, and muscle spasms.

Main Results:

  • The patient experienced significant relief from constipation, with a transition from a biweekly enema regimen to multiple daily bowel movements.
  • Reported improvements included reduced abdominal pain, decreased restlessness, and overall enhanced comfort.
  • The OMT intervention demonstrated a positive impact on the patient's gastrointestinal symptoms and overall well-being.

Conclusions:

  • Osteopathic Manipulative Treatment (OMT) proved effective in managing severe gastrointestinal comorbidities associated with Pitt-Hopkins Syndrome (PTHS) in this case.
  • This case suggests OMT could be a valuable addition to the standard care for managing PTHS-related gastrointestinal issues.
  • Further research into OMT for PTHS comorbidities is warranted to explore its broader clinical application.

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