Abstract
Background and purpose of the study
Dropped Head Syndrome (DHS) is characterized by a chin on chest flexion neck deformity that is passively correctible. The condition is rare and literature on surgical and conservative management is focused on case studies and theoretical evidence.
Purpose of the study
The purpose of this study was to investigate the value of physiotherapy in the treatment of DHS by case series analysis.
Methods
The effectiveness of physiotherapy was examined in six patients, some of whom were still under treatment and evaluation. Photographs were taken of some of the patients in order to gain further insight into the condition. Conservative management was provided in the form of physiotherapy and the use of a collar. Physiotherapy treatment involved a focus on sagittal balance and treatment included education, manual therapy, exercises, postural and mirror work and modification of sitting and lying positions.
Results
In the first completed case study the patient reported an improvement in the ability to correct their deformity and improved appearance following physiotherapy. Photographs taken before and after treatment appear to support this. At one year follow up this patient still followed the advice given and did the exercises taught and reported to find them beneficial in managing DHS. The same approach was applied with the other patients in the case series with treatment and analysis evolving as further insight into the condition was gained.
Conclusion
The case series supports other reported cases in the literature which report benefit from the use of physiotherapy as well as raising questions around the potential causes and management of DHS.
Conflicts of interest – No conflicts of interest
Sources of funding – No funding obtained
