Title : Contributions of naturology and anatomical restructuring technique in the integral care of an Interagent with congenital meningomyelocele: A case report
Abstract:
Congenital meningomyelocele is a severe spinal malformation caused by incomplete neural tube closure during gestation, resulting in exposure of the spinal cord, nerve roots, and meninges to the amniotic fluid. Clinical consequences include lower limb paralysis, orthopedic deformities, urinary and fecal incontinence, and complications such as hydrocephalus and Arnold-Chiari malformation. The estimated incidence in Brazil is 1.4 to 2.4 cases per 10,000 births. Although early approaches described by Guttmann emphasized non-surgical management and physical activity, current standard care involves surgical intervention; however, many patients still face functional impairments, underscoring the need for integrative and personalized long-term.
This case involves a 49-year-old male public servant and wheelchair user with a history of meningomyelocele, surgically treated at 11 months. At age 7, he underwent colostomy due to persistent fecal pressure ulcers. Additional structural issues include scoliosis, spondylosis, lumbar osteophytosis, paralysis and deformities of the lower limbs, tendinitis, bursitis, migraine, tinnitus, hearing loss, and asymptomatic hepatitis C. Emotional disturbances, largely influenced by social factors, are also present. Since 2018, he has been under naturopathic care, initially presenting with widespread chronic musculoskeletal pain, frequent migraine with visual disturbances, limited mobility, and emotional challenges. Over time, he experienced progressive improvement in body awareness, reduced migraine frequency, and increased emotional expression. Notably, in 2020, the patient reported new sensations such as numbness and tingling in previously insensate areas including the gluteal region, groin, and coccyx, suggesting possible late neuroplastic changes.
Throughout the years, he has faced barriers related to accessibility, ergonomics at home, and physical overload, along with emotional fluctuations. Despite these challenges, the patient achieved meaningful functional milestones, such as moving to independent living, participating in a Paralympic running event, and rediscovering personal autonomy. Recently, he described new sensory perceptions in the upper thighs, areas previously without sensation. He continues regular follow-ups every 1 to 3 months, focusing on pain control, emotional stability, and quality of life enhancement. The naturopathic treatment includes anatomical restructuring, phytotherapy, aromatherapy, flower essence therapy, iridology, ergonomic guidance, and self-care education. Anatomical restructuring has demonstrated effectiveness in reducing osteomyoarticular pain and improving proprioception, also contributing to the prevention of late complications, as supported by spinal cord rehabilitation literature.
Theoretically, this case resonates with foundational neurological rehabilitation principles, as established by Guttmann, Hardy, and Frankel, which emphasize the potential for late sensory recovery and neuroplasticity even in congenital spinal lesions. Overall, this case illustrates the potential of integrating naturopathic approaches with anatomical restructuring technique in managing chronic, complex neurological conditions. It highlights the importance of addressing physical, emotional, and psychosocial dimensions, centering care on the individual’s autonomy and quality of life. Patient Perspective "I consider Naturology essential to my life. Since I started consulting with a naturologist eight years ago, I have become more aware of my body and understood that no disease manifests in isolation within our body. Combined with anatomical restructuring technique, Naturology has provided me with a much better quality of life." Informed consent was obtained from the patient for the publication of this case report.
