Integration of Osteopathic Manual Treatments in Management of Cervical Dystonia with Tremor: A Case Series

Tremor and Other Hyperkinetic Movements

article

Miriam Halimi¹  Adena Leder¹  Jayme D. Mancini¹ 

[1] College of Osteopathic Medicine, New York Institute of Technology

关键词: Tremor;    torticollis;    osteopathic manipulation;    craniocerebral trauma;    movement disorders;    spine;    botulinum toxins;   

DOI  :  10.5334/tohm.354

学科分类：社会科学、人文和艺术（综合）

来源: Ubiquity Press

【 摘 要 】

Background: Cervical dystonia, also known as spasmodic torticollis, is a chronic disorder in which patients exhibit involuntary repetitive contractions of neck muscles resulting in abnormal postures or movements. Occasionally, there is also a dystonic head tremor. The underlying mechanisms for cervical dystonia and dystonic tremor are not clear, and treatments are limited. Case Report: In the present cases, two females with head tremor starting in adolescence developed worsening symptoms of cervical dystonia with dystonic tremor in their 60s. On osteopathic physical examination, both had a vertical type strain to the sphenobasilar synchondrosis. Discussion: Vertical strains are more frequently found in patients after head trauma, congenital or later in life, than in healthy patients, and head trauma may have been a precipitating factor in these patients. There were improvements in cervical dystonia symptoms, including tremor, in both patients after osteopathic manual treatment.

【 授权许可】

CC BY