Advanced search

Search results      


Osteopathic Management of a Family with Inherited Cervical Dystonia

Journal: The AAO Journal Date: 2013/09, 23(3):Pages: 30-37, type of study: case report

Free full text   (https://www.academyofosteopathy.org/aaoj)

Keywords:

cervical dystonia [5]
OMT [2951]
osteopathic manipulative treatment [2973]
spasmodic torticollis [3]

Abstract:

Introduction Cervical dystonia is a primary torsional dystonia type of movement disorder involving the sternocleidomastoid, trapezius and other cervical muscles with initial symptoms of pulling, pain, or stiffness of the neck and associated head tilt that can have intermittent exacerbations and progress to disability. Osteopathic manipulative medicine (OMM) has previously been used to significantly improve biomechanical functioning amongst people with the movement disorder Parkinson’s disease, and it may have long-term benefits in people with dystonia as well. Case report A family including a 32-year-old mother (TR), a 4-year-old daughter (AR), and a 21-month-old son (MR), were diagnosed with spasmodic torticollis or cervical dystonia. The somatic dysfunctions of each subject were diagnosed and treated with osteopathic manipulation. Conclusion The subjects had similar somatic dysfunctions in the cranial and cervical regions with similar effects of the long cervical muscle spasms on the shoulder girdle and upper thoracics. The youngest, MR, had the simplest side-bending and rotation pattern with the majority of his body being mildly to moderately side-bent left and rotated right. AR had rotations to the left in her lumbar spine and pelvic girdle. TR’s somatic dysfunction pattern was more complicated, having multiple changes in the direction of side-bending and rotation. The differences amongst their exams may be a result of growth and development with age, including compensatory biomechanics, as well as variability in stress or falls. Balanced ligamentous tension, ligamentous articular strain, modified muscle energy, articulatory and high-velocity low-amplitude pulse techniques were used, resulting in increased range of motion and, in TR, a 30-40% decrease in stiffness and pain.


Search results      

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_czmbngkjtqhdwxarvfyp



Supported by

OSTLIB recommends