• Title/Summary/Keyword: cervical dystonia

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A Clinical Case Report on Treatments of Cervical Dystonia (경련성(痙攣性) 사경증(斜頸症) 환자(患者) 치험(治驗) 1예(例) 보고)

  • Byun, Sung-Bum;Yun, Jong-Min;Moon, Byung-Soon
    • The Journal of Internal Korean Medicine
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    • v.34 no.4
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    • pp.456-465
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    • 2013
  • Objectives : A case of cervical dystonia improved after Korean medical treatments by using measurements of Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), and Cervical Dystonia Impact Profile (CDIP-58) to evaluate the changes of symptoms. Methods : Korean medical treatments for relieving symptoms of cervical dystonia including acupuncture, herb medication, cupping therapy, and physical therapy were performed. To evaluate the effect of the treatments, TWSTRS and CDIP-58 were used. Results : TWSTRS decreased from 55 to 24.5 and CDIP-58 also decreased from 79.3 to 36.2. Conclusions : This report suggests that Korean medical treatments can be effectively used for patients with cervical dystonia. Further clinical studies are needed to verify the findings.

Peripheral Post-traumatic Cervical Dystonia Treated by Miniscalpel-Acupuncture: A Case Report (말초성 외상후 경부 근긴장이상증에 대한 도침치료: 증례 보고)

  • Yoon, Sang-Hoon;Jo, Hee-Guen;Kwon, Min-Goo;Song, Min-Yeong
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.161-166
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    • 2018
  • This report describes the miniscalpel-acupuncture treatment of a 68-yr-old woman who had abnormal posture and involuntary dystonic movements of the head and neck. She suffered muscle contracture associated symptoms after she fell injured in 2014. Her neck had abnormal posture findings due to muscle tension. The spasms gradually worsened and did not respond to botulinum toxin injections. Involuntary dystonic movements may be due to peripheral post-traumatic cervical dystonia. Outcomes support cervical dystonia may be managed effectively with miniscalpel-acupuncture. Further research is recommended.

A Case Report of Cervical Dystonia Treated by Korean Medical Treatment with Yin-yang Balancing Therapy of the Temporomandibular Joint [Functional Cerebrospinal Therapy, FCST] and Miniscalpel-Acupuncture (턱관절음양균형요법과 도침치료를 병행한 한방치료를 이용한 경부 근긴장이상증 치험 1례)

  • Park, Jung Hyeon;Do, Hyun Jeong;Jung, Su Eun;Park, Song Mi;Lee, Young Jun;Kim, Cheol Hong
    • Journal of TMJ Balancing Medicine
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    • v.10 no.1
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    • pp.26-31
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    • 2020
  • Objectives: The purpose of this study is to report the effect of Korean medical treatment with FCST and Miniscalpel-Acupuncture on patient with cervical dystonia. Methods: In this study, A patient with cervical dystonia was admitted to ◯◯ Korean medicine Hospital from Oct 20th, 2020 to Nov 28th, 2020. During the admission period, the patient was treated by Korean medical treatment (acupuncture, pharmacopuncture, herb medicine, etc.), especially using FCST and Miniscalpel-Acupuncture. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), the Tsui score and CDIP (Cervical Dystonia Impact Profile)-58 were used for measuring the Cervical Dystonia. Results: After treatment for 40 days, the TWSTRS showed a decrease from 52.75 to 13.75, the Tsui score also decreased from 17 to 3 and the CDIP-58 score decreased from 64.1 to 25.5. Conclusions: These results showed that Korean medical treatment especially using FCST and Miniscalpel-Acupuncture may have an effect on reducing symptoms of cervical dystonia. But the further researches are needed.

A Case Report of a Patient with Cervical Dystonia Treated by Korean Medical Treatment Based on Meridian Tendino-Musculature Acupuncture (사경증 환자에 대한 경근자법 중심의 한방치료 치험 1례)

  • Sin, Dae Chul;Kang, Mi Suk
    • Korean Journal of Acupuncture
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    • v.33 no.4
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    • pp.226-230
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    • 2016
  • Objectives : The objective of this study is to report a effectiveness of korean medical treatment based on Meridian Tendino-musculature Acupuncture to patient with cervical dystonia. Methods : In this study, we conducted treatment based on Meridian Tendino-musculature Acupuncture to patients. And we also carried out treatments like herb medicine and cupping therapy etc. Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine were measured once a month to evaluate the severeness of symptom. Results : After 24 sessions of treatment, there were improvements on Tsui's score, Neck Disability Index(NDI), Visual analogue scale(VAS) and angle of C-spine. Conclusions : Korean medical treatment based on Meridian Tendino-musculature Acupuncture may be effective for relieving symptoms of cervical dystonia.

Meridian Yinyang Balance Treatment of Temporomandibular Joint Improves Cervical Spine Alignment in Spasmodic Torticollis Cases, a Medical Imaging Study (경추부 근육긴장이상에 대한 턱관절 경락음양 균형치료시 영상의학적으로 관찰된 경추정렬 개선 효과)

  • Yin, Chang-Shik;Lee, Young-Jin;Lee, Young-Jun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.2
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    • pp.459-463
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    • 2008
  • Postural balance of temporomandibular joint (TMJ) reflects the neuromuscular balance. TMJ posture treatment for meridian yinyang balance has been asserted to have an impact upon cervical spine alignment with an episodic good clinical result for refractory torticollis cases. A retrospective study with one-group pretest-posttest design was conducted to review cervical spine imaging data and clinical symptom changes in cervical dystonia cases to explore the effect of TMJ balance treatment. Review of clinical symptoms and cervical spine imaging data including computed tomography and simple x-ray of 9 cervical dystonia cases revealed significant improvement of cervical spine alignment and clinical symptoms. Improvement of cervical spine alignment may be an underlying mechanism of TMJ balance treatment, as a way of balancing the whole-body meridian system.

Cervical Dystonia Cases Managed by Yinyang Balancing Appliance for FCST, Functional Cerebro Spinal Therapy of TMJ (FCST의 음양균형장치를 이용한 연축성 사경증 증례보고)

  • Choe, Geun-Wook;Lee, Young-Jun
    • Journal of TMJ Balancing Medicine
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    • v.2 no.1
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    • pp.20-25
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    • 2012
  • Objectives: Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in cervical dystonia cases. Methods: Two cervical dystonia cases were managed with the Yinyang Balancing Appliance on temporomandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. Results: The patients showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Conclusions: Although it is not clear the effect is a sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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A Case Report of Korean Medicine Treatment for a Patient with Cervical Dystonia (경부 근긴장이상증 환자에 대한 한방치료 증례보고 1례)

  • Hyo-won Jin;Jeong-rim Bak;Jeong-rim Bak;Jong-min Yun;Byung-soon Moon
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.948-956
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    • 2023
  • The purpose of this study is to report a case of cervical dystonia and the effects of a series of traditional Korean medicine treatments applied to the patient. The patient was treated with conventional treatment and traditional Korean medicine consisting of acupuncture, moxa, chuna therapy, and herbal medicine (Hoesu-san-gami) for 48 days. Progress was measured by Tsui's score, the Toronto Western Spasmodic Torticollis Rating Scale, and the Neck Disability Index. We observed some improvements in the patient's symptoms: Tsui's score of 15 to 11, TWSTRS of 63.3 to 47.8, and NDI of 24 to 17. These findings indicate that the application of traditional Korean medicine to cervical dystonia can yield decent clinical outcomes.

A Case of Cervical dystonia Treatment Using Yin-yang Balancing Therapy of Temporomandibular Joint (턱관절음양균형요법을 이용한 연축성 사경증 치험 1례)

  • Sang Bae Lee;Young Jun Lee
    • Journal of TMJ Balancing Medicine
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    • v.12 no.1
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    • pp.15-21
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    • 2022
  • This case is witten for presenting the effect of the TMJ balancing therapy using the TMJ balancing appliance which normalizes the yin and yang balance of the brain-nervous system including the Meridian system. The balancing appliance was used in patient with cervical dystonia, and clinical outcome measurements were performed through clinical observations in specific movement and actions. The patient displayed positive changes after the treatment and the effect was well-maintained during the treatment period. For the more precise evaluation, clinical and biological studies of temporomandibular balancing therapy (TBT) are needed.

A Case Report of a Patient with Cranial Dystonia Diagnosed as Meige Syndrome (메이그증후군으로 진단받은 안면 근육 긴장 이상 환자 증례 보고 1례)

  • Park, Song-won;Kim, Youngji;Song, Jooyeon;Lee, Chan-sol;Hong, Seungcheol;Oh, Ji-hye;Jung, Ji-chun
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.886-894
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    • 2018
  • Objective: Despite being the most common cause of cranial dystonia, Meige syndrome remains a rare clinical entity. It is characterized by blepharospasm and orofacial dystonia. This case study reports on the use of traditional Korean medicine for a patient who suffered from blepharospasm and oromandibular dystonia suspected to be the result of Meige syndrome. Methods: A patient was given a series of Korean medicine therapy treatments, including administration of the herbal medicine Gamiguibi-tang-gamibang, acupuncture, and cupping, over a 19 day hospitalization period. We measured the state and progress of this case using the numeric rating scale and dystonia frequency. Results: A decrease in subjective symptoms and reduction in the frequency of oromandibular dystonia was observed after Korean medicine therapy treatments. Conclusion: This case is useful for describing herbal medicine treatment for Meige syndrome, and further case reports and studies will be needed in the future.

Pallidal Deep Brain Stimulation in Primary Cervical Dystonia with Phasic Type : Clinical Outcome and Postoperative Course

  • Jeong, Seong-Gyu;Lee, Myung-Ki;Kang, Ju-Young;Jun, Sung-Man;Lee, Won-Ho;Ghang, Chang-Ghu
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.346-350
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    • 2009
  • Objective : The purpose of this study was to analyze in detail the relationship between outcome and time course of effect in medically refractory primary cervical dystonia (CD) with phasic type that was treated by bilateral globus pallidus internus (Gpi) deep brain stimulation (DBS). Methods : Six patients underwent bilateral implantation of DBS into the Gpi under the guide of microelectrode recording and were followed for $18.7{\pm}11.1$ months. The mean duration of the CD was $5.8{\pm}3.4$ years. The mean age at time of surgery was $54.2{\pm}10.2$ years. Patients were evaluated with the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and relief scale using patient self-reporting. Results : The TWSTRS total scores improved by 64.5%, 65.5%, 75.8%, and 76.0% at 3, 6, 12 months, and at the last available follow-up after surgery, respectively. Statistically significant improvements in the TWSTRS scores were observed 3 months after surgery (p=0.028) with gradual improvement up to 12 months after surgery, thereafter, the improvement was sustained. However, there was no statistically significant difference between the scores at 3 and 12 months. Subjective improvement reported averaged $81.7{\pm}6.8%$ at last follow-up. Mild dysarthria, the most frequent adverse event, occurred in 3 patients. Conclusions : Our results show that the bilateral Gpi-DBS can offer a significant therapeutic effect from 3 months postoperatively in patients with primary CD with phasic type, without significant side effects.