The effect of two different rehabilitation treatments in cervical dystonia: preliminary results in four patients.
نویسندگان
چکیده
The most widespread approach to rehabilitation of cervical dystonia is electromyographic (EMG) biofeedback. However, consensus is lacking regarding the true effectiveness of this technique. The aim of this study was to evaluate how cervical dystonia was influenced by two rehabilitative treatments, namely a standard biofeedback program and a novel physiotherapy program consisting of postural reeducation exercises and passive elongation of myofascial cervical structures. Both programs were consecutively administered to 4 patients with cervical dystonia. The study design was a behavioral analysis of single cases. The main outcome measures were a head realignment test, a disability questionnaire and a pain visual analogue scale (VAS). Each patient's performance was evaluated before the study and after the first and second program. Furthermore, the disability questionnaire and the pain VAS were administered 3, 6, and 9 months after the end of the treatments. The physiotherapy program showed therapeutic effects comparable to those of EMG biofeedback. Reductions of disability and of pain were still present 3-9 months after the end of the treatments. These preliminary results suggest that the physiotherapy program proposed in the present study may be a promising method for rehabilitation of cervical dystonia.
منابع مشابه
The Effect of Suboccipital Myofascial Release Technique on Cervical Muscle Strength of Patients With Cervicogenic Headache
Purpose: To determine whether Myofascial Release (MFR) technique in upper cervical region is more effective than using conventional exercises to improve cervical muscle strength in patients with cervicogenic headache. Design: Randomized Controlled Trial. Setting: An outpatient physical therapy clinic, University of social welfare and rehabilitation science, Iran. Methods: We conducted a prospe...
متن کاملImmediate Effect of Kinesio-Taping on Cervical Lateral Flexion Range of Motion in Subjects With Myofascial Trigger Point in Upper Trapezius Muscle
Purpose: The purpose of this study was to investigate the effect of kinesio-taping on the range of motion of cervical lateral flexion point in subjects with trigger point in upper trapezius muscle. Methods: A total of 32 subjects with myofascial trigger point in upper trapezius participated in this randomized controlled trial (RCT). The subjects were randomly assigned to two groups: Kinesio-...
متن کاملImpact of Cervical Dystonia on Work Productivity: An Analysis From a Patient Registry
BACKGROUND Cervical dystonia is thought to result in high disease burden, but limited information exists on its impact on employment and work productivity. We utilized data from the Cervical Dystonia Patient Registry for the Observation of OnabotulinumtoxinA Efficacy (ClinicalTrials.gov identifier: NCT00836017) to assess the impact of cervical dystonia on employment and work productivity and ex...
متن کاملA double blind, randomised, parallel group study to investigate the dose equivalence of Dysport and Botox in the treatment of cervical dystonia.
OBJECTIVE This study was designed to establish whether a ratio of three units of Dysport is equivalent to one unit of Botox for the treatment of cervical dystonia. METHODS Patients with predominantly rotational cervical dystonia, and a minimum of four previous Botox treatments, were randomised to receive either the clinically indicated dose of Botox or three times that dose in Dysport units. ...
متن کاملSelf-Perceived non-motor aspects of cervical dystonia and their association with disability.
OBJECTIVE To examine the multivariate association between a model of self-perceived non-motor aspects and disability in cervical dystonia. DESIGN A prospective and correlational design with two points of assessment. SUBJECTS All 273 members with cervical dystonia from the Swedish Dystonia Patient Association were invited to participate. METHODS Data were collected with one self-reported q...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Functional neurology
دوره 18 4 شماره
صفحات -
تاریخ انتشار 2003