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

Halimi, Miriam; Leder, Adena; Mancini, Jayme D.

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.

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Title
Tremor and Other Hyperkinetic Movements
DOI
https://doi.org/10.7916/D8NP24XB

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
November 22, 2017
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