Acupuncture as Adjuvant Therapy for the Management of Cervical Dystonia

Bega, Danny; Park, Kelley; Grimone, Ania; Lin, Fang; Ring, Melinda

doi:10.1089/acu.2018.1291

Cited by 9 publications

(4 citation statements)

References 12 publications

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“…It is recognised that a range of non-specific interventions, such as hypnosis and acupuncture, can produce improvement or resolution of the symptoms and signs in focal dystonia including IB [12,13]. This improvement is usually inconsistent and unpredictable.…”

Section: Discussionmentioning

confidence: 99%

A trial of a mechanical device for the treatment of blepharospasm

Fantato

Parulekar

Elston

2019

Eye

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Background Idiopathic blepharospasm (IB) is a rare but well-characterised adult onset focal dystonia that may cause severe visual disability. The most effective treatment is with periodic injections of botulinum toxin (BTX) into the pre-tarsal and/or pre-septal orbicularis oculi muscles bilaterally. However, even with treatment, practical visual function often remains compromised. A subset of IB sufferers find that eye opening improves with a focal unilateral digital pressure usually on a specific point on the temple. This is known as a 'sensory trick'. We have developed a spectacle mounted device ('Pressop') to apply continuous individually localised focal pressure on the temple to mimic the effect of finger pressure. The aim of the study was to determine if the 'sensory trick' could be replicated by Pressop and if the interval between BTX treatments could thereby be extended. Subjects/methods Study participants had three clinic visits-an initial screening assessment, a visit 2 weeks before the next injection was due when the device was fitted, and one 2 weeks later to assess the response to Pressop. A CDQ 24 and devicespecific feedback questionnaire were completed and comparison photographs were taken. Repeat BTX injections were administered at the third visit. Results Of 58 patients with typical IB recruited to the trial, 39 reported an effective focal finger pressure sensory trick. 56 completed the trial, more than 50% of whom reported some benefit using Pressop; 18% had substantial improvement, sustained for up to 5 years. Improvement could occur in those without an effective sensory trick, therefore there was no significant correlation between using a sensory trick and benefiting from 'Pressop'. There was a trend towards the responders having greater improvement in CDQ24 total score than non-responders but this was not statistically significant. Conclusions We recommend a trial of this simple safe device as a means of augmenting visual function in all IB patients.

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Section: Discussionmentioning

confidence: 99%

A trial of a mechanical device for the treatment of blepharospasm

Fantato

Parulekar

Elston

2019

Eye

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“…However, when considered holistically, it acts on multiple targets in the body, which might elicit corresponding feedback and adjustment relative to the local spasm, and the long-term effect might inhibit the spasm[ 70 ]. Studies have shown that acupuncture could serve as an adjuvant therapy, helping ST patients reduce the frequency of botulinum toxin usage and alleviate muscle tension[ 71 , 72 ]. Multiple studies suggest that acupuncture therapy can relieve muscle spasm in ST patients, and as it has no side effects, it provides a new treatment option for ST treatment[ 73 - 76 ].…”

Section: Other Treatmentsmentioning

confidence: 99%

Research progress in spasmodic torticollis rehabilitation treatment

Zhang,

Zeng,

et al. 2024

World J Clin Cases

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Spasmodic torticollis (ST) is a focal dystonia that affects adults, causing limited muscle control and impacting daily activities and quality of life. The etiology and curative methods for ST remain unclear. Botulinum toxin is widely used as a first-line treatment, but long-term usage can result in reduced tolerance and adverse effects. Rehabilitation therapy, with its minimal side effects and low potential for harm, holds significant clinical value. This article explores the effectiveness of adjunctive therapies, including exercise therapy, transcranial magnetic stimulation, shockwave therapy, neuromuscular electrical stimulation, vibration therapy, electromyographic biofeedback, and acupuncture, in the treatment of ST. The aim is to provide clinicians with additional treatment options and to discuss the efficacy of rehabilitation therapy for ST.

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“…Currently, international guidelines recommend botulin as the first line treatment choice for CD, but long-term maintenance treatment may be required, leading to drug resistance or a series of side effects[ 6 ]. However, acupuncture is also effective in the treatment of CD[ 7 ]. In the treatment of CD, acupuncture should be used as needed to help improve the clinical outcomes[ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for cervical dystonia associated with anxiety and depression: A case report

Zhang,

Zha

et al. 2024

World J Clin Cases

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BACKGROUND Cervical dystonia (CD) is a type of muscle tone disorder that usually occurs in the neck muscles. Due to the intermittent or continuous involuntary contraction of the neck muscles, the head and neck are twisted and skewed and some postural abnormalities occur. Long-term abnormal posture or pain can cause negative emotions in patients, which can affect their quality of life. CASE SUMMARY This case report included a 37-year-old woman who was diagnosed with CD associated with anxiety and depression; the accompanying symptoms were head and neck tilt of approximately 90° to the right and mental abnormality. After two courses of acupuncture treatment, the patient’s head and neck can be maintained in a normal position, and the negative emotions can be relieved. CONCLUSION This case indicates that acupuncture can effectively improve CD and the emotional state and quality of life of patients, making it an effective alternative treatment for the condition.

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Acupuncture as Adjuvant Therapy for the Management of Cervical Dystonia

Cited by 9 publications

References 12 publications

A trial of a mechanical device for the treatment of blepharospasm

A trial of a mechanical device for the treatment of blepharospasm

Research progress in spasmodic torticollis rehabilitation treatment

Acupuncture for cervical dystonia associated with anxiety and depression: A case report

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