Cervical dystonia responsive to acoustic and galvanic vestibular stimulation.
Identifieur interne : 001724 ( Ncbi/Merge ); précédent : 001723; suivant : 001725Cervical dystonia responsive to acoustic and galvanic vestibular stimulation.
Auteurs : Sally M. Rosengren [Australie] ; James G. ColebatchSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- MESH :
- innervation : Neck Muscles.
- physiology : Bone Conduction, Head Movements.
- physiopathology : Torticollis, Vestibule, Labyrinth.
- therapy : Torticollis.
- Acoustic Stimulation, Electric Stimulation Therapy, Electromyography, Female, Humans, Middle Aged.
Abstract
We examined the effects of acoustic and galvanic vestibular stimulation in a patient with cervical dystonia. Acoustic stimulation consisted of three conditions: "baseline" (no stimulation), "vestibular" (500 Hz bone-conducted tone bursts), and "control" (5,000 Hz tone bursts). Rectified electromyographic activity in the sternocleidomastoid was measured. Galvanic stimulation (1.5-2.5 mA current steps) was delivered to the mastoids, and head acceleration was measured. Vestibular acoustic stimulation reduced neck muscle activity between 16% and 44% (P < 0.001), and galvanic stimulation reduced head acceleration by 22.5% (P = 0.028). The patient reported subjective improvement in head control. Vestibular stimulation can reduce neck muscle activity in cervical dystonia and give symptomatic relief.
DOI: 10.1002/mds.20982
PubMed: 16758481
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pubmed:16758481Le document en format XML
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<author><name sortKey="Rosengren, Sally M" sort="Rosengren, Sally M" uniqKey="Rosengren S" first="Sally M" last="Rosengren">Sally M. Rosengren</name>
<affiliation wicri:level="3"><nlm:affiliation>UNSW Clinical School and Prince of Wales Medical Research Institute, Randwick, Sydney, Australia.</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation</term>
<term>Bone Conduction (physiology)</term>
<term>Electric Stimulation Therapy</term>
<term>Electromyography</term>
<term>Female</term>
<term>Head Movements (physiology)</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neck Muscles (innervation)</term>
<term>Torticollis (physiopathology)</term>
<term>Torticollis (therapy)</term>
<term>Vestibule, Labyrinth (physiopathology)</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Neck Muscles</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Bone Conduction</term>
<term>Head Movements</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Torticollis</term>
<term>Vestibule, Labyrinth</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Torticollis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Acoustic Stimulation</term>
<term>Electric Stimulation Therapy</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We examined the effects of acoustic and galvanic vestibular stimulation in a patient with cervical dystonia. Acoustic stimulation consisted of three conditions: "baseline" (no stimulation), "vestibular" (500 Hz bone-conducted tone bursts), and "control" (5,000 Hz tone bursts). Rectified electromyographic activity in the sternocleidomastoid was measured. Galvanic stimulation (1.5-2.5 mA current steps) was delivered to the mastoids, and head acceleration was measured. Vestibular acoustic stimulation reduced neck muscle activity between 16% and 44% (P < 0.001), and galvanic stimulation reduced head acceleration by 22.5% (P = 0.028). The patient reported subjective improvement in head control. Vestibular stimulation can reduce neck muscle activity in cervical dystonia and give symptomatic relief.</div>
</front>
</TEI>
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<DateCreated><Year>2006</Year>
<Month>09</Month>
<Day>27</Day>
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<DateCompleted><Year>2007</Year>
<Month>02</Month>
<Day>02</Day>
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<DateRevised><Year>2007</Year>
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<Day>15</Day>
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<JournalIssue CitedMedium="Print"><Volume>21</Volume>
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<PubDate><Year>2006</Year>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Cervical dystonia responsive to acoustic and galvanic vestibular stimulation.</ArticleTitle>
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<Abstract><AbstractText>We examined the effects of acoustic and galvanic vestibular stimulation in a patient with cervical dystonia. Acoustic stimulation consisted of three conditions: "baseline" (no stimulation), "vestibular" (500 Hz bone-conducted tone bursts), and "control" (5,000 Hz tone bursts). Rectified electromyographic activity in the sternocleidomastoid was measured. Galvanic stimulation (1.5-2.5 mA current steps) was delivered to the mastoids, and head acceleration was measured. Vestibular acoustic stimulation reduced neck muscle activity between 16% and 44% (P < 0.001), and galvanic stimulation reduced head acceleration by 22.5% (P = 0.028). The patient reported subjective improvement in head control. Vestibular stimulation can reduce neck muscle activity in cervical dystonia and give symptomatic relief.</AbstractText>
<CopyrightInformation>(c) 2006 Movement Disorder Society.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rosengren</LastName>
<ForeName>Sally M</ForeName>
<Initials>SM</Initials>
<AffiliationInfo><Affiliation>UNSW Clinical School and Prince of Wales Medical Research Institute, Randwick, Sydney, Australia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Colebatch</LastName>
<ForeName>James G</ForeName>
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<Language>eng</Language>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D000161">Acoustic Stimulation</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004599">Electric Stimulation Therapy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004576">Electromyography</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D019416">Head Movements</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009334">Neck Muscles</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000294">innervation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014103">Torticollis</DescriptorName>
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<affiliations><list><country><li>Australie</li>
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<tree><noCountry><name sortKey="Colebatch, James G" sort="Colebatch, James G" uniqKey="Colebatch J" first="James G" last="Colebatch">James G. Colebatch</name>
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<country name="Australie"><noRegion><name sortKey="Rosengren, Sally M" sort="Rosengren, Sally M" uniqKey="Rosengren S" first="Sally M" last="Rosengren">Sally M. Rosengren</name>
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