Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis
Identifieur interne : 004073 ( Istex/Corpus ); précédent : 004072; suivant : 004074Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis
Auteurs : H-O Karnath ; J. Konczak ; J. DichgansSource :
- Journal of Neurology, Neurosurgery & Psychiatry [ 0022-3050 ] ; 2000-11-01.
Abstract
Short term vibration of the dorsal neck muscles (10–35 s) is known to induce involuntary movements of the head in patients with spasmodic torticollis. To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position. CONCLUSIONS (1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. (3) Long term neck muscle vibration may provide a convenient non-invasive method for treating spasmodic torticollis at the central level by influencing the neural control of head on trunk position.
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DOI: 10.1136/jnnp.69.5.658
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Dichgans</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:96BA80935383A168D97B535C7ECB2B42CB23629D</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1136/jnnp.69.5.658</idno><idno type="url">https://api.istex.fr/document/96BA80935383A168D97B535C7ECB2B42CB23629D/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">004073</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis</title><author><name sortKey="Karnath, H O" sort="Karnath, H O" uniqKey="Karnath H" first="H-O" last="Karnath">H-O Karnath</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author><author><name sortKey="Konczak, J" sort="Konczak, J" uniqKey="Konczak J" first="J" last="Konczak">J. 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Dichgans</name><affiliation><mods:affiliation></mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology, Neurosurgery & Psychiatry</title><title level="j" type="abbrev">J Neurol Neurosurg Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2000-11-01">2000-11-01</date><biblScope unit="volume">69</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="658">658</biblScope></imprint><idno type="ISSN">0022-3050</idno></series><idno type="istex">96BA80935383A168D97B535C7ECB2B42CB23629D</idno><idno type="DOI">10.1136/jnnp.69.5.658</idno><idno type="href">jnnp-69-658.pdf</idno><idno type="PMID">11032623</idno><idno type="local">jnnp;69/5/658</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Short term vibration of the dorsal neck muscles (10–35 s) is known to induce involuntary movements of the head in patients with spasmodic torticollis. To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position. CONCLUSIONS (1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. (3) Long term neck muscle vibration may provide a convenient non-invasive method for treating spasmodic torticollis at the central level by influencing the neural control of head on trunk position.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>H-O Karnath</name><affiliations><json:null></json:null></affiliations></json:item><json:item><name>J Konczak</name><affiliations><json:null></json:null></affiliations></json:item><json:item><name>J Dichgans</name><affiliations><json:null></json:null></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Movement disorders (other than Parkinsons)</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>human</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cervical dystonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>spasmodic torticollis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neck muscle vibration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>transcutaneous electrical stimulation</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Short term vibration of the dorsal neck muscles (10–35 s) is known to induce involuntary movements of the head in patients with spasmodic torticollis. To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position. CONCLUSIONS (1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. 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To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position. CONCLUSIONS (1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. 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Neurol Neurosurg Psychiatry</abbrev-journal-title><issn pub-type="ppub">0022-3050</issn><issn pub-type="epub">1468-330X</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id>00272</article-id><article-id pub-id-type="other">jnnp;69/5/658</article-id><article-id pub-id-type="doi">10.1136/jnnp.69.5.658</article-id><article-id pub-id-type="pmid">11032623</article-id><article-id pub-id-type="other">658</article-id><article-id pub-id-type="other">jnnp.69.5.658</article-id><article-categories><subj-group subj-group-type="heading"><subject content-type="original">Short report</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>Movement disorders (other than Parkinsons)</subject></subj-group></article-categories><title-group><article-title>Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Karnath</surname><given-names>H-O</given-names></name><xref rid="tO1001" ref-type="aff">a</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Konczak</surname><given-names>J</given-names></name><xref rid="tO1002" ref-type="aff">b</xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dichgans</surname><given-names>J</given-names></name><xref rid="tO1001" ref-type="aff">a</xref></contrib></contrib-group><aff id="O1001"><target id="tO1001" target-type="aff"><sup>a</sup>Departments of Cognitive and General Neurology, University of Tübingen, Hoppe-Seyler-Strasse 3, D-72076 Tübingen, Germany, </target><target id="tO1002" target-type="aff"><sup>b</sup>Divison of Kinesiology, University of Minnesota, USA</target></aff><author-notes><corresp>Dr H-O Karnath<email xlink:type="simple">Karnath@uni-tuebingen.de</email></corresp></author-notes><pub-date pub-type="ppub"><day>1</day><month>11</month><year>2000</year></pub-date><pub-date pub-type="epub"><day>1</day><month>11</month><year>2000</year></pub-date><volume>69</volume><volume-id pub-id-type="other">69</volume-id><volume-id pub-id-type="other">69</volume-id><issue>5</issue><issue-id pub-id-type="other">jnnp;69/5</issue-id><issue-id pub-id-type="other">5</issue-id><issue-id pub-id-type="other">69/5</issue-id><fpage>658</fpage><history><date date-type="received"><day>13</day><month>3</month><year>2000</year></date><date date-type="rev-recd"><day>19</day><month>5</month><year>2000</year></date><date date-type="accepted"><day>27</day><month>6</month><year>2000</year></date></history><permissions><copyright-statement>Journal of Neurology, Neurosurgery, and Psychiatry</copyright-statement><copyright-year>2000</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="jnnp-69-658.pdf"></self-uri><abstract><p>Short term vibration of the dorsal neck muscles (10–35 s) is known to induce involuntary movements of the head in patients with spasmodic torticollis. To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position.</p><sec><title>CONCLUSIONS</title><p>(1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. (3) Long term neck muscle vibration may provide a convenient non-invasive method for treating spasmodic torticollis at the central level by influencing the neural control of head on trunk position.</p></sec></abstract><kwd-group><kwd>human</kwd><kwd>cervical dystonia</kwd><kwd>spasmodic torticollis</kwd><kwd>neck muscle vibration</kwd><kwd>transcutaneous electrical stimulation</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis</title></titleInfo><name type="personal"><namePart type="given">H-O</namePart><namePart type="family">Karnath</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Konczak</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Dichgans</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief communication" displayLabel="brief-report"></genre><subject><genre>hwp-journal-coll</genre><topic>Movement disorders (other than Parkinsons)</topic></subject><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2000-11-01</dateIssued><dateCreated encoding="w3cdtf">2000-11-01</dateCreated><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Short term vibration of the dorsal neck muscles (10–35 s) is known to induce involuntary movements of the head in patients with spasmodic torticollis. To investigate whether neck muscle vibration might serve as a therapeutic tool when applyed for a longer time interval, we compared a vibration interval of 5 seconds with a 15 minute interval in a patient with spasmodic torticollis with an extreme head tilt to the right shoulder. Head position was recorded with a two camera optoelectronic motion analyzer in six different test conditions. Vibration regularly induced a rapid change of head position that was markedly closer to a normal, upright posture. After 5 seconds of vibration, head position very quickly returned to the initial position within seconds. During the 15 minute interval, head position remained elevated. After terminating vibration in this condition, the corrected head position remained stable at first and then decreased slowly within minutes to the initial tilted position. CONCLUSIONS (1) In this patient, muscle vibration was the specific sensory input that induced lengthening of the dystonic neck muscles. Neither haptic stimulation nor transcutaneous electrical stimulation had more than a marginal effect. (2) The marked difference in the change of head position after short and prolonged stimulation supports the hypothesis that spasmodic torticollis might result from a disturbance of the central processing of the afferent input conveying head position information—at least in those patients who are sensitive to sensory stimulation in the neck region. (3) Long term neck muscle vibration may provide a convenient non-invasive method for treating spasmodic torticollis at the central level by influencing the neural control of head on trunk position.</abstract><subject><genre>Keywords</genre><topic>human</topic><topic>cervical dystonia</topic><topic>spasmodic torticollis</topic><topic>neck muscle vibration</topic><topic>transcutaneous electrical stimulation</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Neurology, Neurosurgery & Psychiatry</title></titleInfo><titleInfo type="abbreviated"><title>J Neurol Neurosurg Psychiatry</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0022-3050</identifier><identifier type="eISSN">1468-330X</identifier><identifier type="PublisherID">jnnp</identifier><identifier type="PublisherID-hwp">jnnp</identifier><identifier type="PublisherID-nlm-ta">J Neurol Neurosurg Psychiatry</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>69</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>658</start></extent></part></relatedItem><identifier type="istex">96BA80935383A168D97B535C7ECB2B42CB23629D</identifier><identifier type="DOI">10.1136/jnnp.69.5.658</identifier><identifier type="href">jnnp-69-658.pdf</identifier><identifier type="PMID">11032623</identifier><identifier type="local">jnnp;69/5/658</identifier><accessCondition type="use and reproduction" contentType="copyright">Journal of Neurology, Neurosurgery, and Psychiatry</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><annexes><json:item><original>true</original><mimetype>image/jpeg</mimetype><extension>jpeg</extension><uri>https://api.istex.fr/document/96BA80935383A168D97B535C7ECB2B42CB23629D/annexes/jpeg</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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