Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis
Identifieur interne : 000C40 ( Pmc/Corpus ); précédent : 000C39; suivant : 000C41Effect of prolonged neck muscle vibration on lateral head tilt in severe spasmodic torticollis
Auteurs : H. Karnath ; J. Konczak ; J. DichgansSource :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 2000.
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.
Url:
DOI: 10.1136/jnnp.69.5.658
PubMed: 11032623
PubMed Central: 1763415
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