Manual Therapy for Patient with Spasmodic Torticollis - Case Study

연축성 사경환자에 대한 도수 치료적 접근 - 사례연구

  • Kim, Dong-Ya (Dept. of Physical Therapy, Seoul Wooridul Spine Hospital) ;
  • Shin, Eui-Ju (Dept. of Physical Therapy, Seoul Wooridul Spine Hospital) ;
  • Jeon, Jae-Guk (Dept. of Physical Therapy, Seoul Wooridul Spine Hospital)
  • 김동야 (서울 우리들병원 척추건강치료실) ;
  • 신의주 (서울 우리들병원 척추건강치료실) ;
  • 전재국 (서울 우리들병원 척추건강치료실)
  • Received : 2012.12.11
  • Accepted : 2013.01.14
  • Published : 2013.06.30

Abstract

Background: Spasmodic torticollis is a disorder that is described by sustained muscle contractions causing repetitive and twisting movements, and abnormal postures in a single body region. The purpose of this case is to describe the manual therapy for a patient with spasmodic torticollis. Methods: The patient was a 64 years old man with an 3 month history of left side laterocollis spasmodic torticollis. No known genetic history or trauma. Prior to intervention, his score on the Western Spasmodic Torticollis Rating Scale (TWSTRS) severity score was 24, disability score was 20, pain score was 11. There is a noticeable distinction between left and right side cervical range of motion. The intervention consisted of manual therapy (MET, PNF) 3 times per week for the treatment during 4 weeks. Results: After intervention for 4weeks, his TWSTRS score and range of motion was improved quite a bit before therapeutic exercise. But symptoms are not improving sufficiently fast. Conclusions: Manual therapy is that MET and PNF is effective in improving for patient had spasmodic torticollis with laterocollis of neck.

Keywords