• The Journal of the Society of Korean Medicine Diagnostics
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• v.14 no.1
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• pp.101-110
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• 2010

Objective : A case of idiopathic spasmodic torticollis rapidly improved after Oriental Medical treatments and supplementary trigger point injection is reported. Methods & Results : The oriental medical treatment for spasmodic torticollis including acupuncture, bee-venum therapy, herb medication, taping therapy, chuna therapy and physical therapy was performed for pain alleviation, and trigger point steroid injections were also performed. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and the Tsui Score were used for outcome measure of the spasmodic torticollis. After treatment for 15 days, the TWSTRS showed a decrease from 56 to 22.3 and the Tsui score also decreased from 13 to 5. Conclusions : We concluded that the oriental medical treatment including acupuncture, bee-venum therapy and taping therapy rapidly induced spasmodic torticollis to remission.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.1
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• pp.79-83
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• 2013

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.

• The Journal of the Korea Contents Association
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• v.11 no.5
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• pp.233-241
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• 2011

The purpose of this study was to investigate the correlation between ultrasonographic findings used to diagnose and assess of torticollis and a overall special assessment of congenital muscular torticollis in infants. Seventy-eight subjects with congenital muscular torticollis participated in this study. All the patients were divided into one of four clinical types according to the sternocleidomastoid muscle fibrosis noted on the ultrasonographic findings, and they were divided into one of three subgroups according to the degree of disability on the overall special assessment score of torticollis. For the ultrasonographic classifications of the 78 patients, 42(53.8%) made up the first type, 21 (26.9%) made up the second type, 7 (9.0%) made up the third type, and 8 (10.3%) made up the fourth type. Multivariate analysis of the results showed that the age at presentation was significantly different according to the ultrasonographic subtypes (p<0.01). There was significant correlation between the ultrasonographic findings and the torticollis overall assessment for patients with congenital muscular torticollis (${\phi}$=0.893, p<0.01). According to the results of this study, the use of the simple and objective torticollis overall assessment will be useful for the evaluation of torticollis in the future.

• The Journal of Korean Physical Therapy
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• v.35 no.6
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• pp.177-184
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• 2023

Purpose: The purpose of this study was to compare the concurrent validity and test-retest reliability of 'KPIMT Torticollis Protractor', a smart phone and I-pad application for convenient range of motion measurement, and 'Image J', an analysis software with high reliability and validity, according to head tilt and active cervical rotation angle. This was done to determine the clinical utility of 'KPIMT Torticollis Protractor'. Methods: Head tilt and active cervical spine rotation angles of 40 children with congenital muscular torticollis were measured using Image J and KPIMT Torticollis Protractor, respectively. The level of concurrent validity and inter-rater and intra-rater reliability between the two measurement methods were analyzed. Results: For forty participants, the concurrent validity between Image J and KPIMT Torticollis Protractor showed very high validity with ICC of ICC 0.977 (0.995-0.999), 0.994 (0.994-0.998), CV_ME% 0.71-0.72%, SEM% 0.31-0.34%, MDC% 0.86-0.94%. The test-retest intra-rater reliability showed very high reliability ICC 0.911 (0.911-0.966), CV_ME% 0.71%, SEM% 0.34-0.36%, MDC% 0.81-0.94%. The test-retest inter-rater showed very high reliability ICC 0.936 (0.933-0.957), CV_ME% 0.70%, SEM% 0.34-0.35%, MDC% 0.81-0.83%. Conclusion: The KPIMT Torticollis Protractor, a smart phone and IPD application, is a highly reliable and valid device for angle measurement in children with congenital myotonia and can be easily used in clinical practice.

• Journal of TMJ Balancing Medicine
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• v.6 no.1
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• pp.24-26
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• 2016

To investigate the effects of the postural balance of TMJ using intraoral balancing appliance of functional cerebrospinal technique (FCST) combined acupuncture and manual medicine therapeutics in the treatment of congenital muscular torticollis. An idiopathic cervical dystonia case was managed with postural training with intraoral balancing appliance, combined with acupuncture and manual medicine therapeutics. Clinical assessment included radiography, Toronto Western Spasmodic Torticollis Rating Scale, and global clinical impression. Clinical improvement was observed over 5 months of treatment period. Clinical observational data on spasmodic torticollis provide an positive prospective for further investigation on the effect of FCST.

• The Journal of Korea CHUNA Manual Medicine
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• v.6 no.1
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• pp.111-117
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• 2005

Objectives: This study was performed to evaluate the effect of acupuncture and traction on Spasmodic Torticollis patient. Methods: The patient was hospitalized Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University from 19th, May 2005 to 24th, August 2005, diagnosed as Spasmodic Torticollis and treated with Acupuncture, Traction and so on. Results and Conclusions: Symptom of patient such as Spasmodic Torticollis was improved after above treatment. So it is suggested that oriental medical treatment are effective in the Spasmodic Torticollis.

• Journal of Veterinary Clinics
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• v.21 no.4
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• pp.395-397
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• 2004

A fifteen-year-old spayed female Pug was referred to Veterinary Medical Teaching Hospital of Seoul National University. The clinical sign was a restriction of the movement of the headneck and acutely presented for 5 days ago. On the basis of physical, laboratory and radiological examinations, the dog was diagnosed acute torticollis (wry neck). We treated two times the dog with acupuncture therapy for 2 weeks. The acupuncture points BL10, BL11, LU7 and SI3 were used. When the dog was rechecked at three weeks after the therapy, torticollis was disappeared and voluntarily head movement found. Thus, it is suggested that traditional acupuncture might be effective therapy for acute torticollis.

• Journal of Korean Medicine Rehabilitation
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• v.18 no.4
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• pp.231-242
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• 2008

Objectives : The purpose of this study is to evaluate the effect of muscle energy techniques with acupuncture therapy on spasmodic torticollis Methods : The patients were diagnosed as spasmodic torticollis and treated with muscle energy techniques and acupuncture therapy and so on. We have measured cervical range of motion and visual analogue scale score before and after treatment. Results : After treatments, spasmodic torticollis was improved. Cervical range of motion and visual analogue scale score were recovered by muscle energy techniques and acupuncture therapy. Conclusions : We concluded that muscle energy techniques and acupuncture therapy was effective treatment on spasmodic torticollis.

• Journal of Korean Neurosurgical Society
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• v.38 no.5
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• pp.344-349
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• 2005

Objective : The Bertrand's method of selective peripheral denervation for spasmodic torticollis has already been established as being an effective and safe method. However, such effectiveness has not yet been established in Korea. The authors have performed several cases of selective denervation for the treatment of spasmodic torticollis and we hereby describe the details of the operative method to determine the effectiveness of the method. Methods : Ten patients who had the selective denervation for the spasmodic torticollis from October 1997 to December 2003, were analyzed. There were 4 rotational and 6 combined types [3 rotational plus retrocollis, 3 rotational plus laterocollis]. We performed preoperative electromyograms and neck muscle tonograms in all cases. The technique was used to involve denervation of the ipsilateral posterior paraspinal muscles. Denervation of the sternocleidomastoid muscle was performed on the contralateral side for rotational torticollis and on the ipsilateral side for laterocollis combined type. The surgery was followed by a rigorous physical therapy program. Results : The surgical results were divided into 4 groups labeled excellent, good, fair, and poor. There were 5 excellent patients who showed no detectable abnormal movements, 4 good patients who showed slight residual deviations or slight residual abnormal movements, and 1 fair patient with appreciable residual abnormal movements. Postoperative pain was well tolerated. There was no significant surgical complications. Conclusion : The study confirms that selective peripheral denervation for the treatment of spasmodic torticollis is a very useful and safe surgical technique.

• The Journal of the Society of Stroke on Korean Medicine
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• v.17 no.1
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• pp.15-22
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• 2016

■ Objectives This clinical report is to report the effect of Korean medicine on a patient with torticollis. ■ Methods We used herbal medicine, acupuncture, moxibustion, pharmaco-acupuncture and bee venom acupuncture to treat a torticollis patient during hospitalization and out patient department (OPD) treatment for 3months. We observed the changes of symptoms using Toronto Western Spasmodic torticollis Scale (TWSTRS). ■ Results After treatment, the patient's symptoms including torticollis, pain and the general condition were improved. The TWSTRS scores were also improved after treatment. ■ Conclusion This clinical case study suggests that Korean medicine treatment could be effective in the treatment of torticollis.