Poemnyĭ F A, Barsukova M D, Gutorova Iu V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976 Sep;76(9):1326-30.
Among the different etiological factors of spastic torticollis the authors attribute the main role to the gamma-motor system. They have elaborated a treatment method which blocks the neuromotor points of the gamma-motor system in the sternocleidomastoid and Musculus trapesius muscle by alcoholnovocain or phenolglycerine. Treatment was administered to 44 patients from 17-67 years with etiologically different diseases. A significant improvement was marked in 11 patients, improvement in 28. The absence of a positive effect was seen in patients with torsion dystonia. Clinico-EMG data demonstrated that influence on the peripheral segment of the reflectory are which is involved in the phasic-tonic muscle reactions, by a differentiated focal disengagement of gamma-motor mechanism facilitates a removal of spasticity and a restitution of a normal tonic and motor activity in the muscles of the neck.
在痉挛性斜颈的不同病因中，作者认为γ运动系统起主要作用。他们制定了一种治疗方法，通过酒精奴夫卡因或酚甘油阻断胸锁乳突肌和斜方肌中γ运动系统的神经运动点。对44例年龄在17至67岁、病因不同的患者进行了治疗。11例患者有显著改善，28例有所改善。扭转性肌张力障碍患者未见积极效果。临床肌电图数据表明，通过γ运动机制的分化性局灶性脱离，对参与相性-紧张性肌肉反应的反射弧外周段施加影响，有助于消除痉挛，并恢复颈部肌肉的正常紧张性和运动活动。
