Zhang Shuang, Zeng Ni, Wu Shuang, Wu Hui-Hui, Kong Mo-Wei
Department of Rehabilitation, The Affiliated Hospital of Guizhou Medical University, Guiyang 550018, Guizhou Province, China.
Department of Cardiology, Guiqian International General Hospital, Guiyang 550018, Guizhou Province, China.
World J Clin Cases. 2024 Mar 6;12(7):1205-1214. doi: 10.12998/wjcc.v12.i7.1205.
Spasmodic torticollis (ST) is a focal dystonia that affects adults, causing limited muscle control and impacting daily activities and quality of life. The etiology and curative methods for ST remain unclear. Botulinum toxin is widely used as a first-line treatment, but long-term usage can result in reduced tolerance and adverse effects. Rehabilitation therapy, with its minimal side effects and low potential for harm, holds significant clinical value. This article explores the effectiveness of adjunctive therapies, including exercise therapy, transcranial magnetic stimulation, shockwave therapy, neuromuscular electrical stimulation, vibration therapy, electromyographic biofeedback, and acupuncture, in the treatment of ST. The aim is to provide clinicians with additional treatment options and to discuss the efficacy of rehabilitation therapy for ST.
痉挛性斜颈(ST)是一种影响成年人的局灶性肌张力障碍,导致肌肉控制受限,影响日常活动和生活质量。ST的病因和治疗方法尚不清楚。肉毒杆菌毒素被广泛用作一线治疗药物,但长期使用会导致耐受性降低和不良反应。康复治疗副作用极小且危害可能性低,具有重要的临床价值。本文探讨了辅助治疗方法,包括运动疗法、经颅磁刺激、冲击波疗法、神经肌肉电刺激、振动疗法、肌电图生物反馈和针灸,在治疗ST中的有效性。目的是为临床医生提供更多的治疗选择,并讨论康复治疗对ST的疗效。