8,118 results on '"Torticollis"'
Search Results
2. Accelerating TMS for Cervical Dystonia
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American Academy of Neurology
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- 2024
3. Cholinergic Receptor Imaging in Dystonia
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- 2024
4. Relationship Between Home Environment and Development in Children Diagnosed With Muscular Torticollis
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Rabia ZORLULAR, principal investigator
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- 2024
5. Exercise Program for Patients With Cervical Dystonia Who Are Treated With Botulinum Toxin Type A
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Prof. Dr. Şehim Kutlay, Prof.Dr.
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- 2024
6. A Phase 2 Study to Evaluate the Safety and Efficacy of ABP-450 in the Treatment of Cervical Dystonia
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PPD
- Published
- 2024
7. The Effect of Home Exercise Programs Applied of Congenital Muscular Torticollis.
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Sinem Erturan, principal investigator
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- 2024
8. Propensity to Develop Plasticity in the Parieto-Motor Networks in Dystonia From the Perspective of Abnormal High-Order Motor Processing
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- 2024
9. Evidence‐based review and frontiers of migraine therapy.
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Greene, Kaitlin A., Gelfand, Amy A., and Larry Charleston
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SEROTONIN agonists , *MIGRAINE , *PEPTIDES , *VERTIGO , *TORTICOLLIS , *PRIMARY headache disorders - Abstract
Background Purpose Cyclic vomiting syndrome (CVS) is identified as one of the “episodic syndromes that may be associated with migraine,” along with benign paroxysmal torticollis, benign paroxysmal vertigo, and abdominal migraine. It has been proposed that CVS and migraine may share pathophysiologic mechanisms of hypothalamic activation and altered dopaminergic signaling, and impaired sensorimotor intrinsic connectivity. The past decade has brought groundbreaking advances in the treatment of migraine and other headache disorders. While many of these therapies have yet to be studied in episodic syndromes associated with migraine including CVS and abdominal migraine, the potential shared pathophysiology among these conditions suggests that use of migraine‐specific treatments may have a beneficial role even in those for whom headache is not the primary symptom.This manuscript highlights newer therapies in migraine. Calcitonin gene‐related peptide (CGRP) and its relation to migraine pathophysiology and the therapies that target the CGRP pathway, as well as a 5HT1F receptor agonist and neuromodulation devices used to treat migraine are briefly discussed as they may potentially prove to be useful in the future treatment of CVS. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Endoscopic minimally invasive treatment of congenital muscular torticollis in children.
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Li, Weidong and Xing, Shilong
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NECK physiology , *POSTOPERATIVE care , *WOUND healing , *TORTICOLLIS , *ARTHROSCOPY , *NECK muscles , *FUNCTIONAL assessment , *ENDOSCOPIC surgery , *MINIMALLY invasive procedures , *TREATMENT effectiveness , *CHILDREN'S hospitals , *PREOPERATIVE care , *ORTHOPEDIC apparatus , *TREATMENT duration , *SURGICAL blood loss , *ORTHOPEDICS , *LOG-rank test , *LENGTH of stay in hospitals , *ENDOSCOPY , *PATIENT aftercare , *SURGICAL site , *EVALUATION , *CHILDREN - Abstract
Background: This study aimed to investigate the clinical efficacy of minimally invasive endoscopic treatment of children with congenital muscular torticollis (CMT). Methods: In total, 72 children (41 male, 31 female) with CMT who underwent endoscopic surgery at the Department of Orthopedics, Xi'an Children's Hospital, between January 2021 and January 2023 were included. Their mean age was 54 ± 36.1 (range, 12–141) months. Of these, 29 (40.3%) cases involved the left side while 43 (59.7%) involved the right side. Preoperative preparation involved precise body surface markings of the sternocleidomastoid muscle(SCM), clavicle, and important nerve and blood vessels, followed by the establishment of surgical channels through passive separation techniques. An arthroscope and a low-temperature plasma knife were utilized for accurate localization and surgical release of the clavicular and sternal heads of the SCM. The duration of surgery, blood loss, postoperative hospital stay, neck range of motion measurements, and any intraoperative or postoperative complications were analyzed using the rank sum test. Cervical and thoracic braces were applied for three months postoperatively, with follow-up assessments conducted using Cheng's scoring system. Results: All patients successfully underwent endoscopic surgery, without the need for conversion to open surgery. No intra- or postoperative complications were observed. The average surgical duration was 56.4 ± 15.7 min, with minimal intraoperative bleeding (1–5 mL) and no need for blood transfusion. The mean postoperative hospital stay was 2.7 ± 0.8 days. Over a mean follow-up period of 22.2 ± 5.5 (range, 14–32) months, significant improvements were observed in neck rotation (from 20.2° [17.7° to 25°] to only 3.6° [2° to 6.7°]) and lateral flexion (from 19° [17° to 22.6°] to only 3° [2° to 7.8°]) restrictions (p < 0.05). According to Cheng's scoring system, 70 (97.2%) patients achieved excellent or good clinical outcomes, while 2 (2.8%) had average outcomes. The torticollis deformity was corrected during the follow-up period, and all surgical incisions healed without noticeable scarring. Conclusion: Endoscopic release is a safe, effective, and minimally invasive treatment option for CMT in children. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Stigma, coping strategies, distress and wellbeing in individuals with cervical dystonia: a cross-sectional study.
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Gowling, Helen, O'Keeffe, Fiadhnait, and Eccles, Fiona J R
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CROSS-sectional method , *STATISTICAL correlation , *SUBSTANCE abuse , *PSYCHOLOGICAL distress , *HEALTH status indicators , *TORTICOLLIS , *PSYCHOLOGICAL adaptation , *DESCRIPTIVE statistics , *ANXIETY , *QUALITY of life , *RESEARCH , *SOCIAL skills , *SOCIAL stigma , *WELL-being - Abstract
Cervical dystonia (CD) is a movement disorder which causes sustained muscle contractions in the neck leading to abnormal postures and repetitive movements. As it is a highly visible condition, people with CD can experience stigma, which may lead to unhelpful coping strategies and increased psychological distress. This study investigated whether adaptive and maladaptive coping strategies mediate the relationship between stigma and psychological outcomes in people with CD. A total of 114 adults with CD completed measures of stigma, coping, health-related quality of life (HRQOL), psychological distress (depression, anxiety, stress), and psychological wellbeing at one time point. Participants' levels of distress were high, compared to the general population. Correlational analyses showed increased stigma and maladaptive coping (e.g. substance use, behavioural disengagement) were both significantly related to increased distress, lower wellbeing and lower HRQOL, whereas higher adaptive coping (e.g. acceptance, humour) was only related to higher wellbeing. In a parallel mediation model, maladaptive coping strategies mediated the relationship between stigma and distress, HRQOL and wellbeing, but adaptive coping strategies did not. These findings suggest that maladaptive coping may play an important role in explaining the relationship between stigma and some aspects of distress and wellbeing in CD. Interventions which focus on reducing different aspects of maladaptive coping may be helpful to improve wellbeing as well as reducing stigma. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Clinical Application of Custom Neck Collar with Negative Sensory Feedback in Children with Intractable Torticollis.
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Yoon, Jeewon, Yun, Rayu, Huh, Sungchul, Baik, Jisoo, Lee, Jae Meen, and Kim, Soo-Yeon
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PHYSICAL therapy ,CERVICAL collars ,DATA analysis ,RECEIVER operating characteristic curves ,TORTICOLLIS ,KRUSKAL-Wallis Test ,CLINICAL trials ,ORTHOPEDIC apparatus ,TERTIARY care ,MANN Whitney U Test ,DESCRIPTIVE statistics ,LONGITUDINAL method ,STATISTICS ,TREATMENT failure ,MEDICAL equipment reliability ,DATA analysis software ,PATIENT satisfaction ,COMPARATIVE studies ,MEDICAL equipment design ,MEDICAL equipment safety measures ,CHILDREN - Abstract
Background/Objectives: The aim of this study was to investigate the effect of a custom neck collar with negative sensory feedback for the treatment of torticollis that was previously unresponsive to conservative or surgical treatment. Methods: Twenty-four children diagnosed with unresponsive or intractable torticollis were enrolled in this two-stage, single-arm study. The ipsilateral aspect of the orthosis is adjustable in height and designed to provide support between the clavicle and the mandibular angle on the tilted side. In stage 1 (the adjustment period), the orthosis with a smooth surface was applied for 2 h per day for 3 months. In stage 2, a rough surface with a hook-and-loop fastener (Velcro©) was attached to the collar, and it was worn for a further 2 h a day for 3 months. Twenty children (mean age 63.95 ± 13.44 months) were included in the analysis. Results: The mean torticollis angle was 17.60 ± 5.65° (mean ± SD) at baseline; 14.15 ± 3.62° directly after stage 1; and 6.00 ± 3.67° directly after stage 2 (X
2 = 36.685, df = 19, p = 0.000). Conclusions: This study demonstrated the feasibility, therapeutic effect, and safety of a novel tactile feedback orthosis for the treatment of children with torticollis. The use of a custom neck collar with negative sensory feedback may be a viable therapeutic option for the treatment of unresolved or intractable torticollis. [ABSTRACT FROM AUTHOR]- Published
- 2024
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13. Approach to abnormal head posture.
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Yadegari, Samira
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POSTURE disorders - Abstract
An abnormal head position (AHP) refers to a condition where the head is deviated from the usual, upright posture considered normal. AHPs can manifest as the chin being raised or lowered, the head tilted to the right or left, the face turned to either side, or a combination of these movements. Patients with AHP may present to ophthalmologic clinics; however, there are several etiologies for AHP that may not be commonly recognized by ophthalmologists. Key words from this article were searched in PubMed, Scopus, and Google Scholar search engines from 1975 to December 2023. Various etiologies were identified, evaluated, summarized, and then categorized. The maintenance of a normal head posture during our daily activities relies on the complex interaction of different parts of the brain, with the encoding of related sensory inputs occurring in the vestibular nuclei. Abnormal head posture can stem from a variety of etiologies, including ocular, neurological, orthopedic, otolaryngological, gastroenterological, and other factors. This review provides a comprehensive overview of the different characteristics of AHP based on its etiology. Lack of awareness regarding the wide spectrum of causes may lead to patients undergoing unnecessary extensive workups. Conversely, failure to recognize potentially life-threatening causes may result in adverse outcomes for the patient. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Exercise effects on cortical excitability in pain populations: A systematic review and meta‐analysis.
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Pimenta, Danielle Carolina, Cardenas‐Rojas, Alejandra, Camargo, Lucas, Lima, Daniel, Kelso, Julia, Navarro‐Flores, Alba, Pacheco‐Barrios, Kevin, and Fregni, Felipe
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EXERCISE physiology , *MEDICAL information storage & retrieval systems , *PHYSICAL therapy , *CHRONIC pain , *EXERCISE therapy , *FIBROMYALGIA , *TORTICOLLIS , *DESCRIPTIVE statistics , *META-analysis , *CEREBRAL cortex , *SYSTEMATIC reviews , *MEDLINE , *PAIN management , *MEDICAL databases , *AEROBIC exercises , *ONLINE information services , *CONFIDENCE intervals , *TRANSCRANIAL magnetic stimulation , *ELECTROPHYSIOLOGY - Abstract
Background: Transcranial Magnetic Stimulation (TMS) studies examining exercise‐induced neuroplasticity in pain populations have produced contradictory findings. We conducted a systematic review to explore how exercise impacts cortical excitability in pain populations using TMS metrics. This review aims to summarize the effect sizes and to understand their sources of heterogeneity. Methods: We searched multiple databases from inception to December 2022. We included randomized controlled trials (RCTs) with any type of pain population, including acute and chronic pain; exercise interventions were compared to sham exercise or other active interventions. The primary outcomes were TMS metrics, and pain intensity was the secondary outcome. Risk of bias assessment was conducted using the Cochrane tool. Results: This review included five RCTs (n = 155). The main diagnoses were fibromyalgia and cervical dystonia. The interventions included submaximal contractions, aerobic exercise, physical therapy, and exercise combined with transcranial direct current stimulation. Three studies are considered to have a high risk of bias. All five studies showed significant pain improvement with exercise. The neurophysiological data revealed improvements in cortical excitability measured by motor‐evoked potentials; standardized mean difference = 2.06, 95% confidence interval 1.35–2.78, I2 = 19%) but no significant differences in resting motor threshold. The data on intracortical inhibition/facilitation (ICI/ICF) was not systematically analyzed, but one study (n = 45) reported higher ICI and lower ICF after exercise. Conclusions: These findings suggest that exercise interventions positively affect pain relief by modifying corticospinal excitability, but their effects on ICI/ICF are still unclear. While the results are inconclusive, they provide a basis for further exploration in this area of research; future studies should focus on establishing standardized TMS measurements and exercise protocols to ensure consistent and reliable findings. A large‐scale RCT that examines various exercise interventions and their effects on cortical excitability could offer valuable insights to optimize its application in promoting neuroplasticity in pain populations. [ABSTRACT FROM AUTHOR]
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- 2024
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15. The Relationship Between Postural Torticollis Abnormalities and Plagiocephaly on the Early Motor Development Milestones of Lying and Rolling Activities in Infants: A Retrospective Study.
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Park, Hyun-Suk, Kang, Mo-Yeol, Choi, Chi-Whan, Koo, Jung-Wan, and Jeong, Yeon-Gyu
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MOTOR ability , *EARLY medical intervention , *TORTICOLLIS , *NECK muscles , *MULTIPLE regression analysis , *RETROSPECTIVE studies , *CHILD development , *DEFORMATIONAL plagiocephaly , *MEDICAL records , *ACQUISITION of data , *PHYSICAL activity , *CHILDREN - Abstract
The study examined how neck muscle imbalance and plagiocephaly affect the lying and rolling activities in 118 infants aged 4 to 6 months with postural torticollis. Outcome measures included age, sex, cervical movement, and plagiocephaly severity. Neck muscle function was assessed with the Muscle Function Scale (MFS), and infant motor abilities in lying and rolling were evaluated through the corresponding dimensions of the Gross Motor Function Measure (GMFM). Multiple regression analysis showed that a better MFS score of the affected neck was significantly associated with improved lying and rolling activities in the GMFM (p <.01), and importantly, the interaction between the plagiocephaly and the MFS scores of the affected neck muscle in these activities was found to be significant (p <.05). These results highlight the need for early intervention in infants with torticollis to address muscle imbalance and plagiocephaly, crucial for early motor development (KCT0008367). [ABSTRACT FROM AUTHOR]
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- 2024
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16. TORCICOLO MUSCULAR CONGÊNITO ASSOCIADO A PLAGIOCEFALIA POSTURAL: TRATAMENTO FISIOTERÁPICO E ORTÓTICO: REVISÃO DE LITERATURA E RELATO DE CASO.
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Gonçalves Botelho, Bárbara, Sousa Matos, Brenda, Lima Castro, Bruna, de Freitas Pires, Renata, and Caetano Sousa Clemêncio, Fabiana Melato
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STERNOCLEIDOMASTOID muscle ,LITERATURE reviews ,AMNIOTIC liquid ,TORTICOLLIS ,MATERNAL age ,BREECH delivery - Abstract
Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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17. De novo TRPM3 missense variant associated with neurodevelopmental delay and manifestations of cerebral palsy.
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Sundaramurthi, Jagadish, Bagley, Anita, Blau, Hannah, Carmody, Leigh, Crandall, Amy, Danis, Daniel, Gargano, Michael, Gustafson, Anxhela, Raney, Ellen, Shingle, Mallory, Robinson, Peter, and Davids, Jon
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absent speech ,bilateral convulsive seizures ,bilateral talipes equinovarus ,broad forehead ,deeply set eye ,intellectual disability ,moderate ,language impairment ,moderate global developmental delay ,thoracic scoliosis ,torticollis ,Humans ,Cerebral Palsy ,Intellectual Disability ,Mutation ,Missense ,Phenotype ,Nervous System Malformations ,TRPM Cation Channels - Abstract
We identified a de novo heterozygous transient receptor potential cation channel subfamily M (melastatin) member 3 (TRPM3) missense variant, p.(Asn1126Asp), in a patient with developmental delay and manifestations of cerebral palsy (CP) using phenotype-driven prioritization analysis of whole-genome sequencing data with Exomiser. The variant is localized in the functionally important ion transport domain of the TRPM3 protein and predicted to impact the protein structure. Our report adds TRPM3 to the list of Mendelian disease-associated genes that can be associated with CP and provides further evidence for the pathogenicity of the variant p.(Asn1126Asp).
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- 2023
18. rTMS and Botulinum Toxin in Primary Cervical Dystonia
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American Brain Foundation and Neuronetics
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- 2023
19. Extension Study of ABP-19000 to Evaluate Safety and Efficacy of Repeat Treatments of ABP-450 in Cervical Dystonia
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PPD
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- 2023
20. Long-term Outcome of DBS Versus Botulinum Toxin Treatment in Cervical Dystonia
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Inger Marie Skogseid, Consultant neurologist, Project leader
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- 2023
21. Three-dimensional Analysis of Obliquus Capitis Inferior Muscle Function in the Rotatory Form of Cervical Dystonia by Means of the Cone Beam (STOCI)
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- 2023
22. Clinical Validation of DystoniaNet Deep Learning Platform for Diagnosis of Isolated Dystonia
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Kristina Simonyan, Associate Professor of Otolaryngology - Head and Neck Surgery
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- 2023
23. Clinical Study of Ingrezza (Valbenazine) for the Treatment of Cervical Dystonia
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- 2023
24. Transaxillary endoscopic subfascial operation for persistent muscular torticollis in pediatric patients: A 13-year retrospective study in Taiwan
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Nai-Chen Cheng, Yu-Han Chen, Yu-Ling Wu, and Yu-Tang Chang
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Endoscopy ,Sternocleidomastoid muscle ,Torticollis ,Transaxillary access ,Pediatrics ,RJ1-570 - Abstract
Background: The endoscopic surgery for persistent muscular torticollis has been well-described and most are subcutaneous working caverns. As the sternocleidomastoid muscle is located beneath the deep cervical fascia that corresponds to the pectoral fascia, this study aimed to review our results of the transaxillary approach under the pectoral fascia and the deep cervical fascia. Methods: Between November 2009 and January 2022, pediatric patients with persistent muscular torticollis receiving transaxillary endoscopic subfascial operation were retrospectively reviewed and analyzed. Results: There were thirty-three consecutive patients with median age of 6.5 years (range, 5.5 months–15.7 years). The median operating time was 90.0 min. With a median follow-up of 14.8 months (range, 5.0–127.7), the final outcomes showed excellent-to-good results in 90.9%, fair results in 6.1%, and poor results in 3.0%. Univariate analysis revealed that the long-term outcomes of the operation were independent of gender, age, involved side and previously open myotomy (p = 0.662, 0.818, 0.740 and 0.596, respectively). Conclusions: The subfascial working cavern would be technically achievable for the transaxillary endoscopic approach with good functional and cosmetic outcomes.
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- 2024
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25. Pediatric torticollis: clinical report and predictors of urgency of 1409 cases
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Umberto Raucci, Marco Roversi, Alessandro Ferretti, Valerio Faccia, Giacomo Garone, Fabio Panetta, Carlo Mariani, Eloisa Rizzotto, Antonio Torelli, Giovanna Stefania Colafati, Angelo Gabriele Aulisa, Pasquale Parisi, and Alberto Villani
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Torticollis ,Emergency ,Children ,Pediatrics, Neck complaints ,Pediatrics ,RJ1-570 - Abstract
Abstract Background To date, the etiology and risk factors of torticollis are still poorly defined in the pediatric literature. Especially in the Emergency Department (ED) scenario, it is critical to reliably distinguish benign and transient conditions from (potentially) life-threatening disorders. This study describes the clinical characteristics of a large sample of children with torticollis. The aim of our study was to detect epidemiology, etiology and predictive variables associated with a higher risk of life-threatening conditions in acute torticollis. Methods We conducted a pediatric retrospective study of acute torticollis over a 13-year period referred to the ED of a tertiary pediatric Hospital. We reported the characteristics in the overall sample and in two subgroups divided according to urgency of the underlying condition. Furthermore, we developed a multivariate model aimed at identifying the main clinical predictors of the need for urgent care. Results 1409 patients were analyzed (median age 5.7 years, IQR 5.8). A history of trauma was present in 393 patients (27.9%). The symptom most frequently associated with torticollis were pain (83.5%). At least one pathological finding was found in 5.4 to 7.9% of patients undergoing further imaging. Hospitalization was required in 11.1% of cases (median duration 4 days). The most frequent etiologies of torticollis were postural cause (43.1%), traumatic (29.5%), and infective/inflammatory (19.1%). A longer time from onset of torticollis and the presence of headache or vomiting were strongly correlated with an underlying urgent condition, after adjusting for the other clinically and statistically significant variables in the bivariate analysis. Conclusion Our study shows that an urgent condition most commonly occur in patients presenting with history of trauma or headache, vomiting and torticollis for more than 24 h should undergo further diagnostic evaluation and short-term follow-up, restricting invasive or expensive investigations to patients with clinical suspicion of an underlying harmful condition.
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- 2024
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26. Muscle texture features on preoperative MRI for diagnosis and assessment of severity of congenital muscular torticollis.
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Qiu, Xin, Zhu, Tianfeng, Zhao, Zhenhui, Cui, Zhiwen, Deng, Hansheng, Tang, Shengping, Sechi, Leonardo Antonio, Caggiari, Gianfilippo, Zhao, Cailei, and Xiong, Zhu
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RECEIVER operating characteristic curves , *RESEARCH funding , *TORTICOLLIS , *NECK muscles , *RADIOMICS , *LOGISTIC regression analysis , *PREOPERATIVE care , *SEVERITY of illness index , *MAGNETIC resonance imaging , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *MEDICAL records , *ACQUISITION of data , *DIGITAL image processing , *STAINS & staining (Microscopy) , *CONFIDENCE intervals , *SENSITIVITY & specificity (Statistics) , *EVALUATION - Abstract
Objectives: To develop an objective method based on texture analysis on MRI for diagnosis of congenital muscular torticollis (CMT). Material and methods: The T1- and T2-weighted imaging, Q-dixon, and T1-mapping MRI data of 38 children with CMT were retrospectively analyzed. The region of interest (ROI) was manually drawn at the level of the largest cross-sectional area of the SCM on the affected side. MaZda software was used to obtain the texture features of the T2WI sequences of the ROI in healthy and affected SCM. A radiomics diagnostic model based on muscle texture features was constructed using logistic regression analysis. Fatty infiltration grade was calculated by hematoxylin and eosin staining, and fibrosis ratio by Masson staining. Correlation between the MRI parameters and pathological indicators was analyzed. Results: There was positive correlation between fatty infiltration grade and mean value, standard deviation, and maximum value of the Q-dixon sequence of the affected SCM (correlation coefficients, 0.65, 0.59, and 0.58, respectively, P < 0.05).Three muscle texture features—S(2,2)SumAverg, S(3,3)SumVarnc, and T2WI extreme difference—were selected to construct the diagnostic model. The model showed significant diagnostic value for CMT (P < 0.05). The area under the curve of the multivariate conditional logistic regression model was 0.828 (95% confidence interval 0.735–0.922); the sensitivity was 0.684 and the specificity 0.868. Conclusion: The radiomics diagnostic model constructed using T2WI muscle texture features and MRI signal values appears to have good diagnostic efficiency. Q-dixon sequence can reflect the fatty infiltration grade of CMT. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Head movement dynamics in dystonia: a multi-centre retrospective study using visual perceptive deep learning.
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Peach, Robert, Friedrich, Maximilian, Fronemann, Lara, Muthuraman, Muthuraman, Schreglmann, Sebastian R., Zeller, Daniel, Schrader, Christoph, Krauss, Joachim K., Schnitzler, Alfons, Wittstock, Matthias, Helmers, Ann-Kristin, Paschen, Steffen, Kühn, Andrea, Skogseid, Inger Marie, Eisner, Wilhelm, Mueller, Joerg, Matthies, Cordula, Reich, Martin, Volkmann, Jens, and Ip, Chi Wang
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RESEARCH funding ,KINEMATICS ,TORTICOLLIS ,PROBABILITY theory ,DEEP brain stimulation ,HEAD ,RETROSPECTIVE studies ,SEVERITY of illness index ,TIME series analysis ,TREATMENT effectiveness ,LONGITUDINAL method ,DYSTONIA ,DEEP learning ,ARTIFICIAL neural networks ,RESEARCH ,MEDICAL records ,ACQUISITION of data ,BODY movement ,VISUAL perception ,VIDEO recording - Abstract
Dystonia is a neurological movement disorder characterised by abnormal involuntary movements and postures, particularly affecting the head and neck. However, current clinical assessment methods for dystonia rely on simplified rating scales which lack the ability to capture the intricate spatiotemporal features of dystonic phenomena, hindering clinical management and limiting understanding of the underlying neurobiology. To address this, we developed a visual perceptive deep learning framework that utilizes standard clinical videos to comprehensively evaluate and quantify disease states and the impact of therapeutic interventions, specifically deep brain stimulation. This framework overcomes the limitations of traditional rating scales and offers an efficient and accurate method that is rater-independent for evaluating and monitoring dystonia patients. To evaluate the framework, we leveraged semi-standardized clinical video data collected in three retrospective, longitudinal cohort studies across seven academic centres. We extracted static head angle excursions for clinical validation and derived kinematic variables reflecting naturalistic head dynamics to predict dystonia severity, subtype, and neuromodulation effects. The framework was also applied to a fully independent cohort of generalised dystonia patients for comparison between dystonia sub-types. Computer vision-derived measurements of head angle excursions showed a strong correlation with clinically assigned scores. Across comparisons, we identified consistent kinematic features from full video assessments encoding information critical to disease severity, subtype, and effects of neural circuit interventions, independent of static head angle deviations used in scoring. Our visual perceptive machine learning framework reveals kinematic pathosignatures of dystonia, potentially augmenting clinical management, facilitating scientific translation, and informing personalized precision neurology approaches. [ABSTRACT FROM AUTHOR]
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- 2024
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28. Disease spectrum of torticollis in children and diagnostic flowchart: A retrospective, single‐centre study.
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Jianqiang, Ma, Haitian, Li, Xiaohu, Fu, LV, Zhongli, and Xiaohong, Mu
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TORTICOLLIS , *ELECTRONIC health records , *CHILDREN'S hospitals , *BRACHIAL plexus , *FLOW charts , *CHINESE people - Abstract
Aim: To describe the disease spectrum of torticollis in Chinese children and to improve its diagnostic flowchart. Methods: A retrospective analysis was conducted at the Rehabilitation Department of Beijing Children's Hospital from 2017 to 2021. Patients were diagnosed and referred based on a diagnostic flowchart of torticollis. Detailed patient data were collected from the outpatient electronic medical record system. Results: A total of 2047 patients met the inclusion criteria. The top five conditions were congenital muscular torticollis (CMT) (76.6%), cerebral palsy (5.1%), ocular torticollis (4.7%), brachial plexus injury (1.9%) and atlantoaxial rotary subluxation (1.3%). CMT was most common in 0–2 year olds, cerebral palsy in 3–5 year olds, and atlantoaxial rotary subluxation in 7–12 year olds. The top five referral departments were orthopaedics, ophthalmology, otolaryngology, head and neck surgery, neurology and neurosurgery. Conclusions: The disease spectrum of torticollis in children and the diagnostic flowchart provide important references for diagnosing torticollis, which necessitates multidisciplinary collaboration. [ABSTRACT FROM AUTHOR]
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- 2024
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29. Benign Paroxysmal Torticollis.
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Tozzi, Elisabetta, Olivieri, Luca, and Silva, Pamela
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TORTICOLLIS , *MIGRAINE aura , *WEB databases , *SCIENCE databases , *MIGRAINE , *SUMATRIPTAN - Abstract
Background: The purpose of this review is to clarify the natural course of benign paroxysmal torticollis (BPT) and update the information on the relationship of this disorder with migraine. BPT belongs to a group of "episodic syndromes that may be associated with migraine" and is diagnosed according to diagnostic criteria of the International Classification of Headache Disorders, 3rd edition. BPT affects infants and young children and is often an underdiagnosed manifestation since it is not recognized in cases with a benign evolution, requiring a careful differential diagnosis. It was first described by Snyder in 1969 as a movement disorder, a cervical dystonia consequent to labyrinthic disorder. Materials and methods: The PubMed and Web of Science databases were consulted from 1968 to 2024, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Results: In total, 113 articles were identified, 86 selected, and 25 considered for the purpose of this review. Clinical studies were considered in relation to evolution, cognitive, and motor development; genetic and not genetic etiology; the relationship with migraine with and without aura; vestibular migraine; hemiplegic migraine; and paroxysmal vertigo. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Unipolar myomectomy for congenital muscular torticollis: A retrospective study.
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Kim, Tae Hyung, Kim, Young Chul, and Choi, Jong Woo
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MYOMECTOMY ,TORTICOLLIS ,AGE groups ,RETROSPECTIVE studies ,ADULTS - Abstract
In this study, unipolar myomectomy was used to address limited neck movement and tight muscles in pediatric, adolescent, and adult patients. A retrospective chart review was performed for patients from January 2006 to February 2023, who were diagnosed with congenital muscular torticollis and underwent a unipolar myomectomy. Outcome evaluation, adapted from the Cheng and Tang system — cervicomandibular angle (CMA), facial asymmetry, cranial asymmetry, tilting limitation (TL), rotation limitation (RL), subjective assessment, and residual contracture — included various parameters scored from 0 to 3 points and categorized as poor, fair, good, or excellent. In total, the data for 36 patients (21 males and 15 females) were analyzed. Participants were aged 0.8–38 years. Surgery improved CMA, RL, and TL, with no complications (12.2°–1.2°, 18.6°–5.2°, and 17.6°–6.5° for CMA, RL, and TL, respectively; p < 0.001). The mean overall score was comparable among different age groups (2.8 ± 0.5, 2.2 ± 0.62, and 2.1 ± 0.37 for the pediatric, adolescent, and adult groups, respectively). Within the limitations of the study it seems that unipolar myomectomy is a promising, effective surgical option for individuals of multiple age groups. [ABSTRACT FROM AUTHOR]
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- 2024
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31. A case report of cryptococcosis in a captive Cape hyrax (Procavia capensis).
- Author
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MASOUD, Niki SEDGHI, Susumu IWAIDE, Natsumi KOBAYASHI, Daisuke NAKAGAWA, Miyuki ORITO, Nobuaki IWAHASHI, and Tomoaki MURAKAMI
- Subjects
CRYPTOCOCCOSIS ,MYCOSES ,CRYPTOCOCCUS neoformans ,Q fever ,DOMESTIC animals ,TORTICOLLIS ,ANTHRACNOSE - Abstract
Cryptococcosis, a globally distributed mycotic disease caused by Cryptococcus neoformans or C. gattii, has been extensively studied in various domestic animals and humans. However, non-domestic species have often been overlooked in the literature, with limited attention given to their susceptibility and contribution to the epidemiology of the disease. In this study, a captive two-year-old Cape hyrax in a Japanese zoo exhibited neurological symptoms and torticollis, ultimately succumbing to the infection. Necropsy and pathological analyses, including histopathological techniques and PCR, revealed the presence of C. neoformans in the lungs, cerebrum, and internal auditory canal. While cryptococcosis has been reported in various wild animals globally, this case represents the first documented cryptococcosis in Cape hyrax. [ABSTRACT FROM AUTHOR]
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- 2024
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32. A Qualitative Investigation of Parent Perceptions of Home Exercises for Congenital Muscular Torticollis.
- Author
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Stitt, Audrey and Operacz, Rebecca
- Subjects
HOME care services ,PHYSICAL therapy ,QUALITATIVE research ,SELF-efficacy ,SENSORY perception ,EXERCISE therapy ,TORTICOLLIS ,INTERVIEWING ,PARENT attitudes ,SOUND recordings ,THEMATIC analysis ,ROTATIONAL motion ,PSYCHOLOGICAL stress ,PSYCHOLOGY of parents ,RANGE of motion of joints - Abstract
The purpose of this qualitative study was to describe parent perceptions of the home exercise program (HEP) for infants with congenital muscular torticollis (CMT), and how these perceptions evolved over a physical therapy (PT) plan of care. Twelve participants were recruited from a pediatric PT clinic, and nine completed interviews at three time points. Qualitative description and an iterative approach for thematic analysis of 27 interviews yielded three themes that corresponded to the research questions. The participants' responses were categorized into three main themes: (1) parents' perceptions of three key exercises within the HEP, (2) internal and external sources of stress, and (3) sources of empowerment and disempowerment. Regarding the HEP, parents articulated common sentiments for three frequently prescribed exercises for the management of CMT: (1) tummy time was the fast favorite, (2) ipsilateral cervical rotation was perceived as stressful, and (3) contralateral cervical lateral flexion felt uncomfortable. Additionally, participants disclosed internal and external sources of stress (guilt, uncertainty, and the demands of returning to work) and sources of disempowerment (inconsistent messaging frompractitioners, feeling overwhelmed) and empowerment (being able to see the bigger picture and clear communication and education about the diagnosis) with respect to managing their infant's CMT. These themes provide insight into the evolution of parent perceptions over a PT plan of care for CMT. Participants' insights suggest a need for consistent messaging regarding the diagnosis and evidence-based management of CMT, addressing parent stress, and modifying how exercises are taught. This study contributes updated research on parents' experiences with physical therapy and the HEP for their infant's CMT. [ABSTRACT FROM AUTHOR]
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- 2024
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33. A study to investigate the prevalence of headache disorders and migraine conducted using medical claims data and linked results from online surveys: post-hoc analysis of other headache disorders.
- Author
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Takeshima, Takao, Hirata, Koichi, Igarashi, Hisaka, Sakai, Fumihiko, Sano, Hiromi, Kondo, Hiroyuki, Shibasaki, Yoshiyuki, and Koga, Nobuyuki
- Subjects
- *
PRIMARY headache disorders , *MIGRAINE , *HEADACHE , *INTERNET surveys , *CLUSTER headache , *TORTICOLLIS - Abstract
Background: Surveys using questionnaires to collect epidemiologic data may be subject to misclassification. Here, we analyzed a headache questionnaire to evaluate which questions led to a classification other than migraine. Methods: Anonymized surveys coupled with medical claims data from individuals 19–74 years old were obtained from DeSC Healthcare Inc. to examine proportions of patients with primary headache disorders (i.e.; migraine, tension-type headache, cluster headache, and "other headache disorders"). Six criteria that determined migraine were used to explore how people with other headache disorders responded to these questions. Results: Among the 21480 respondents, 7331 (34.0%) reported having headaches. 691 (3.2%) respondents reported migraine, 1441 (6.7%) had tension-type headache, 21 (0.1%) had cluster headache, and 5208 (24.2%) reported other headache disorders. Responses of participants with other headache disorders were analyzed, and the top 3 criteria combined with "Symptoms associated with headache" were "Site of pain" (7.3%), "Headache changes in severity during daily activities" (6.4%), and the 3 criteria combined (8.8%). The symptoms associated with headache were "Stiff shoulders" (13.6%), "Stiff neck" (9.4%), or "Nausea or vomiting" (8.7%), Photophobia" (3.3%) and "Phonophobia" (2.5%). Conclusions: Prevalence of migraine as diagnosed by questionnaire was much lower than expected while the prevalence of "other headache" was higher than expected. We believe the reason for this observation was due to misclassification, and resulted from the failure of the questionnaire to identify some features of migraine that would have been revealed by clinical history taking. Questionnaires should, therefore, be carefully designed, and doctors should be educated, on how to ask questions and record information when conducting semi-structured interviews with patients, to obtain more precise information about their symptoms, including photophobia and phonophobia. Highlights: It is difficult to correctly identify "symptoms associated with headache" in a single response survey. Surveys with questions regarding photophobia and phonophobia should be carefully designed to help headache classification. It is necessary to educate patients to understand the symptoms of photophobia and phonophobia. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Combination of anodal tDCS of the cerebellum with a goal-oriented motor training to treat cervical dystonia: a pilot case series.
- Author
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Bleton, Jean-Pierre, Cossé, Charlotte, Caloc'h, Tiphanie, SuarezMoreno, Alcira, Diverres, Elisabeth, Derkinderen, Pascal, Nizard, Julien, Lefaucheur, Jean-Pascal, and Nguyen, Jean-Paul
- Subjects
TRANSCRANIAL direct current stimulation ,DYSTONIA ,CEREBELLUM ,BOTULINUM toxin ,TREATMENT programs ,BOTULINUM A toxins ,TORTICOLLIS - Abstract
Background: Transcranial Direct Current Stimulation (tDCS) of the cerebellum shows promise for the treatment of dystonia. Specific motor rehabilitation programs have also been developed in this context. However, the combination of these two approaches has not yet been evaluated to determine their therapeutic potential. Methods: We report a series of 5 patients with cervical dystonia (CD) poorly controlled by botulinum toxin injections. They were initially treated by a protocol of repeated daily sessions (for 3 or 5 days) of cerebellar anodal tDCS (cer-atDCS) applied alone. In a second time, additional protocols of cer-atDCS were performed in combination with a program of goal-oriented motor training exercises (Mot-Training), specifically developed for the treatment of CD. The clinical impact of the procedures was assessed on the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results: Compared to baseline, the maximum percentage of TWSTRS total score improvement was 37% on average after cer-atDCS performed alone (p = 0.147, not significant) and 53% on average after cer-atDCS combined with Mot-Training (p = 0.014, significant). The TWSTRS pain and functional handicap subscores also improved after the combined protocol. A score of (+3) to (+5) was rated on the TWSTRS response scale after cer-atDCS performed alone or the combined protocol, corresponding to a moderate to striking improvement on dystonia and pain. This improvement lasted longer after the combined protocol than after cer-atDCS alone (3.4 vs. 1.4 months on average, p = 0.011). Conclusion: The combination of cer-atDCS with Mot-Training produced a greater and more prolonged improvement than the application of cer-atDCS alone. Such a combined therapeutic procedure is easy to perform and opens important perspectives in the long-term treatment of CD. These results remain to be confirmed by a randomized sham-controlled trial on a larger sample. [ABSTRACT FROM AUTHOR]
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- 2024
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35. A case report of cryptococcosis in a captive Cape hyrax (Procavia capensis).
- Author
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Niki SEDGHI MASOUD, Susumu IWAIDE, Natsumi KOBAYASHI, Daisuke NAKAGAWA, Miyuki ORITO, Nobuaki IWAHASHI, and Tomoaki MURAKAMI
- Subjects
CRYPTOCOCCOSIS ,MYCOSES ,CRYPTOCOCCUS neoformans ,Q fever ,DOMESTIC animals ,TORTICOLLIS ,ANTHRACNOSE - Abstract
Cryptococcosis, a globally distributed mycotic disease caused by Cryptococcus neoformans or C. gattii, has been extensively studied in various domestic animals and humans. However, non-domestic species have often been overlooked in the literature, with limited attention given to their susceptibility and contribution to the epidemiology of the disease. In this study, a captive two-year-old Cape hyrax in a Japanese zoo exhibited neurological symptoms and torticollis, ultimately succumbing to the infection. Necropsy and pathological analyses, including histopathological techniques and PCR, revealed the presence of C. neoformans in the lungs, cerebrum, and internal auditory canal. While cryptococcosis has been reported in various wild animals globally, this case represents the first documented cryptococcosis in Cape hyrax. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
36. Transaxillary endoscopic subfascial operation for persistent muscular torticollis in pediatric patients: A 13-year retrospective study in Taiwan.
- Author
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Cheng, Nai-Chen, Chen, Yu-Han, Wu, Yu-Ling, and Chang, Yu-Tang
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CHILD patients ,TORTICOLLIS ,STERNOCLEIDOMASTOID muscle ,UNIVARIATE analysis ,RETROSPECTIVE studies - Abstract
The endoscopic surgery for persistent muscular torticollis has been well-described and most are subcutaneous working caverns. As the sternocleidomastoid muscle is located beneath the deep cervical fascia that corresponds to the pectoral fascia, this study aimed to review our results of the transaxillary approach under the pectoral fascia and the deep cervical fascia. Between November 2009 and January 2022, pediatric patients with persistent muscular torticollis receiving transaxillary endoscopic subfascial operation were retrospectively reviewed and analyzed. There were thirty-three consecutive patients with median age of 6.5 years (range, 5.5 months–15.7 years). The median operating time was 90.0 min. With a median follow-up of 14.8 months (range, 5.0–127.7), the final outcomes showed excellent-to-good results in 90.9%, fair results in 6.1%, and poor results in 3.0%. Univariate analysis revealed that the long-term outcomes of the operation were independent of gender, age, involved side and previously open myotomy (p = 0.662, 0.818, 0.740 and 0.596, respectively). The subfascial working cavern would be technically achievable for the transaxillary endoscopic approach with good functional and cosmetic outcomes. • The endoscopic approach is performed safely for release of the sternocleidomastoid fibrosis. • As the SCM muscle is located beneath the deep cervical fascia, subfascial endoscopic approach is more appropriate. • Without the wound on the neck, rehabilitation could be started almost immediately following the operation. [ABSTRACT FROM AUTHOR]
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- 2024
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37. DYSPLASIA AND TORTICOLLIS ON THE SKIN MICROBIOTA OF CHINESE SPINY FROG AT THE STAGE OF COMPLETE METAMORPHOSIS.
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XU Yang, JIANG Yun, HOU Jin-Liang, LI Juan, FENG Xing-Lang, LIU Xin-Hua, LI De-Liang, XIANG Jian-Guo, and LI Jun-Hua
- Abstract
The microbiota plays a critical role in amphibian health, however, the exact impact of disease on the host microbiota assembly remains unclear, and microbiota-based health assessment and disease prediction is a promising yet poorly established field. Chinese spiny frog (Quasipaa spinosa) is an important "famous, high-quality and new" cultured amphibian in China, but diseases have become a major bottleneck restricting the development of breeding industry, especially during the initial stages of complete metamorphosis. Disruption of homeostasis or failure to reconstruct the skin microbiota leads to a variety of diseases. In this study, Illumina high-throughput sequencing technology was utilized to systemically explore potential associations between host health status (healthy spiny frogs (CTL), dysplastic disease (DD), and torticollis disease (TD)) and the composition, diversity and function of the skin microbiota. A total of 2997 amplicon sequence variants (ASVs) were obtained by sequencing, quality control and clustering, annotating 32 phyla, 76 orders, 167 orders, 259 families and 402 genera. Proteobacteria, Firmicutes and Bacteroidota were the dominant phyla (>1%) shared by all groups, but their abundance was significantly modified by health status of the host. At the genus level, 50 sensitive taxa were screened with 23 (e.g., Lactobacillus, Devosia, Shewanella and Luteolibacter) exhibiting high relative abundance in the CTL group, indicating the health status of spiny frogs. 19 taxa (e.g., Empe-dobacter, Bacillus and Brevinema) showed high relative abundance in the DD group, indicating dysplasia in spiny frogs, and 8 taxa (e.g., Elizabethkingia, Citrobacter and Acinetobacter) had high relative abundance in the TD group, indicating torticollis. Alpha diversity analyses indicated that the TD group had significantly lower diversity and evenness compared to the CTL and DD groups, and the microbiota composition also exhibited distinct separation. Functional predictions indicated significant differences between the CTL and diseased groups, which were mainly enriched in metabolism-relevant pathways. In summary, this study depicts the composition and changes in the skin microbiota of spiny frogs under different health conditions, highlighting the potential application of symbiotic microbiota modification in healthy amphibian culture and disease prevention. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
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38. Multizentrische RCT zur manualmedizinischen Einmalbehandlung von infantilen Haltungs- und Bewegungsasymmetrien (KISS) – Spreewaldstudie II.
- Author
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Sacher, Robby, Wuttke, Marc, Göhmann, Ulrich, Kayser, Christian, Knabe-Ulner, Kirsti, Ammermann, Elke, Ammermann, Michael, Krocker, Bodo, Fünfgeld, Liv, Spittank, Holger, Derlien, Steffen, and Loudovici-Krug, Dana
- Abstract
Copyright of Manuelle Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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39. Dorsal capsule release and lateral band translocation for a stiff swan neck deformity without articular involvement.
- Author
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Jerome, J. Terrence Jose
- Subjects
- *
TORTICOLLIS , *JOINTS (Anatomy) , *COLLATERAL ligament , *HUMAN abnormalities , *VISUAL analog scale , *NECK - Abstract
Background: The treatment for proximal interphalangeal joint (PIP) stiffness in extension requires extensor tenolysis, concomitant procedures to restore flexion, and intensive therapy. A stiff swan neck deformity without articular involvement is rare and the treatment is always challenging. Methods: Six patients with stiff swan neck deformities were operated between 2016 and 2023, and the outcome was analyzed retrospectively. A dorsal capsule release and radial lateral band translocation volar to the PIP joint axis were done. This translocation was maintained by a sling formed by the flexor digitorum superficialis and the free margins of the accessory collateral ligament. The range of movements in the PIP joint, visual analog scale (VAS), and functional outcomes were analyzed by the Michigan Hand Outcome Questionnaire (MHOQ) score. Results: The mean follow-up was 49.5 months (range 48–52 months). The mean preoperative PIP joint extension was 8 (range 5–10) degrees of extension), and the mean preoperative PIP joint flexion was 0. All patients improved after the surgery and the mean flexion of the PIP joint at follow-up was 95 degrees; extension was 1 degree (range 0–5 degrees). The mean Michigan Hand Outcomes Questionnaire (MHOQ) score was 92 (range 90–95) and the VAS was 0. Conclusions: Dorsal capsule contracture release and lateral band translocation to the volar axis of the PIP joint seem to be the possibilities for correcting stiff swan neck deformity. Level of evidence: IV, retrospective case study. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
40. Sensitization-Associated Symptoms and Neuropathic-like Features in Patients with Cervical Dystonia and Pain.
- Author
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de-la-Hoz-López, Diego, Cuadrado, María L., López-Valdés, Eva, García-Ramos, Rocío, Alonso-Frech, Fernando, Fernández-Revuelta, Ana, Fernández-de-las-Peñas, César, and Gómez-Mayordomo, Víctor
- Subjects
- *
NECK pain , *SLEEP quality , *PAIN threshold , *SYMPTOMS , *DYSTONIA , *TORTICOLLIS - Abstract
Background: This exploratory study evaluated the presence of sensitization-associated and neuropathic-like symptoms and identified their association with pressure sensitivity, pain, and disability in patients with cervical dystonia (CD). Methods: Thirty-one patients with CD (74.2% women, age: 61.2 years, SD 10.1) participated. Data collected included clinical variables, the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS), the Central Sensitization Inventory (CSI), the Self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), the Hospital Anxiety and Depression Scale (HADS) and the Pittsburgh Sleep Quality Index (PSQI), as well as widespread pressure pain thresholds (PPTs). Results: Patients with CD with pain (n = 20, 64.5%) showed higher scores on the TWSTRS disability subscale and the CSI (p < 0.001), and lower PPTs (p < 0.05). Fifteen patients (15/31, 48%) showed sensitization-associated symptoms (CSI ≥ 40), whereas five of the patients with pain (5/20, 25%) exhibited neuropathic-like symptoms (S-LANSS ≥ 12). The CSI and S-LANSS were positively associated with the TWSTRS, HADS-A and HADS-D, and negatively associated with PPTs. HADS-D and S-LANSS explained 72.5% of the variance of the CSI (r2: 0.725), whereas CSI explained 42.3% of the variance of the S-LANSS (r2: 0.423). Conclusions: Pain is an important source of disability in CD, and may be a consequence of different mechanisms, including sensitization. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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41. A Near Miss in the Emergency Department: Atypical Presentation of Acute Coronary Syndrome.
- Author
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Frank, Catherine and Toole, Kimberly P.
- Subjects
- *
SHOULDER pain , *SHOULDER , *TORTICOLLIS , *FATIGUE (Physiology) , *HOSPITAL emergency services , *ACUTE coronary syndrome , *RADICULOPATHY , *ELECTROCARDIOGRAPHY , *SPRAINS - Abstract
Acute coronary syndrome is an umbrella term encompassing three types of coronary artery disease that affect millions worldwide annually. Despite the availability of diagnostic tests (blood analysis, imaging, electrocardiogram, and screening tools), the diagnosis of myocardial infarction (MI) is still sometimes missed. According to the Centers for Disease Control and Prevention, the reported prevalence of heart disease is higher among males than females, with adults over the age of 75 having the highest prevalence. Typical "heart attack" features include chest pain that feels like pressure or squeezing, pain or discomfort in one or both arms that can radiate to the neck or jaw, shortness of breath, diaphoresis, nausea, vomiting, and lightheadedness. However, there are three subgroups where the typical warning signs do not always present: the elderly, individuals with diabetes, and females. The following is an atypical case presentation of unstable angina and non-ST-elevation MI. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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42. Perception-Action Approach Versus Standard Care for Infants With Congenital Muscular Torticollis: A Pilot Single-Blind Randomized Controlled Trial.
- Author
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Rahlin, Mary, Haney, Nancy B, and Barnett, Joyce
- Subjects
- *
MEDICAL protocols , *PLAY , *MOTOR ability , *PATIENT compliance , *INFANT development , *INFANT psychology , *MEASUREMENT of angles (Geometry) , *STRETCH (Physiology) , *T-test (Statistics) , *TORTICOLLIS , *EXERCISE therapy , *PILOT projects , *STATISTICAL sampling , *SENSORY perception , *TREATMENT effectiveness , *RANDOMIZED controlled trials , *PHOTOGRAPHY , *DESCRIPTIVE statistics , *INFANT care , *PRE-tests & post-tests , *LONGITUDINAL method , *INTRACLASS correlation , *POSTURE , *BODY movement , *DATA analysis software , *CONFIDENCE intervals , *RANGE of motion of joints , *COGNITION , *CHILDREN - Abstract
Objective The purposes of this pilot study were to compare short-term outcomes of the Perception-Action Approach (P-AA) and standard care based on 5 components of first-choice interventions listed in the congenital muscular torticollis (CMT) clinical practice guideline. Changes in postural alignment, symmetrical use of both sides of the body during movement and play, gross motor development, and behavior observed during therapy were considered. Methods Thirty-two participants were enrolled in a 2-group (P-AA and standard care) randomized, single-blind trial with pre–posttest measures. Participants were infants with CMT, age range 5 to 35 weeks at enrollment. Outcome measures administered at initial and final evaluations included still photography, arthrodial goniometry, Muscle Function Scale, Alberta Infant Motor Scale, and Functional Symmetry Observation Scale. Participants in both groups attended 3 intervention sessions. Their behavior exhibited during therapy was compared using the Therapy Behavior Scale Version 2.2. Results Data collection was interrupted by the COVID-19 pandemic lockdown. Twenty-four infants completed the study (10 in P-AA and 14 in the standard care group). There were no significant differences between the groups in performance at initial and final evaluations. Both groups improved on most outcome measures. The P-AA group made greater gains on the Functional Symmetry Observation Scale, and the Therapy Behavior Scale Version 2.2 scores were higher in the P-AA group; however, these results did not reach significance. Conclusion Results suggest that similar short-term outcomes may be obtained in infants with CMT undergoing P-AA and standard care interventions. Definitive conclusions regarding the efficacy of the P-AA in infants with CMT cannot be made at this time. Nevertheless, the pilot findings provide valuable preliminary data for a future efficacy trial, which will require funding. Impact This was the first randomized controlled trial to provide evidence for use of P-AA intervention in infants with CMT. Lay Summary Compared to standard treatment, the Perception-Action Approach (P-AA) provided similar short-term benefits to infants with congenital muscular torticollis. The P-AA group participants demonstrated higher symmetry and behavior scores, which needs to be confirmed in a larger future study. [ABSTRACT FROM AUTHOR]
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- 2024
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43. TAMO Therapy Versus Postural Control Exercise in Children With Congenital Muscular Torticollis
- Author
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khadija liaquat, Senior lecturer
- Published
- 2023
44. Effectiveness of Repositioning and Cranial Remolding in Infants With Cranial Deformation
- Author
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Children's Health and Tiffany Graham, Assistant Professor
- Published
- 2023
45. Neurotoxin and Physical Therapy
- Author
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American Academy of Neurology, National Ataxia Foundation, and American Brain Foundation
- Published
- 2023
46. Comparison of Pallidal With Subthalamic Deep Brain Stimulation for Cervical Dystonia
- Author
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Zhiqi Mao, Professor
- Published
- 2023
47. Posterior-only approach cervical hemivertebrectomy and short fusion with pedicle screws in young children with cervical scoliosis: case report and technical note
- Author
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Mao, Saihu, Qiu, Yong, liu, Zhen, Shi, Benlong, Li, Song, Jiang, Jun, and Zhu, Zezhang
- Published
- 2024
- Full Text
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48. The effectiveness of physiotherapy for patients with isolated cervical dystonia: an updated systematic review and meta-analysis
- Author
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Shimelis Girma Kassaye, Willem De Hertogh, David Crosiers, Esayas Kebede Gudina, and Joke De Pauw
- Subjects
Cervical dystonia ,Torticollis ,Physiotherapy ,Physical therapy ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Background Cervical dystonia is a movement disorder typically characterized by a patterned and twisting movement of sustained or intermittent muscle contractions. Recently, new clinical trials are emerging, highlighting the potential benefit of physiotherapy (PT) on disease outcomes. Thus, the objective of this review is to update the effectiveness of PT on cervical dystonia disease outcomes and subsequently perform a meta-analysis. Methods Interventional studies published in English with adult patients with isolated cervical dystonia following a physiotherapy program were included. Relevant articles were searched in PubMed (MEDLINE), Web of Science, and Scopus. Cochrane and Joanna Briggs Institute risk of bias checklists were used for quality reporting. Meta-analysis was done using Review Manager 5.3 statistical software and a pooled mean difference for pain was presented. Results Fourteen articles were included in the review and two articles were included in the meta-analysis. The meta-analysis revealed that PT intervention had a significant effect on pain reduction scale (-5.00, 95% CI -6.26, -3.74) when used as an additional therapy with botulinum toxin (BoNT) injection. Additionally, findings indicate a possible positive effect of PT disease severity, disability, and quality of life. Conclusions Physiotherapy in addition to BoNT is recommended to decrease pain. The findings suggest a reduction of disease severity, disability, and improvement in quality of life. The variety in the type and duration of PT interventions did not allow a clear recommendation of a specific type of PT.
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- 2024
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49. The value of a head turn in neurolocalization
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Aran Nagendran, Roberto José López, Anna Suñol, Josep Brocal, and Rita Gonçalves
- Subjects
body turn ,pleurothotonus ,postural abnormalities ,torticollis ,Veterinary medicine ,SF600-1100 - Abstract
Abstract Background A head turn is a clinically relevant abnormality identified on neurological examination and historically has been an isolated or concomitant sign of ipsilateral forebrain dysfunction. Experimental studies in quadrupedal mammals suggest that changes in head posture may be identified as originating in other parts of the central nervous system (CNS). Objectives To identify whether other locations within the CNS could give rise to a head turn and whether the head turn identified is isolated or concomitant with other deviations in head and body posture. Animals Forty‐nine client‐owned dogs with a presentation of a head turn, from 6 veterinary referral centers. Methods Multicenter observational prospective study including dogs with photographic evidence of a head turn, full neurological examination, and advanced imaging. Results Of the population, 15/49 had head turn only, 9/49 had head turn and head tilt only, 12/49 had head turn and body turn only, and 13/49 had head turn, head tilt, and body turn. Nearly all dogs with forebrain disease (23/24), and, all with brainstem and cerebellar disease, had an ipsilateral head turn and body turn (if present). In the cerebellar group, all head tilts were contralateral to the lesion location. In the cervical spinal cord group, all head turns, body turns and head tilts were contralateral to the lesion location. Conclusion A head turn, although most likely associated with, is not exclusively seen with forebrain disease. Certain combinations of head turn, head tilt and body turn suggest a neurolocalization other than the forebrain, with appropriate classification needed.
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- 2024
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50. Age Group-Specific Improvement of Vertebral Scoliosis after the Surgical Release of Congenital Muscular Torticollis
- Author
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Jong Min Choi, Seong Hoon Seol, Jae Hyun Kim, Chan Min Chung, and Myong Chul Park
- Subjects
torticollis ,neck muscles ,surgical procedures ,operative ,scoliosis ,Surgery ,RD1-811 - Abstract
Background Congenital muscular torticollis (CMT) is a common musculoskeletal disorder in children. Secondary scoliosis can occur in patients with CMT; however, the extent of inclination and improvement of scoliosis after surgical correction of CMT have not been adequately studied. In this study, we aimed to evaluate and measure the improvement in vertebral tilting after surgical correction according to age at the time of surgery.
- Published
- 2024
- Full Text
- View/download PDF
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