Integration of Osteopathic Manual Treatments in Management of Cervical Dystonia with Tremor: A Case Series

<p><strong>Background:&nbsp;</strong>Cervical dystonia, also known as spasmodic torticollis, is a chronic disorder in which patients exhibit involuntary repetitive contractions of neck muscles resulting in abnormal postures or movements. Occasionally, there is also a dystonic head tremor. The underlying mechanisms for cervical dystonia and dystonic tremor are not clear, and treatments are limited.</p><p><strong><span>Case Report:</span>&nbsp;</strong>In the present cases, two females with head tremor starting in adolescence developed worsening symptoms of cervical dystonia with dystonic tremor in their 60s. On osteopathic physical examination, both had a vertical type strain to the sphenobasilar synchondrosis.</p><p><span><strong>Discussion:</strong></span>&nbsp;Vertical strains are more frequently found in patients after head trauma, congenital or later in life, than in healthy patients, and head trauma may have been a precipitating factor in these patients. There were improvements in cervical dystonia symptoms, including tremor, in both patients after osteopathic manual treatment.</p><p>&nbsp;</p>

Abstract licence: CC BY

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