RR-PL-2240 Wednesday 16:30, Fira Palace Hotel, Rossini
SUZUKI T, TANI M, NABETA R, TAKADA A, IIZUKA T, INOUE H, WAKAYAMA I, YOSHIDA S, YASE Y; Kansai College of Oriental Medicine, Research Center of Clinical Diseases. Osaka, Japan
PURPOSE: To investigate the effect of acupuncture in patients with cervical dystonia, we studied the characteristics of the clinical and neurophysiological examinations by acupuncture. SUBJECTS: In 32 ST patients (17 males and 15 females) with a mean age of 40.8 years, the effect of our acupuncture treatment was evaluated. The mean disease duration was 44.8 months (range: 3- 252 months). METHODS: The clinical and neurophysiological examinations were done before and during (10 trials) acupuncture treatment. The clinical examinations included the Tsui modified score, pain scale, ADL scale and global disease burden scale. EMG activity during relaxation and neck movement was examined in the six muscles; the sternoclidmastoid (SCM), trapezius and splenius (SPL) bilaterally. The affected muscle was chosen by the neurophysiological examination before acupuncture treatment. The retaining needle (RN) on the meridian points and the multiple epidermis penetrating needle (MN) on a tender spot were used every week as acupuncture treatment. In the RN, the point of the retaining needle was LI4 in the affected SCM, TE5 in trapezius, SI3 in SPL, ST42 in frontal muscles of the trunk, and BL 60 in back muscles of the trunk, ipsilateraly based on the meridian concept. The inserted depth of the retaining needle was 5 mm with 5 min period for the affected muscle with hypertonus and with 10 min for hypotonic muscle. In the MN, ten points in the tender area were treated by acupuncture. The medication of muscle relaxant was described with acupuncture in all patients. RESULTS: Clinical examination, especially the Tsui modified scale showed improvement in 23 patients (71.9 %) and no change or deterioration in 9 patients (28.1%) after 10 sessions of acupuncture treatment compared with that before treatment. EMG evaluation showed improvement in all patients following acupuncture treatment. CONCLUSION: These findings suggested that acupuncture using the RN and MN might be one of the effective treatments in the patient with cervical dystonia.