Management of cervical dystonia with dry needling

Chandra, Sourav; Sugiharto, Henry; Marisdina, Selly; Susan, D

doi:10.1016/j.jns.2019.10.1296

Cited by 1 publication

(2 citation statements)

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“…This improvement last up to 6 months. 8 Botulinum toxin injection has been proven effective in the management of dystonic movement disorders, such as hemifacial spasms or other focal dystonias. Previous studies have also shown significant effectiveness on clinical improvement scores for hemifacial spasm.…”

Section: Methodsmentioning

confidence: 99%

“…One case study has reported the success of dry needling technique in the management of cervical dystonia. 8 This success was assumed to be due to the penetration of the needle through the skin to produce physiological effects through the control activity of inhibiting various neurotransmitters, and activating the suppression system in the spinal cord. This is the first study to assess the effectiveness of dry needling in clinical improvement of hemifacial spasm compared to standard therapy botulinum toxin injection.…”

Section: Introductionmentioning

confidence: 99%

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Dry Needling Can Be An Alternative Treatment for Hemifacial Spasm

Marisdina

Sugiharto²,

Pradian³

2020

BJI

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Back Ground: Hemifacial spasm is one of movement disorder case that commonly found in daily clinical practice. Epidemiological data are very limited, the average prevalence is 11 per 100,000 population, 14.5 per 100,000 in women and 7.4 per 100,000 in men. In Germany, the estimated prevalence is 8000 to 9000 peoples.1 The incidence of women is more than that of men with a ratio of 2:1. Based on Yaltho and Jankovic study in 2011, out of 215 patients, the ratio of men to women was 1:1.8.2 One study in Indonesia also reported that most of the subjects were female (64.7%).3 Treatment with botulinum toxin injections is preferred to microvascular decompression surgery therapy, but this injection is only effective in a few months and quite expensive. This study is the first study to assess the effectiveness of dry needling on clinical improvement of hemifacial spasm compared to standard therapy of botulinum toxin injection.Methods: The study design was quasi experimental. Total of 24 subjects were divided into two groups. The first group underwent dry needling intervention while the other had botulinum injection. Clinical severity before and after treatment in both groups was assessed using Jankovic and HFS7 scores.Results: In dry needling group there were significant differences between Jankovic and HFS7 score at baseline and at week 1, 2, 3 and 4. While in botox group significant differences were also Jankovic and HFS7 score at baseline and at weeks 2 and 4. There were also a significant difference of Jankovic and HFS7 score when we compared dry needling group to botulinum toxin group.Conclusion: Dry needling can be an alternative treatment for hemifacial spasm, although clinical improvements based on Jankovic and HFS7 scores in dry needling group were not as effective as those with botulinum toxin injections.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%