著者

西村 栄津子 酒井 英謙 谷 万喜子 鈴木 俊明

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.8, pp.101-105, 2008 (Released:2009-01-15)

参考文献数

9

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I report acupuncture treatment for abnormal neck posture and deviation of trunk in a patient with drug induced dystonia.The patient was a 60-year-old female. In the last 3 years, her neck and mouth had showen involuntary movement when she received medical treatment for her bipolar disorder, and she was diagnosed as having drug induced dystonia. Her symptoms were slightly improved by botulinum therapy (BTX) and transcranial magnetic stimulation (TMS), but she wanted to receive acupuncture treatment, so she came to our clinic. At the first consultation at our clinic, her neck posture in a sitting position showed left lateral bending, left rotation, flexion, and extension, and her trunk posture showed left lateral bending. Her neck presented with intermittent involuntary movement of left rotation and extension. The problems of her abnormal posture were some muscle tones and shortening of skin and muscles. Abnormal muscle tones were hypertonus of the trapezius muscle and erector spinae, and hypotonus of the abdomen muscles. Skin and muscle shortening presented on the posterior region of her neck (trapezius and splenius capitis muscle), the occipital region of the head, and the interscapulum, lumbar and dorsal. Her neck also showed intermittent involuntary movement. The acupuncture treatment was as follows: multiple epidermis penetrating needles were used to treat skin and muscle shortening on the posterior region of her neck (trapezius and splenius capitis muscle), occipital region of head, and interscapulum. Lumbar and dorsal retaining needles were used for Waiguan(TE5) for hypertonus of trapezius muscle, Chongyang(ST42) to increase abdomen muscles, Kunlun(BL60) for hypertonus erector spinae, and Baihui(GV20) to decrease the involuntary movement. After acupuncture treatment, the patient's involuntary movement of the neck was reduced, and flexion of trunk and extension of neck were improved. Currently there is no definitive treatment method for drug induced dystonia. This case suggests that abnormal neck posture and deviation of trunk in a patient with drug induced dystonia can be improved by acupuncture treatment.

著者

西村 栄津子 三井 浩 谷 万喜子 高田 あや 鈴木 俊明 柳生 隆視 木下 利彦

出版者

関西医療大学

雑誌

関西医療大学紀要 (ISSN:18819184)

巻号頁・発行日

vol.3, pp.115-120, 2009

著者

井上 博紀 谷 万喜子 西村 栄津子 高田 あや 鈴木 俊明 吉田 宗平

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.7, pp.97-104, 2007 (Released:2008-01-18)

参考文献数

8

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We report the effect of acupuncture based on the meridian concept by the writing evaluation test and writing pressure in a patient with writer's cramp. The case was a 32-year-old male, who was right-handed. The patient reported feeling a sense of incongruity while playing slot machine, and also in handwriting in X+6 years. When the department of nerve internal medicine at a local hospital was consulted, the problem was diagnosed as dystonic writer's cramp. We started acupuncture treatment in our clinic from X year. Acupuncture was performed once a week. Multiple epidermis penetrating needles were used to treat skin and muscle shortening on the palm and forearm. Retaining needles were used for scalp acupuncture in the upper limb zone, LI4 and ST11. Consequently, although some involuntary movement persisted 10 weeks after the start of treatment, control of handwriting became possible. Moreover, agitation during the application of writing pressure before acupuncture therapy was improved after acupuncture therapy. The results suggest that acupuncture therapy with the retaining needles and multiple epidermis penetrating needles is beneficial for dystonic writer's cramp.

著者

酒井 英謙 谷 万喜子 西村 栄津子 上田 愛 福島 綾子 井上 博紀 高田 あや 鈴木 俊明

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.6, pp.103-107, 2006 (Released:2007-01-30)

参考文献数

8

被引用文献数

5

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According to acupuncture therapy for dystonia patients practised at the Outpatient Clinic, Kansai College of Oriental Medicine, there is a report that remote acupuncture therapy by the meridian concept is effective. It was reported that dystonia is sensory defect rather than dyskinesia, and we report acupuncture therapy of soft stimulus to normalize the upper central nervous system for stimulated sensory nerve. Based on the meridian theory, we investigated the influence of acupuncture stimulus to the sternocleidomastoid muscle (L14) through which the large intestine meridian (L1) passes on the hand, on the central nervous system and muscles by comparison of surface EMGS among 3 groups: no stimulus, 5 min stimulus, 20 min stimulus. After 20 min stimulus, both PMT and MT were significantly shortened compared with before stimulus. However, in the no stimulus and 5 min stimulus groups there were no differences in PMT and MT compared with before stimulus. This suggests that to excite the central nervous system and muscle function via the sternocleidomastoid muscle, 20 min acupucture is needed.