Pilot Study of a Device to Induce the Hanger Reflex in Patients with Cervical Dystonia.
Pilot Study of a Device to Induce the Hanger Reflex in Patients with Cervical Dystonia.
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DOI：
10.2176/nmc.oa.2017-0111
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发表时间：
2018-05-15
影响因子：
1.9
通讯作者：
Kuroda S
中科院分区：
文献类型：
--
作者：
Asahi T;Sato M;Nakamura T;Kon Y;Kajimoto H;Oyama G;Hayashi A;Tanaka K;Nakane S;Takeshima T;Fujii M;Kuroda S
衣架反射（HR）是一种无意识的头部旋转，它是对衣架环绕头部并压迫单侧额颞区的反应。在这里，我们开发了一个椭圆形的设备，以诱导HR和检查其效用的治疗颈部肌张力障碍（CD）。该研究包括19例旋转型CD患者。将该装置应用于每个受试者的头部，每天至少30分钟，持续3个月。在基线和3个月试验后，评价了多伦多西部痉挛性斜颈评定量表第1部分的严重程度评分。在基线（分别为16.6 vs. 14.7; P < 0.05）和试验后（分别为14.9 vs. 13.6; P <0.05），未使用和使用器械的平均评分均存在显著差异。这项初步试验表明，我们的设备可以改善CD患者的异常头部旋转。
The hanger reflex (HR) is an involuntary head rotation that occurs in response to a clothes hanger encircling the head and compressing the unilateral fronto-temporal area. Here, we developed an elliptical device to induce the HR and examined its utility for the treatment of cervical dystonia (CD). The study included 19 patients with rotational-type CD. The device was applied to each subject’s head for at least 30 min/day for 3 months. Severity scores on part 1 of the Toronto Western Spasmodic Torticollis Rating Scale were evaluated at baseline and after the 3-month trial. Mean scores without and with the device were significantly different both at baseline (16.6 vs. 14.7, respectively; P < 0.05) and after the trial (14.9 vs. 13.6, respectively; P < 0.05). This preliminary trial suggests that our device can improve abnormal head rotation in patients with CD.