Adult-onset Idiopathic Torticollis: Difference between revisions
No edit summary |
mNo edit summary |
||
Line 2: | Line 2: | ||
'''Original Editors''' | '''Original Editors''' | ||
'''Lead Editors''' - | '''Lead Editors''' - David Cameron, John Fite, Bryan Purkey, John Winkelhaus. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Search Strategy == | == Search Strategy == | ||
Line 26: | Line 26: | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
Conditions the physical therapist should consider during initial evaluation and subsequent treatments include, but are not limited to: | Conditions the physical therapist should consider during initial evaluation and subsequent treatments include, but are not limited to: | ||
<br>'''Parkinson Disease:''' May present with head in a posture resembling torticollis. Will likely test positive for other nervous involvement. Tremor will be present in a sinusoidal oscillatory pattern. The therapist may also notice unsteadiness of gait, rigidity, and dyskinesia. (Crowner, Geyer, Parkinson)<br>'''Post-traumatic dystonia:''' History of recent trauma to the body region experiencing dystonia. Considered a type of secondary dystonia, onset of symptoms may come immediately after insult, or up to 12 months following. An estimated 5-21% of patients with cervical dystonia have a history of a trauma to the head or neck, although it is unclear whether the insult acted as the “trigger” for the condition. (Geyer)<br>'''Wilson Disease:''' Wilson disease is an inherited disorder that can cause an accumulation of copper in the body. For a patient under age 40, with unexplained gradual onset of symptoms, a screen for Wilson disease is indicated. (Crowner, El-Youssef)<br>'''Adult-onset idiopathic torticollis:''' Gradual onset of symptoms, with up to 75% of patients reporting concurrent neck pain. May also present with jerking movements, transient spasms, shoulder elevation, stiffness/tightness, and tremor. (Geyer, Crowner, Jankovic, Cochrane BOT-A)<br> | <br>'''Parkinson Disease:''' May present with head in a posture resembling torticollis. Will likely test positive for other nervous involvement. Tremor will be present in a sinusoidal oscillatory pattern. The therapist may also notice unsteadiness of gait, rigidity, and dyskinesia. (Crowner, Geyer, Parkinson)<br>'''Post-traumatic dystonia:''' History of recent trauma to the body region experiencing dystonia. Considered a type of secondary dystonia, onset of symptoms may come immediately after insult, or up to 12 months following. An estimated 5-21% of patients with cervical dystonia have a history of a trauma to the head or neck, although it is unclear whether the insult acted as the “trigger” for the condition. (Geyer)<br>'''Wilson Disease:''' Wilson disease is an inherited disorder that can cause an accumulation of copper in the body. For a patient under age 40, with unexplained gradual onset of symptoms, a screen for Wilson disease is indicated. (Crowner, El-Youssef)<br>'''Adult-onset idiopathic torticollis:''' Gradual onset of symptoms, with up to 75% of patients reporting concurrent neck pain. May also present with jerking movements, transient spasms, shoulder elevation, stiffness/tightness, and tremor. (Geyer, Crowner, Jankovic, Cochrane BOT-A)<br> |
Revision as of 20:11, 12 April 2011
Original Editors
Lead Editors - David Cameron, John Fite, Bryan Purkey, John Winkelhaus. Read more.
Search Strategy[edit | edit source]
Databases: Cinahl, PubMed, Google Scholar, Cochrane Library, Ebsco
Search Terms: cervical dystonia, torticollis, adult torticollis, spasmodic torticollis, physical therapy, rehabilitation, Parkinson disease, Wilson Disease, post traumatic torticollis,
Search Dates: April 5-12, 2001
Definition/Description[edit | edit source]
add text here
Epidemiology /Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
Conditions the physical therapist should consider during initial evaluation and subsequent treatments include, but are not limited to:
Parkinson Disease: May present with head in a posture resembling torticollis. Will likely test positive for other nervous involvement. Tremor will be present in a sinusoidal oscillatory pattern. The therapist may also notice unsteadiness of gait, rigidity, and dyskinesia. (Crowner, Geyer, Parkinson)
Post-traumatic dystonia: History of recent trauma to the body region experiencing dystonia. Considered a type of secondary dystonia, onset of symptoms may come immediately after insult, or up to 12 months following. An estimated 5-21% of patients with cervical dystonia have a history of a trauma to the head or neck, although it is unclear whether the insult acted as the “trigger” for the condition. (Geyer)
Wilson Disease: Wilson disease is an inherited disorder that can cause an accumulation of copper in the body. For a patient under age 40, with unexplained gradual onset of symptoms, a screen for Wilson disease is indicated. (Crowner, El-Youssef)
Adult-onset idiopathic torticollis: Gradual onset of symptoms, with up to 75% of patients reporting concurrent neck pain. May also present with jerking movements, transient spasms, shoulder elevation, stiffness/tightness, and tremor. (Geyer, Crowner, Jankovic, Cochrane BOT-A)
Examination[edit | edit source]
add text here
Medical Management (current best evidence)[edit | edit source]
add text here
Physical Therapy Management (current best evidence)[edit | edit source]
add text here
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.