Clinical Pain

  • 제19권1호
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  • Pages.40-44
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  • 2020
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  • 1598-5490(pISSN)
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  • 2765-5156(eISSN)
대한임상통증학회 (Korean Association of Pain Medicine)
권호 표지
DOI QR코드

DOI QR Code

맞춤형 단하지보조기 적용으로 호전된 성인형 일차성 국소성 족부 근긴장이상증

Adult-Onset Primary Focal Foot Dystonia Improved with Custom Made Ankle-Foot Orthosis

  • 이승환 (건국대학교병원 재활의학과) ;
  • 이용민 (건국대학교병원 재활의학과) ;
  • 엄경은 (건국대학교병원 재활의학과) ;
  • 이종민 (건국대학교병원 재활의학과)
  • Lee, Seunghwan (Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center) ;
  • Lee, Yong Min (Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center) ;
  • Uhm, Kyeong Eun (Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center) ;
  • Lee, Jongmin (Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center)
  • 투고 : 2019.08.26
  • 심사 : 2019.11.04
  • 발행 : 2020.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

The foot or lower extremity is rarely the initial site in adult-onset dystonia, whereas dystonia in children often begins in the foot. Isolated lower extremity dystonia in adults is rarely on a primary basis. Oral anti-dystonic medications have been found unsatisfactory in providing adequate symptomatic relief. On the other hand, botulinum toxin injections have been reported as beneficial. It is also known that personalized orthosis can be an effective solution for patients of dystonia. The purpose of this report is to demonstrate a case of primary focal foot dystonia that was effectively treated with botulinum toxin injection and the custom-made ankle-foot orthosis.

키워드

참고문헌

  1. Albanese A, Asmus F, Bhatia KP, Elia AE, Elibol B, Filippini G, et al. EFNS guidelines on diagnosis and treatment of primary dystonias. Eur J Neurol 2011; 18: 5-18 https://doi.org/10.1111/j.1468-1331.2010.03042.x
  2. O'Riordan S, Raymond D, Lynch T, Saunders-Pullman R, Bressman SB, Daly L, et al. Age at onset as a factor in determining the phenotype of primary torsion dystonia. Neurology 2004; 63: 1423-1426 https://doi.org/10.1212/01.WNL.0000142035.26034.C2
  3. Schneider SA, Edwards MJ, Grill SE, Goldstein S, Kanchana S, Quinn NP, et al. Adult-onset primary lower limb dystonia. Mov Disord 2006; 21: 767-771 https://doi.org/10.1002/mds.20794
  4. Ramdhani RA, Frucht SJ. Adult-onset idiopathic focal lower extremity dystonia: a rare task-specific dystonia. Tremor Other Hyperkinet Mov 2013; 3: tre-03-142-2990-1
  5. Duarte J, Sempere AP, Coria F, Claveria LE, Frech FA, Mataix AL, et al. Isolated idiopathic adult-onset foot dystonia and treatment with botulinum toxin. J Neurol 1995; 242: 114-115 https://doi.org/10.1007/BF00887828
  6. Jinnah HA, Berardelli A, Comella C, Defazio G, Delong MR, Factor S, et al. The focal dystonias: current views and challenges for future research. Mov Disord 2013; 28: 926-943 https://doi.org/10.1002/mds.25567
  7. Vercelli S, Ferriero G, Bravini E, Al Yazeedi W, Salgovic L, Caligari M, et al. A simple orthosis solves a problem in a patient with a dystonic finger after stroke. J Hand Ther 2017; 30: 113-115 https://doi.org/10.1016/j.jht.2016.04.003
  8. Singer C, Papapetropoulos S. Adult-onset primary focal foot dystonia. Parkinsonism Relat Disord 2006; 12: 57-60 https://doi.org/10.1016/j.parkreldis.2005.07.004
  9. Martino D, Macerollo A, Abbruzzese G, Bentivoglio AR, Berardelli A, Esposito M, et al. Lower limb involvement in adult-onset primary dystonia: frequency and clinical features. Eur J Neurol 2010; 17: 242-246 https://doi.org/10.1111/j.1468-1331.2009.02781.x
  10. Lees AJ, Hardie RJ, Stern GM. Kinesigenic foot dystonia as a presenting feature of Parkinson's disease. J Neurol Neurosurg Psychiatry 1984; 47: 885 https://doi.org/10.1136/jnnp.47.8.885