Dystonia: alleviating manoeuvres
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Dystonia: alleviating manoeuvres. These are tricks that temporarily alleviate dystonia. Fully referenced neurology checklist.
Definition
- These are tricks that temporarily alleviate dystonia
- They usually work in primary dystonia
- The trick is also called geste antagoniste
- The manoeuvre however doesn’t have to be opposite or antagonistic to the direction of the dystonia
- It may be effective in functional dystonia
Effects
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Benefits
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Classification
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Tricks for cervical dystonia
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Tricks for blepharospasm
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Tricks for Meige syndrome
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Tricks for oromandibular dystonia
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Tricks for writer’s cramp
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Tricks for laryngeal dystonia
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References
- Ramos VF, Karp BI, Hallett M. Tricks in dystonia: ordering the complexity. JNNP 2014; 85:987-993.
- Lagrand TJ, Almuwais A, Lehn AC. 'Tricked' sensory trick: a geste antagoniste in functional dystonia. BMJ Case Rep 2022; 15:e248779.
- Patel N, Hanfelt J, Marsh L, Jankovic J; members of the Dystonia Coalition. Alleviating manoeuvres (sensory tricks) in cervical dystonia. JNNP 2014; 85:882-884.
- Pandey S, Soni G, Sarma N. Sensory tricks in primary blepharospasm and idiopathic cervical dystonia. Neurol India 2017; 65:532-536.
- Krack P, Schneider S, Deuschl G. Geste device in tardive dystonia with retrocollis and opisthotonic posturing. Mov Disord 1998; 13:155-157.
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