Acupuncture for psychogenic movement disorders: Treatment or diagnostic tool?
Article first published online: 7 MAY 2007
Copyright © 2007 Movement Disorder Society
Volume 22, Issue 9, pages 1353–1355, 15 July 2007
How to Cite
Van Nuenen, B. F. L., Wohlgemuth, M., Wong Chung, R. E., Abdo, W. F. and Bloem, B. R. (2007), Acupuncture for psychogenic movement disorders: Treatment or diagnostic tool?. Mov. Disord., 22: 1353–1355. doi: 10.1002/mds.21467
- Issue published online: 23 JUL 2007
- Article first published online: 7 MAY 2007
- Manuscript Accepted: 13 FEB 2007
- Manuscript Revised: 12 FEB 2007
- Manuscript Received: 10 NOV 2006
- NWO VIDI. Grant Number: 917.76.352
- Stichting International Parkinson Funds
This article includes supplementary video clips, available online at http://www.interscience.wiley.com/jpages/0885-3185/suppmat
|mds21467-MDS21467.mpg||10908K||Baseline neurological examination demonstrated a fluent speech, with normal cognition. There were marked jerking movements of the feet and trunk (Video fragment 1). The patient was clenching her hands tightly to the arms of the wheelchair, but there were no involuntary movements involving the arms or the face. During examination of finger dexterity, when asked to stretch out the legs and also during eye closure (Video fragment 2), the involuntary movements aggravated, with considerably greater amplitudes, and wild jerking of the arms. The pattern of the movements also changed, with more or less rhythmical adduction and abduction movements of the upper leg. Upright standing was virtually impossible, and produced scissoring of the legs.Video fragment 3 shows the patient lying on an examination couch, about one hour after insertion of the acupuncture needles into both earlobes, the back and the left hand. The pattern of the involuntary movements had again changed, with now rhythmical ballistic movements of the right arm and flexion-extension movements of the neck. This period lasted about one hour, after which the movements subacutely - within a minute or so - exacerbated dramatically (Video fragment 4). Once again, the pattern of the movements changed, this time into gross flinging movements of both arms and legs, almost resembling butterfly swimming. This period lasted about 1 hr, after which all involuntary movements gradually ceased. Video fragment 5 shows the full therapeutical effect, about 3 hr after initial insertion of the acupuncture needles. There were no more involuntary movements, finger dexterity was normal, but the patient had a red nose because the head had been pushed repetitively into the examination couch. Walking was still a bit careful, but otherwise almost normal.|
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