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Relationship Between Sleep, Neck Muscle Activity, and Pain in Cervical Dystonia

Published online by Cambridge University Press:  18 September 2015

Frank Lobbezoo ,
Marc Thu Thon ,
Guy Rémillard ,
Jacques Y. Montplaisir  and
Gilles J. Lavigne
Frank Lobbezoo
Affiliation:
Centre d’étude du sommeil, Département de psychiatrie, Hôpital du Sacré-Coeur
Marc Thu Thon
Affiliation:
Centre de recherche en sciences neurologiques, Département de physiologic Faculté de médecine et de médecine dentaire, Université de Montréal
Guy Rémillard
Affiliation:
Département de neurologie, Hôpital du Sacré-Cœur (G.R.), Montréal, Québec
Jacques Y. Montplaisir
Affiliation:
Centre d’étude du sommeil, Département de psychiatrie, Hôpital du Sacré-Coeur
Gilles J. Lavigne*
Affiliation:
Centre d’étude du sommeil, Département de psychiatrie, Hôpital du Sacré-Coeur
*
Centre d’étude du sommeil, Hôpital du Sacré-Coeur, 5400 boul. Gouin Ouest, Montréal, Québec, Canada H4J 1C5
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Abstract

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Objective: The interactions between sleep, neck muscle activity, and cervical spinal pain were examined in a controlled study with nine patients suffering from idiopathic cervical dystonia (ICD; also referred to as spasmodic torticollis), and nine gender- and age-matched controls. Methods: From each participant, two all-night polysomnograms with additional electromyographic recordings from the sternocleidomastoid and upper trapezius muscles were obtained. The first night was for habituation to the laboratory environment; the second night for experimental data collection. Visual analogue scales were used to collect intensity and unpleasantness ratings of cervical spinal pain before and after the second sleep recording. Results: None of the standard sleep variables showed statistically significant differences between average values of both groups of participants. However, a significantly larger variance in sleep latency was obtained for the ICD patients. In general, abnormal cervical muscle activity decreased immediately when lying down without the intention to go to sleep. Subsequently, abnormal muscle contractions were gradually abolished in all ICD patients during the transition from relaxed wakefulness to light NREM sleep. Following this transition phase, no more abnormal EMG activity was found in any of our patients. Finally, cervical spinal pain intensity and unpleasantness were reduced by about 50% overnight. Conclusions: Both supine position and sleep can be associated with an improvement of symptoms of ICD, and this disorder does not induce any sleep perturbations.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 23 , Issue 4 , November 1996 , pp. 285 - 290
Copyright
Copyright © Canadian Neurological Sciences Federation 1996

References

1.Marsden, CD, Quinn, NP.The dystonias. Br Med J 1990; 300: 139–144.CrossRefGoogle ScholarPubMed
2.Podivinsky, F. Torticollis. In: Vinken, PJ, Bruyn, GW, eds. Handbook of Clinical Neurology: Diseases of the Basal Ganglia. Amsterdam: North Holland Publ Comp, 1968: 567–603.Google Scholar
3.Duane, DD.Spasmodic torticollis. In: Jankovic, J, Tolosa, E, eds. Advances in Neurology, Vol. 49: Facial Dyskinesias. New York: Raven Press, 1988: 135–150.Google ScholarPubMed
4.Chan, J, Brin, MF, Fahn, S.Idiopathic cervical dystonia: clinical characteristics. Mov Disord 1991; 6: 119–126.CrossRefGoogle ScholarPubMed
5.Merskey, H, Bogduk, N. Torticollis (Spasmodic torticollis). In: Merskey, H, Bogduk, N, eds. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Seattle: IASP Press, 1994: 107–108.Google Scholar
6.Odergren, T, Tollback, A, Borg, J.Efficacy of botulinum toxin for cervical dystonia. A comparison of methods for evaluation. Scand J Rehab Med 1994; 26: 191–195.CrossRefGoogle ScholarPubMed
7.Claypool, DW, Duane, DD, Ilstrup, DM, Melton, LJ III.Epidemiology and outcome of cervical dystonia (spasmodic torticollis) in Rochester, Minnesota. Mov Disord 1995; 10: 608–614.CrossRefGoogle ScholarPubMed
8.Foerster, O.Mobile spasm of the neck muscles and its pathological basis. J Comp Neurol 1933; 58: 725–735.CrossRefGoogle Scholar
9.Marsden, CD, Obeso, JA, Zarranz, JJ, Lang, AE.The anatomical basis of symptomatic hemidystonia. Brain 1985; 108: 463–483.CrossRefGoogle ScholarPubMed
10.Bronstein, AM, Rudge, P.Vestibular involvement in spasmodic torticollis. J Neurol Neurosurg Psychiatry 1986; 49: 290–295.CrossRefGoogle ScholarPubMed
11.Gauthier, S.Idiopathic spasmodic torticollis: pathophysiology and treatment. Can J Neurol Sci 1986; 13: 88–90.CrossRefGoogle ScholarPubMed
12.Rondot, P, Jedynak, C-P, Ferrey, G.Le torticolis spasmodique. Paris, France: Masson, 1981: 67–74.Google Scholar
13.Truong, DD, Dubinsky, R, Hermanowicz, N, et al. Posttraumatic torticollis. Arch Neurol 1991; 48: 221–223.CrossRefGoogle ScholarPubMed
14.Forgach, L, Eisen, A, Fleetham, J, Calne, DB.Studies on dystonic torticollis during sleep. Neurology 1986; 36 (Suppl 1): 120.Google Scholar
15.Fahn, S.Assessment of the primary dystonias. In: Munsat, T, ed. Quantification of Neurologic Deficit. London, UK: Butterworths, 1989: 241–270.Google Scholar
16.Kendall, F, McCreary, E.Muscles, testing and function. Baltimore, MD: Williams & Wilkins, 1983.Google Scholar
17.Rechtschaffen, A, Kales, A.A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Los Angeles, CA: UCLA Brain Information Service/Brain Research Institute, 1968.Google Scholar
18.Landis, JR, Koch, GG.The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159.CrossRefGoogle ScholarPubMed
19.Melzack, R, Casey, KL.Sensory, motivational and central control determinants of pain: a new conceptual model. In: Kenshalo, DR, ed. The Skin Senses. Springfield: Thomas, 1968: 423–443.Google Scholar
20.Ekblom, A, Hansson, P.Pain intensity measurements in patients with acute pain receiving afferent stimulation. J Neurol Neurosurg Psychiatry 1988; 51: 481–486.CrossRefGoogle ScholarPubMed
21.Fields, HL.Pain. New York: McGraw-Hill, 1987.Google Scholar
22.Jankel, WR, Niedermeyer, E, Graf, M, Kalsher, M.Polysomnography of torsion dystonia. Arch Neurol 1984; 41: 1081–1083.CrossRefGoogle ScholarPubMed
23.Rondot, P, Marchand, MP, Dellatolas, G.Spasmodic torticollis: review of 220 patients. Can J Neurol Sci 1991; 18: 143–151.CrossRefGoogle ScholarPubMed
24.van Hoof, JJM, Horstink, MWI, Berger, HJC, van Spaeňdonck, KPM, Cools, AR.Spasmodic torticollis: the problem of pathophysiology and assessment. J Neurol 1987; 234: 322–327.CrossRefGoogle ScholarPubMed
25.Lowenstein, DH, Aminoff, MJ.The clinical course of spasmodic torticollis. Neurology 1988; 38: 530–532.CrossRefGoogle ScholarPubMed
26.Tsui, JKC, Calne, DB.Botulinum toxin in cervical dystonia. In: Jankovic, J, Tolosa, E, eds. Advances in Neurology, Vol. 49: Facial dyskinesias. New York: Raven Press, 1988: 473–478.Google Scholar
27.Borodic, GE, Pearce, B, Smith, K, Joseph, M.Botulinum A toxin for spasmodic torticollis: multiple vs. single injection points per muscle. Head, & Neck, 1992; 14: 33–37.Google ScholarPubMed
28.Autret, A, Lucas, B, Henry, F, Saudeau, D, de Toffel, B.Influence du sommeil sur les mouvements anormaux de la veille. Neurophysiol Clin 1994; 24: 218–226.CrossRefGoogle Scholar