Osteopathic correction in the complex therapy of patients with hemispasm

Introduction. Hemispasm is a severe neurological disease from the group of extrapyramidal disorders. This pathology, in addition to physical inconvenience, forms a person’s pronounced social problems due to cosmetic defects, significantly reduces the life quality, and increases the anxiety and depression level. The existing methods of therapy, both conservative and operative, do not always lead to the achievement of the set goal. This dictates the need searching for new treatment (including non-drug) methods with further introduction of it into clinical practice, and the development of new protocols for complex treatment of this patients group.

The goal of research — to research the clinical effectiveness of the osteopathic correction methods in the complex therapy of patients with hemispasm.

Materials and methods. From January to December 2019, a prospective controlled randomized study was conducted at the day‘ hospital of the Central City Clinical Hospital № 23 in Yekaterinburg. The study included 48 patients with facial hemispasm. 8 people left the study in accordance with the exclusion criteria. The remaining patients were divided by a simple randomization method using a random number generator into two equal groups of 20 people: the main and the control. The main group received standard drug therapy and additional osteopathic correction. In total, each patient underwent 4 sessions of osteopathic correction of 45 minutes each with an interval of 7 to 10 days. Patients in the control group received only standard drug therapy. All patients were examined by an osteopathic physician before and after the completion of treatment with an assessment of their osteopathic state. Also, all respondents were assessed for the degree of the palpebral fissure opening on the affected side, the anxiety and depression level, and the severity of the pain syndrome.

Results. Analysis of the dynamics of somatic dysfunctions (SD) average number, as well as the SD detection frequency at the global, regional and local levels in patients with hemispasm during treatment showed that the SD number and detection frequency statistically significantly decreased (p<0,05) in the main group patients in comparison with the control group as a result of the osteopathic correction inclusion in the complex therapy of patients with this nosology. In patients with hemispasm receiving osteopathic correction, there was a significantly more significant decrease of the pain syndrome severity and the anxiety and depression level (p<0,05). In terms of the palpebral fissure narrowing degree, there were no statistically significant differences between the groups after the treatment.

Conclusion. The obtained results allow us to recommend the inclusion of personalized osteopathic correction in the complex therapy of patients with facial hemispasm in order to increase the treatment effectiveness.

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