眼瞼痙撃に対する筋電図バイオフィードバック療法など多元的なアプローチ

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EMG - Biofeedback training and multidisciplinary approach was attempted on 12 patients (pts.) suffering from blephalospasm. The pts. were excluded in this report who were treated successfully only with pharmacological therapy. These pts were treated stepwise with EMG - BFT, autogenic training, desensitization treatment (DST) and / or cognitive therapy (CT) if these were not sufficiently effective. Results showed that 7 pts improved and came back in social activity, 3 were moderately improved without full social comeback, 1 was minimumly improved and 1 dropped out. 11 of 12 pts were characterized with behavior pattern of overuse of eyes and / or ophthalogical fatigue. Psychological factors were one of main causes in 10 pts. In regard to treatment modality, admission therapy was better than out - patient therapy in our clinical results. As for the number of sessions, pts treated more than 10 sessions showed better results than those who were treated between 3 and 9 sessions. In the strategy of EMC-BFT, when BFT was jointly used with cognitive approach, pts seemed more successful in the self-regulation of involuntary orbital muscle spasm than BFT solely oriented to muscle relaxation (Fig.3). Although each of single treatment modality is not sufficiently effective in blephalospasm, with joint interventions which have proper therapeutic mechanism, it becomes possible for therapists to improve various biosocio-behavioral pathological causes of refractory blephalospasm.
日本バイオフィードバック学会の論文
1995-07-31

眼瞼痙撃に対する筋電図バイオフィードバック療法など多元的なアプローチ

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