{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:08:16Z","timestamp":1777727296533,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea Grant","doi-asserted-by":"crossref","award":["Grant No. NRF-2022R1F1A1072553"],"award-info":[{"award-number":["Grant No. NRF-2022R1F1A1072553"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Thrust manipulation is one of the most commonly used techniques for managing musculoskeletal pain in clinical practice. This involves the application of a high-velocity, low-amplitude force directed to the joints with the intent of achieving joint cavitation. This current case report describes a female in her mid-20s who presented with excessive bilateral and involuntary hand muscle contractions after bilateral thrust manipulation. Dystonia appeared both at rest and during voluntary movements but was aggravated by actions such as finger flexion or spreading and disappeared during sleep. A diagnosis of complex regional pain syndrome (CRPS) type I combined with dystonia was made. Prednisolone administered between 2 and 5 weeks after symptom onset significantly reduced CRPS symptoms, but intramuscular botulinum toxin injection 5 weeks after symptom onset was ineffective at controlling her symptoms. Seven weeks after symptom onset, the patient was administered 2\u2009mg trihexyphenidyl oral twice a day, 2.5\u2009mg diazepam oral twice a day and 5\u2009mg baclofen oral three times a day for 1 month and this significantly reduced dystonia, but complete resolution was not achieved. Clinicians should be aware that dystonia is a rare complication of thrust manipulation.<\/jats:p>","DOI":"10.1177\/03000605241289284","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T08:08:53Z","timestamp":1728547733000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral hand dystonia following high-velocity thrust manipulation: a case report"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-7213","authenticated-orcid":false,"given":"Min Cheol","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0259-8520","authenticated-orcid":false,"given":"Mathieu","family":"Boudier-Rev\u00e9ret","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul","family":"Brutus","sequence":"additional","affiliation":[{"name":"Exception MD, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7522-1655","authenticated-orcid":false,"given":"Seoyon","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, School of Medicine, Ewha Woman's University Seoul Hospital, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"bibr1-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1177\/02692155231225705"},{"key":"bibr2-03000605241289284","unstructured":"Pana A, Saggu BM. Dystonia. In:\n                      StatPearls\n                      . StatPearls Publishing Copyright \u00a9 20 24, StatPearls Publishing LLC; 2024."},{"key":"bibr3-03000605241289284","first-page":"1435","volume":"28","author":"Stephen CD.","year":"2022","journal-title":"Continuum (Minneap Minn)"},{"key":"bibr4-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2017.05.040"},{"key":"bibr5-03000605241289284","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2024.1305925"},{"key":"bibr6-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1179\/2042618615Y.0000000012"},{"key":"bibr7-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.04.030"},{"key":"bibr8-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1111\/papr.13090"},{"key":"bibr9-03000605241289284","doi-asserted-by":"publisher","DOI":"10.3390\/toxins16080371"},{"key":"bibr10-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1186\/s40734-016-0047-6"},{"key":"bibr11-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"bibr12-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2010.232504"},{"key":"bibr13-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182287aaf"},{"key":"bibr14-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21424"},{"key":"bibr15-03000605241289284","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2009.08.008"},{"key":"bibr16-03000605241289284","doi-asserted-by":"publisher","DOI":"10.5334\/tohm.758"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241289284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605241289284","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605241289284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:49:05Z","timestamp":1777459745000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605241289284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/03000605241289284"],"URL":"https:\/\/doi.org\/10.1177\/03000605241289284","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"article-number":"03000605241289284"}}