Changing the Brain through Therapy for Musicians' Hand Dystonia

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Changing the brain through therapy for musicians' hand dystonia.

Focal hand dystonia is a disorder in which sensory and motor anomalies emerge that appear to be grounded in maladaptive routes of cortical plasticity. Remodeling cortical networks through sensory-motor retuning (SMR), we achieved long-term reduction in the symptoms of focal hand dystonia. Magnetoencephalography confirmed that SMR modified the representational cortex of the fingers, whereby the ...

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Constraint-induced movement therapy for focal hand dystonia in musicians.

splint) movement sequences and passages from their repertoire that had tended to generate dystonic movements in the past. All patients showed improvement without the splint at the end of treatment. The DES scores are given in the figure. The ratings on the scale range from: 0=dystonia as bad as at its worst, 1=slightly improved, 2=moderately improved, 3=almost normal, and 4=normal. A one-way an...

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The challenge of diagnosing focal hand dystonia in musicians.

BACKGROUND AND PURPOSE To most clinicians, medical problems in musicians, particularly those concerning focal hand dystonia, constitute an unfamiliar domain difficult to manage. The latter can importantly influence diagnostics and the course of treatment. The purpose of this study was to enlighten the issue and to identify possible problems in diagnosing musicians' cramp within the Spanish medi...

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The hand that has forgotten its cunning--lessons from musicians' hand dystonia.

Focal task-specific dystonia of the musicians' hand (FTSDmh) is an occupational movement disorder that affects instrumental musicians and often derails careers. There has been speculation on the role of intense practice or the specific technical demands of various instruments as triggers for the development of FTSDmh. In this study, we review the clinical features of all published cases (899 pa...

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Focal dystonia in musicians.

INTRODUCTION A special group of focal dystonia is that known as occupational, which include dystonic disorders triggered by repetitive motor activity, closely associated with the professional activity of a specific task that the affected person performs. In this sense, musicians are a population particularly vulnerable to this disorder, which is presented during the execution of highly trained ...

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ژورنال

عنوان ژورنال: Annals of the New York Academy of Sciences

سال: 2005

ISSN: 0077-8923

DOI: 10.1196/annals.1360.028