Journal ArticleDOI
Botulinum toxin injections in the treatment of musician's dystonia
TLDR
The authors present the results of 84 musicians with focal task-specific dystonia treated with EMG-guided botulinum toxin injections, finding that half of the musicians experienced improvement from the injections and 30 reported long-term benefit in their performance ability.Abstract:
The authors present the results of 84 musicians with focal task-specific dystonia treated with EMG-guided botulinum toxin injections. Treatment outcome was assessed by subjective estimation of playing before and after treatment and self-rating of treatment response. Fifty-eight (69%) of the musicians experienced improvement from the injections and 30 of 84 musicians (36%) reported long-term benefit in their performance ability.read more
Citations
More filters
Journal ArticleDOI
Treatment of dystonia
TL;DR: Although pathogenesis-targeted treatment is still elusive, the currently available symptomatic treatment strategies are quite effective for some types of dystonia in relieving involuntary movements, correcting abnormal posture, preventing contractures, reducing pain, and improving function and quality of life.
Journal ArticleDOI
Medical treatment of dystonia
TL;DR: This review focuses on evidence‐based medical treatment of dystonia, highlighting recent advances, with emphasis on individualized approach.
Journal ArticleDOI
Task-specific Dystonias
TL;DR: Task‐specific dystonia are primary focal dystonias characterized by excessive muscle contractions producing abnormal postures during selective motor activities that often involve highly skilled, repetitive movements.
Journal ArticleDOI
Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
TL;DR: Findings include reduced inhibition at different levels of the central nervous system, maladaptive plasticity and altered sensory perception, and alterations in sensorimotor integration that strengthen the assumption that behavioral factors may be involved in the etiology of musician's dystonia.
Journal ArticleDOI
Focal dystonia in musicians: Treatment strategies and long‐term outcome in 144 patients
Hans-Christian Jabusch,Dorothea Zschucke,Alexander Schmidt,Stephan U. Schuele,Eckart Altenmüller +4 more
TL;DR: The long‐term outcome of 144 musicians with focal dystonia after treatment with botulinum toxin, trihexiphenidyl, pedagogical retraining, Pedagogical Retraining, ergonomic changes, or nonspecific exercises on the instrument is presented.
References
More filters
Journal ArticleDOI
Focal dystonia: advances in brain imaging and understanding of fine motor control in musicians.
TL;DR: The neuroanatomic and neurophysiologic foundations of music performance and learning are reviewed and overuse of movement patterns may induce a degradation of motor memory that results in a loss of voluntary control of movements, called musician's cramp.
Journal ArticleDOI
The natural history of embouchure dystonia.
Steven J. Frucht,Stanley Fahn,Paul Greene,Christopher F. O'Brien,Michael Gelb,Daniel D. Truong,John P. Welsh,Stewart A. Factor,Blair Ford +8 more
TL;DR: This is the largest and most comprehensively studied series of patients with focal task‐specific dystonia of the embouchure (the pattern of lip, jaw, and tongue muscles used to control the flow of air into a mouthpiece), and effective treatments are needed.
Journal ArticleDOI
Long-term botulinum toxin treatment of focal hand dystonia.
TL;DR: Botulinum toxin injection is safe and effective for the long-term management of focal hand dystonia and women, who had a greater extent and longer duration of benefit than men, were more likely to continue treatment.
Journal ArticleDOI
Limb immobilization for the treatment of focal occupational dystonia
TL;DR: Assessment 4 weeks after splint removal, when patients had regained normal voluntary movements, showed that the severity of dystonia and the patients’ performance of the impaired motor task had improved; the benefit persisted unchanged at later follow-up visits andLimb immobilization can be a simple, effective, safe, and inexpensive treatment for focal occupational upper-limb dySTONia.
Journal ArticleDOI
Approach to the Treatment of Limb Disorders With Botulinum Toxin A: Experience With 187 Patients
TL;DR: Botulinum toxin A was significantly more effective when only a few muscles needing low doses were injected, and tended to be more useful in dystonia and spasticity than tremor, and to be a safe and useful treatment of various limb conditions.