Table tennis dystonia
Identifieur interne : 000901 ( Istex/Corpus ); précédent : 000900; suivant : 000902Table tennis dystonia
Auteurs : Anne Le Floch ; Marie Vidailhet ; Constance Flamand-Rouvière ; David Grabli ; Jean-Michel Mayer ; Michel Gonce ; Emmanuel Broussolle ; Emmanuel RozeSource :
- Movement Disorders [ 0885-3185 ] ; 2010-02-15.
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- KwdEn :
Abstract
Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society
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DOI: 10.1002/mds.22968
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ISTEX:5DB80B3A2FBFD04F072C28952381BC9C956C9A33Le document en format XML
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Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Anne Le Floch MD</name><affiliations><json:string>Service de Neurologie, Hôpital Nîmes, Nîmes, France</json:string></affiliations></json:item><json:item><name>Marie Vidailhet MD</name><affiliations><json:string>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</json:string><json:string>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</json:string><json:string>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</json:string></affiliations></json:item><json:item><name>Constance Flamand‐Rouvière ST</name><affiliations><json:string>Service de Neurologie, Hôpital de Bicêtre, Le Kremlin Bicêtre, France</json:string></affiliations></json:item><json:item><name>David Grabli MD, PhD</name><affiliations><json:string>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</json:string><json:string>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</json:string><json:string>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</json:string></affiliations></json:item><json:item><name>Jean‐Michel Mayer MD</name><affiliations><json:string>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</json:string></affiliations></json:item><json:item><name>Michel Gonce MD</name><affiliations><json:string>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège, Belgique</json:string></affiliations></json:item><json:item><name>Emmanuel Broussolle MD, PhD</name><affiliations><json:string>Université Lyon I; Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon, France</json:string><json:string>CNRS, UMR 5229, Centre de Neurosciences Cognitives, Lyon, France</json:string></affiliations></json:item><json:item><name>Emmanuel Roze MD, PhD</name><affiliations><json:string>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</json:string><json:string>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</json:string><json:string>Centre d'Investigation Clinique 9503, INSERM, AP‐HP, Paris, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>task‐specific dystonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>risk factor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>plasticity</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>pathophysiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sport</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society</abstract><qualityIndicators><score>7.196</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1305</abstractCharCount><pdfWordCount>10926</pdfWordCount><pdfCharCount>72525</pdfCharCount><pdfPageCount>20</pdfPageCount><abstractWordCount>183</abstractWordCount></qualityIndicators><title>Table tennis dystonia</title><genre><json:string>Serial article</json:string></genre><host><volume>25</volume><pages><total>4</total><last>397</last><first>394</first></pages><issn><json:string>0885-3185</json:string></issn><issue>3</issue><subject><json:item><value>Brief Report</value></json:item></subject><genre></genre><language><json:string>unknown</json:string></language><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>2010</publicationDate><copyrightDate>2010</copyrightDate><doi><json:string>10.1002/mds.22968</json:string></doi><id>5DB80B3A2FBFD04F072C28952381BC9C956C9A33</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/5DB80B3A2FBFD04F072C28952381BC9C956C9A33/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/5DB80B3A2FBFD04F072C28952381BC9C956C9A33/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/5DB80B3A2FBFD04F072C28952381BC9C956C9A33/fulltext/tei"><teiHeader type="text"><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Table tennis dystonia</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>2010</date></publicationStmt><notesStmt><note>Video</note><note type="content">*Potential conflict of interest: Nothing to report.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Table tennis dystonia</title><author><persName><forename type="first">Anne</forename><surname>Le Floch</surname><roleName type="degree">MD</roleName></persName><affiliation>Service de Neurologie, Hôpital Nîmes, Nîmes, France</affiliation></author><author><persName><forename type="first">Marie</forename><surname>Vidailhet</surname><roleName type="degree">MD</roleName></persName><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</affiliation><affiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</affiliation></author><author><persName><forename type="first">Constance</forename><surname>Flamand‐Rouvière</surname><roleName type="degree">ST</roleName></persName><affiliation>Service de Neurologie, Hôpital de Bicêtre, Le Kremlin Bicêtre, France</affiliation></author><author><persName><forename type="first">David</forename><surname>Grabli</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</affiliation><affiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</affiliation></author><author><persName><forename type="first">Jean‐Michel</forename><surname>Mayer</surname><roleName type="degree">MD</roleName></persName><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation></author><author><persName><forename type="first">Michel</forename><surname>Gonce</surname><roleName type="degree">MD</roleName></persName><affiliation>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège, Belgique</affiliation></author><author><persName><forename type="first">Emmanuel</forename><surname>Broussolle</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Université Lyon I; 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Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="30"><doi origin="wiley" registered="yes">10.1002/mds.v25:3</doi><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">3</numbering></numberingGroup><coverDate startDate="2010-02-15">15 February 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="210" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.22968</doi><idGroup><id type="unit" value="MDS22968"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="articleCategory">Brief Report</title><title type="tocHeading1">Brief Reports</title></titleGroup><copyright ownership="thirdParty">Copyright © 2010 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="2009-09-28"></event><event type="manuscriptRevised" date="2009-11-11"></event><event type="manuscriptAccepted" date="2009-11-19"></event><event type="firstOnline" date="2010-01-27"></event><event type="publishedOnlineFinalForm" date="2010-02-24"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2010-01-27"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:3.3.2 mode:FullText" date="2014-07-01"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.3.2 mode:FullText" date="2014-07-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">394</numbering><numbering type="pageLast">397</numbering></numberingGroup><correspondenceTo>Fédération de Maladies du Système Nerveux, Groupe Hospitalier, Pitié‐Salpêtrière, 47‐83 Boulevard de l'Hôpital, 75651 Paris Cedex 13, France===</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS22968.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="18"></count><count type="wordTotal" number="3146"></count></countGroup><titleGroup><title type="main" xml:lang="en">Table tennis dystonia<link href="#fn2"></link></title><title type="short" xml:lang="en">Table Tennis Dystonia</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Anne</givenNames><familyName>Le Floch</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2 #af3 #af4"><personName><givenNames>Marie</givenNames><familyName>Vidailhet</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Constance</givenNames><familyName>Flamand‐Rouvière</familyName><degrees>ST</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af2 #af3 #af4"><personName><givenNames>David</givenNames><familyName>Grabli</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Jean‐Michel</givenNames><familyName>Mayer</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af6"><personName><givenNames>Michel</givenNames><familyName>Gonce</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af7 #af8"><personName><givenNames>Emmanuel</givenNames><familyName>Broussolle</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af2 #af3 #af9" corresponding="yes"><personName><givenNames>Emmanuel</givenNames><familyName>Roze</familyName><degrees>MD, PhD</degrees></personName><contactDetails><email>emmanuel.roze@psl.aphp.fr</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="FR" type="organization"><unparsedAffiliation>Service de Neurologie, Hôpital Nîmes, Nîmes, France</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="FR" type="organization"><unparsedAffiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="FR" type="organization"><unparsedAffiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="FR" type="organization"><unparsedAffiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="FR" type="organization"><unparsedAffiliation>Service de Neurologie, Hôpital de Bicêtre, Le Kremlin Bicêtre, France</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="BE" type="organization"><unparsedAffiliation>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège, Belgique</unparsedAffiliation></affiliation><affiliation xml:id="af7" countryCode="FR" type="organization"><unparsedAffiliation>Université Lyon I; Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon, France</unparsedAffiliation></affiliation><affiliation xml:id="af8" countryCode="FR" type="organization"><unparsedAffiliation>CNRS, UMR 5229, Centre de Neurosciences Cognitives, Lyon, France</unparsedAffiliation></affiliation><affiliation xml:id="af9" countryCode="FR" type="organization"><unparsedAffiliation>Centre d'Investigation Clinique 9503, INSERM, AP‐HP, Paris, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">task‐specific dystonia</keyword><keyword xml:id="kwd2">risk factor</keyword><keyword xml:id="kwd3">plasticity</keyword><keyword xml:id="kwd4">pathophysiology</keyword><keyword xml:id="kwd5">sport</keyword></keywordGroup><supportingInformation><supportingInfoItem><mediaResource alt="supporting information" href="urn-x:wiley:08853185:media:mds22968:TTdystoniaMDS22968"></mediaResource><caption>Video</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn2"><p>Potential conflict of interest: Nothing to report.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Table tennis dystonia</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Table Tennis Dystonia</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Table tennis dystonia</title></titleInfo><name type="personal"><namePart type="given">Anne</namePart><namePart type="family">Le Floch</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Service de Neurologie, Hôpital Nîmes, Nîmes, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marie</namePart><namePart type="family">Vidailhet</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</affiliation><affiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Constance</namePart><namePart type="family">Flamand‐Rouvière</namePart><namePart type="termsOfAddress">ST</namePart><affiliation>Service de Neurologie, Hôpital de Bicêtre, Le Kremlin Bicêtre, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David</namePart><namePart type="family">Grabli</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</affiliation><affiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean‐Michel</namePart><namePart type="family">Mayer</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michel</namePart><namePart type="family">Gonce</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège, Belgique</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emmanuel</namePart><namePart type="family">Broussolle</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Université Lyon I; Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon, France</affiliation><affiliation>CNRS, UMR 5229, Centre de Neurosciences Cognitives, Lyon, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emmanuel</namePart><namePart type="family">Roze</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</affiliation><affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</affiliation><affiliation>Centre d'Investigation Clinique 9503, INSERM, AP‐HP, Paris, France</affiliation><description>Correspondence: Fédération de Maladies du Système Nerveux, Groupe Hospitalier, Pitié‐Salpêtrière, 47‐83 Boulevard de l'Hôpital, 75651 Paris Cedex 13, France===</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2010-02-15</dateIssued><dateCaptured encoding="w3cdtf">2009-09-28</dateCaptured><dateValid encoding="w3cdtf">2009-11-19</dateValid><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">1</extent><extent unit="references">18</extent><extent unit="words">3146</extent></physicalDescription><abstract lang="en">Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society</abstract><note type="additional physical form">Video</note><note type="content">*Potential conflict of interest: Nothing to report.</note><subject lang="en"><genre>Keywords</genre><topic>task‐specific dystonia</topic><topic>risk factor</topic><topic>plasticity</topic><topic>pathophysiology</topic><topic>sport</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. 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