Table tennis dystonia
Identifieur interne : 000901 ( Istex/Curation ); précédent : 000900; suivant : 000902Table tennis dystonia
Auteurs : Anne Le Floch [France] ; Marie Vidailhet [France] ; Constance Flamand-Rouvière [France] ; David Grabli [France] ; Jean-Michel Mayer [France] ; Michel Gonce [Belgique] ; Emmanuel Broussolle [France] ; Emmanuel Roze [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-02-15.
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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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xml:lang="fr">France</country><wicri:regionArea>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, UMR_S679, Neurology and Experimental Therapeutics, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Mayer, Jean Ichel" sort="Mayer, Jean Ichel" uniqKey="Mayer J" first="Jean-Michel" last="Mayer">Jean-Michel Mayer</name><affiliation wicri:level="1"><mods:affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Gonce, Michel" sort="Gonce, Michel" uniqKey="Gonce M" first="Michel" last="Gonce">Michel Gonce</name><affiliation wicri:level="1"><mods:affiliation>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège, Belgique</mods:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Service Universitaire de Neurologie, CHR de la Citadelle et Service de Neurologie Réparatrice, Clinique Le Péri, Liège</wicri:regionArea></affiliation></author><author><name sortKey="Broussolle, Emmanuel" sort="Broussolle, Emmanuel" uniqKey="Broussolle E" first="Emmanuel" last="Broussolle">Emmanuel Broussolle</name><affiliation wicri:level="1"><mods:affiliation>Université Lyon I; Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lyon I; Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>CNRS, UMR 5229, Centre de Neurosciences Cognitives, Lyon, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CNRS, UMR 5229, Centre de Neurosciences Cognitives, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name><affiliation wicri:level="1"><mods:affiliation>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Fédération des Maladies du Sytème Nerveux, Hôpital Pitié‐Salpêtrière, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Pierre et Marie Curie‐Paris6, INSERM, UMRS 975, CNRS UMR 7225, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Centre d'Investigation Clinique 9503, INSERM, AP‐HP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre d'Investigation Clinique 9503, INSERM, AP‐HP, Paris</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-02-15">2010-02-15</date><biblScope unit="vol">25</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="394">394</biblScope><biblScope unit="page" to="397">397</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">5DB80B3A2FBFD04F072C28952381BC9C956C9A33</idno><idno type="DOI">10.1002/mds.22968</idno><idno type="ArticleID">MDS22968</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>pathophysiology</term><term>plasticity</term><term>risk factor</term><term>sport</term><term>task‐specific dystonia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml: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</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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