MovDisordV3, Main, Curation, bibRecord, 001303

Transcranial direct current stimulation for the treatment of focal hand dystonia

Identifieur interne : 001303 ( Main/Curation ); précédent : 001302; suivant : 001304

Transcranial direct current stimulation for the treatment of focal hand dystonia

Auteurs : David H. Benninger [États-Unis, Suisse] ; Mikhail Lomarev [États-Unis, Russie] ; Grisel Lopez [États-Unis] ; Natassja Pal [États-Unis] ; David A. Luckenbaugh [États-Unis] ; Mark Hallett [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2011-08-01.

RBID : ISTEX:544E8CDAE45C262C94B6E22A8FE4D6B45142B239

Descripteurs français

Pascal (Inist)
- Courant continu, Dystonie, Encéphale, Main, Pathologie du système nerveux, Traitement.

English descriptors

KwdEn :
- Adult, Aged, Biomechanical Phenomena, Direct current, Double-Blind Method, Dystonia, Dystonic Disorders (therapy), Encephalon, Female, Hand, Handwriting, Humans, Male, Middle Aged, Nervous system diseases, Neural Conduction (physiology), Neurophysiology (methods), Pain Measurement, Transcranial Magnetic Stimulation (methods), Treatment, focal hand dystonia, noninvasive brain stimulation, therapeutic study, transcranial direct current stimulation (tDCS).
MESH :
- methods : Neurophysiology, Transcranial Magnetic Stimulation.
- physiology : Neural Conduction.
- therapy : Dystonic Disorders.
- Adult, Aged, Biomechanical Phenomena, Double-Blind Method, Female, Handwriting, Humans, Male, Middle Aged, Pain Measurement.

Abstract

The treatment of writer's cramp, a task‐specific focal hand dystonia, needs new approaches. A deficiency of inhibition in the motor cortex might cause writer's cramp. Transcranial direct current stimulation modulates cortical excitability and may provide a therapeutic alternative. In this randomized, double‐blind, sham‐controlled study, we investigated the efficacy of cathodal stimulation of the contralateral motor cortex in 3 sessions in 1 week. Assessment over a 2‐week period included clinical scales, subjective ratings, kinematic handwriting analysis, and neurophysiological evaluation. Twelve patients with unilateral dystonic writer's cramp were investigated; 6 received transcranial direct current and 6 sham stimulation. Cathodal transcranial direct current stimulation had no favorable effects on clinical scales and failed to restore normal handwriting kinematics and cortical inhibition. Subjective worsening remained unexplained, leading to premature study termination. Repeated sessions of cathodal transcranial direct current stimulation of the motor cortex yielded no favorable results supporting a therapeutic potential in writer's cramp. © 2011 Movement Disorder Society

Url:

DOI: 10.1002/mds.23691

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ISTEX:544E8CDAE45C262C94B6E22A8FE4D6B45142B239

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<front><div type="abstract" xml:lang="en">The treatment of writer's cramp, a task-specific focal hand dystonia, needs new approaches. A deficiency of inhibition in the motor cortex might cause writer's cramp. Transcranial direct current stimulation modulates cortical excitability and may provide a therapeutic alternative. In this randomized, double-blind, sham-controlled study, we investigated the efficacy of cathodal stimulation of the contralateral motor cortex in 3 sessions in 1 week. Assessment over a 2-week period included clinical scales, subjective ratings, kinematic handwriting analysis, and neurophysiological evaluation. Twelve patients with unilateral dystonic writer's cramp were investigated; 6 received transcranial direct current and 6 sham stimulation. Cathodal transcranial direct current stimulation had no favorable effects on clinical scales and failed to restore normal handwriting kinematics and cortical inhibition. Subjective worsening remained unexplained, leading to premature study termination. Repeated sessions of cathodal transcranial direct current stimulation of the motor cortex yielded no favorable results supporting a therapeutic potential in writer's cramp.</div>
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<affiliation wicri:level="1"><country xml:lang="fr">Suisse</country>
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<author><name sortKey="Lomarev, Mikhail" sort="Lomarev, Mikhail" uniqKey="Lomarev M" first="Mikhail" last="Lomarev">Mikhail Lomarev</name>
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<author><name sortKey="Luckenbaugh, David A" sort="Luckenbaugh, David A" uniqKey="Luckenbaugh D" first="David A." last="Luckenbaugh">David A. Luckenbaugh</name>
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<author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
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<idno type="ISSN">0885-3185</idno>
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<term>Female</term>
<term>Handwriting</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neural Conduction (physiology)</term>
<term>Neurophysiology (methods)</term>
<term>Pain Measurement</term>
<term>Transcranial Magnetic Stimulation (methods)</term>
<term>focal hand dystonia</term>
<term>noninvasive brain stimulation</term>
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<front><div type="abstract" xml:lang="en">The treatment of writer's cramp, a task‐specific focal hand dystonia, needs new approaches. A deficiency of inhibition in the motor cortex might cause writer's cramp. Transcranial direct current stimulation modulates cortical excitability and may provide a therapeutic alternative. In this randomized, double‐blind, sham‐controlled study, we investigated the efficacy of cathodal stimulation of the contralateral motor cortex in 3 sessions in 1 week. Assessment over a 2‐week period included clinical scales, subjective ratings, kinematic handwriting analysis, and neurophysiological evaluation. Twelve patients with unilateral dystonic writer's cramp were investigated; 6 received transcranial direct current and 6 sham stimulation. Cathodal transcranial direct current stimulation had no favorable effects on clinical scales and failed to restore normal handwriting kinematics and cortical inhibition. Subjective worsening remained unexplained, leading to premature study termination. Repeated sessions of cathodal transcranial direct current stimulation of the motor cortex yielded no favorable results supporting a therapeutic potential in writer's cramp. © 2011 Movement Disorder Society</div>
</front>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Transcranial direct current stimulation for the treatment of focal hand dystonia

Transcranial direct current stimulation for the treatment of focal hand dystonia

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