MovDisordV3, Main, Exploration, bibRecord, 000782

Sensory Tricks in Primary Cervical Dystonia Depend on Visuotactile Temporal Discrimination

Identifieur interne : 000782 ( Main/Exploration ); précédent : 000781; suivant : 000783

Sensory Tricks in Primary Cervical Dystonia Depend on Visuotactile Temporal Discrimination

Auteurs : Georg K Gi [Royaume-Uni, Suisse] ; Petra Katschnig [Royaume-Uni, Autriche] ; Mirta Fiorio [Italie] ; Michele Tinazzi [Italie] ; Diane Ruge [Royaume-Uni] ; John Rothwell [Royaume-Uni] ; Kailash P. Bhatia [Royaume-Uni]

Source :

Movement Disorders [ 0885-3185 ] ; 2013.

RBID : PMC:3664415

English descriptors

KwdEn :
- Aged, Analysis of Variance, Discrimination (Psychology) (physiology), Female, Humans, Male, Middle Aged, Photic Stimulation, Sensation Disorders (etiology), Torticollis (complications), Torticollis (psychology), Touch (physiology).
MESH :
- complications : Torticollis.
- etiology : Sensation Disorders.
- physiology : Discrimination (Psychology), Touch.
- psychology : Torticollis.
- Aged, Analysis of Variance, Female, Humans, Male, Middle Aged, Photic Stimulation.

Abstract

A characteristic feature of primary cervical dystonia is the presence of “sensory tricks” as well as the impairment of temporal and spatial sensory discrimination on formal testing. The aim of the present study was to test whether the amount of improvement of abnormal head deviation due to a sensory trick is associated with different performance of temporal sensory discrimination in patients with cervical dystonia. We recruited 32 patients with cervical dystonia. Dystonia severity was assessed using the Toronto Western Spasmodic Torticollis Rating Scale. Patients were rated according to clinical improvement to a sensory trick and assigned to 1 of the following groups: (1) no improvement (n = 6), (2) partial improvement (n = 17), (3) complete improvement (n = 9). Temporal discrimination thresholds were assessed for visual, tactile, and visuotactile modalities. Disease duration was shorter (P = .026) and dystonia severity lower (P = .033) in the group with complete improvement to sensory tricks compared with the group with partial improvement to sensory tricks. A significant effect for group and modality and a significant interaction between group × modality were found, with lower visuotactile discrimination thresholds in the group with complete improvement to sensory tricks compared with the other groups. In primary cervical dystonia, a complete resolution of dystonia during a sensory trick is associated with better visuotactile discrimination and shorter disease duration compared with patients with less effective sensory tricks, which may reflect progressive loss of adaptive mechanisms to basal ganglia dysfunction. © 2013 Movement Disorder Society

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664415

DOI: 10.1002/mds.25305
PubMed: 23283764
PubMed Central: 3664415

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>A characteristic feature of primary cervical dystonia is the presence of “sensory tricks” as well as the impairment of temporal and spatial sensory discrimination on formal testing. The aim of the present study was to test whether the amount of improvement of abnormal head deviation due to a sensory trick is associated with different performance of temporal sensory discrimination in patients with cervical dystonia. We recruited 32 patients with cervical dystonia. Dystonia severity was assessed using the Toronto Western Spasmodic Torticollis Rating Scale. Patients were rated according to clinical improvement to a sensory trick and assigned to 1 of the following groups: (1) no improvement (n = 6), (2) partial improvement (n = 17), (3) complete improvement (n = 9). Temporal discrimination thresholds were assessed for visual, tactile, and visuotactile modalities. Disease duration was shorter (<italic>P</italic>
 = .026) and dystonia severity lower (<italic>P</italic>
 = .033) in the group with complete improvement to sensory tricks compared with the group with partial improvement to sensory tricks. A significant effect for group and modality and a significant interaction between group × modality were found, with lower visuotactile discrimination thresholds in the group with complete improvement to sensory tricks compared with the other groups. In primary cervical dystonia, a complete resolution of dystonia during a sensory trick is associated with better visuotactile discrimination and shorter disease duration compared with patients with less effective sensory tricks, which may reflect progressive loss of adaptive mechanisms to basal ganglia dysfunction. © 2013 <italic>Movement</italic>
 Disorder Society</p>
</div>
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Movement Disorders (revue)

Sensory Tricks in Primary Cervical Dystonia Depend on Visuotactile Temporal Discrimination

Sensory Tricks in Primary Cervical Dystonia Depend on Visuotactile Temporal Discrimination

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	Movement Disorders (revue)
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