Embouchure dystonia—Portrait of a task‐specific cranial dystonia
Identifieur interne : 002325 ( Main/Exploration ); précédent : 002324; suivant : 002326Embouchure dystonia—Portrait of a task‐specific cranial dystonia
Auteurs : Steven J. Frucht [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-09-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Musique.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Dystonia, Dystonia (diagnosis), Dystonia (physiopathology), Dystonia (therapy), Facial Muscles (physiopathology), Female, Humans, Lip (physiopathology), Male, Middle Aged, Music, Nervous system diseases, Sensory Thresholds (physiology), Young Adult, dystonia, embouchure, music, task‐specific.
- MESH :
- diagnosis : Dystonia.
- physiology : Sensory Thresholds.
- physiopathology : Dystonia, Facial Muscles, Lip.
- therapy : Dystonia.
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Music, Young Adult.
Abstract
Focal task‐specific dystonia (FTSD) is an unusual disorder of motor control, which typically affects the hand but may also involve the face, jaw, and tongue. We report 89 musicians with dystonia of the embouchure (ED), the muscles of the lower face, jaw, and tongue used to control the flow of air into the mouthpiece of a woodwind or brass instrument. Symptoms of ED began at an average age of 36, were typically painless and only rarely were preceded by trauma. Specific musical techniques commonly triggered dystonia, often in one instrumental register. Task‐specific embouchure tremor and lip‐pulling ED phenotypes were common among high‐register brass players (trumpet and French horn), whereas lip‐locking occurred exclusively in low‐register brass players (trombone and tuba). Jaw and tongue ED phenotypes occurred predominantly in woodwind players, and once present, frequently spread to speaking or eating. Six percent of all ED patients had coincident writer's cramp, suggesting a possible genetic predisposition to develop dystonia. We assessed two‐point sensory discrimination in the upper lip, lower lip, and hand in ED patients, normal musicians, and nonmusician age‐matched controls—there were no differences between groups. Once present, symptoms of ED did not remit and often disrupted careers and livelihoods. Better treatments are urgently needed for this unusual disorder of oral motor control. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22550
Affiliations:
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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="2009-09-15">2009-09-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1752">1752</biblScope><biblScope unit="page" to="1762">1762</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4ABA03D692FC1BA9C64BD1B7D54C86B923BC829C</idno><idno type="DOI">10.1002/mds.22550</idno><idno type="ArticleID">MDS22550</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Dystonia</term><term>Dystonia (diagnosis)</term><term>Dystonia (physiopathology)</term><term>Dystonia (therapy)</term><term>Facial Muscles (physiopathology)</term><term>Female</term><term>Humans</term><term>Lip (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Nervous system diseases</term><term>Sensory Thresholds (physiology)</term><term>Young Adult</term><term>dystonia</term><term>embouchure</term><term>music</term><term>task‐specific</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Sensory Thresholds</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term><term>Facial Muscles</term><term>Lip</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Musique</term><term>Pathologie du système nerveux</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Musique</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Focal task‐specific dystonia (FTSD) is an unusual disorder of motor control, which typically affects the hand but may also involve the face, jaw, and tongue. We report 89 musicians with dystonia of the embouchure (ED), the muscles of the lower face, jaw, and tongue used to control the flow of air into the mouthpiece of a woodwind or brass instrument. Symptoms of ED began at an average age of 36, were typically painless and only rarely were preceded by trauma. Specific musical techniques commonly triggered dystonia, often in one instrumental register. Task‐specific embouchure tremor and lip‐pulling ED phenotypes were common among high‐register brass players (trumpet and French horn), whereas lip‐locking occurred exclusively in low‐register brass players (trombone and tuba). Jaw and tongue ED phenotypes occurred predominantly in woodwind players, and once present, frequently spread to speaking or eating. Six percent of all ED patients had coincident writer's cramp, suggesting a possible genetic predisposition to develop dystonia. We assessed two‐point sensory discrimination in the upper lip, lower lip, and hand in ED patients, normal musicians, and nonmusician age‐matched controls—there were no differences between groups. Once present, symptoms of ED did not remit and often disrupted careers and livelihoods. Better treatments are urgently needed for this unusual disorder of oral motor control. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Frucht, Steven J" sort="Frucht, Steven J" uniqKey="Frucht S" first="Steven J." last="Frucht">Steven J. Frucht</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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