The hand that has forgotten its cunning—Lessons from musicians' hand dystonia
Identifieur interne : 002583 ( Main/Exploration ); précédent : 002582; suivant : 002584The hand that has forgotten its cunning—Lessons from musicians' hand dystonia
Auteurs : Anna M. Conti [États-Unis] ; Seth Pullman [États-Unis] ; Steven J. Frucht [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-07-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Musique.
English descriptors
- KwdEn :
- Adult, Age of Onset, Aged, Cumulative Trauma Disorders (etiology), Cumulative Trauma Disorders (physiopathology), Dystonia, Dystonic Disorders (etiology), Dystonic Disorders (physiopathology), Equipment and Supplies, Female, Fingers (physiopathology), Hand, Hand (physiopathology), Hand Deformities, Acquired (etiology), Hand Deformities, Acquired (physiopathology), Hand Injuries (etiology), Hand Injuries (physiopathology), Humans, Male, Middle Aged, Music, Musician, Nervous system diseases, Phenotype, focal dystonia, hand, music.
- MESH :
- etiology : Cumulative Trauma Disorders, Dystonic Disorders, Hand Deformities, Acquired, Hand Injuries.
- physiopathology : Cumulative Trauma Disorders, Dystonic Disorders, Fingers, Hand, Hand Deformities, Acquired, Hand Injuries.
- Adult, Age of Onset, Aged, Equipment and Supplies, Female, Humans, Male, Middle Aged, Music, Phenotype.
Abstract
Focal task‐specific dystonia of the musicians' hand (FTSDmh) is an occupational movement disorder that affects instrumental musicians and often derails careers. There has been speculation on the role of intense practice or the specific technical demands of various instruments as triggers for the development of FTSDmh. In this study, we review the clinical features of all published cases (899 patients) and 61 previously unpublished cases of FTSDmh. Our primary goals were to search for patterns in the clinical phenotype, and to discern if specific instrumental technical demands might be related to the development of dystonia. Symptoms of FTSDmh began at a mean age 35.7 years (SD = 10.6), with an overwhelming male predominance (M:F = 4.1:1). The right hand was preferentially affected in keyboard and plucked string players (77%), and the left hand in bowed string players (68%). Flexion movements were the most common dystonic movement in each instrument class, and fingers 3, 4, and 5, either in isolation or combination, were most frequently involved. The clinical implications of these findings and their possible relationship to the pathophysiology of focal task‐specific dystonia are explored. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.21976
Affiliations:
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Le document en format XML
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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="2008-07-30">2008-07-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1398">1398</biblScope><biblScope unit="page" to="1406">1406</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">90615D2A7EE6CC12B57FF7389BB78559F314B69C</idno><idno type="DOI">10.1002/mds.21976</idno><idno type="ArticleID">MDS21976</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age of Onset</term><term>Aged</term><term>Cumulative Trauma Disorders (etiology)</term><term>Cumulative Trauma Disorders (physiopathology)</term><term>Dystonia</term><term>Dystonic Disorders (etiology)</term><term>Dystonic Disorders (physiopathology)</term><term>Equipment and Supplies</term><term>Female</term><term>Fingers (physiopathology)</term><term>Hand</term><term>Hand (physiopathology)</term><term>Hand Deformities, Acquired (etiology)</term><term>Hand Deformities, Acquired (physiopathology)</term><term>Hand Injuries (etiology)</term><term>Hand Injuries (physiopathology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Musician</term><term>Nervous system diseases</term><term>Phenotype</term><term>focal dystonia</term><term>hand</term><term>music</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cumulative Trauma Disorders</term><term>Dystonic Disorders</term><term>Hand Deformities, Acquired</term><term>Hand Injuries</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cumulative Trauma Disorders</term><term>Dystonic Disorders</term><term>Fingers</term><term>Hand</term><term>Hand Deformities, Acquired</term><term>Hand Injuries</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age of Onset</term><term>Aged</term><term>Equipment and Supplies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Phenotype</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Main</term><term>Musicien</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 of the musicians' hand (FTSDmh) is an occupational movement disorder that affects instrumental musicians and often derails careers. There has been speculation on the role of intense practice or the specific technical demands of various instruments as triggers for the development of FTSDmh. In this study, we review the clinical features of all published cases (899 patients) and 61 previously unpublished cases of FTSDmh. Our primary goals were to search for patterns in the clinical phenotype, and to discern if specific instrumental technical demands might be related to the development of dystonia. Symptoms of FTSDmh began at a mean age 35.7 years (SD = 10.6), with an overwhelming male predominance (M:F = 4.1:1). The right hand was preferentially affected in keyboard and plucked string players (77%), and the left hand in bowed string players (68%). Flexion movements were the most common dystonic movement in each instrument class, and fingers 3, 4, and 5, either in isolation or combination, were most frequently involved. The clinical implications of these findings and their possible relationship to the pathophysiology of focal task‐specific dystonia are explored. © 2008 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="Conti, Anna M" sort="Conti, Anna M" uniqKey="Conti A" first="Anna M." last="Conti">Anna M. Conti</name></region><name sortKey="Frucht, Steven J" sort="Frucht, Steven J" uniqKey="Frucht S" first="Steven J." last="Frucht">Steven J. Frucht</name><name sortKey="Pullman, Seth" sort="Pullman, Seth" uniqKey="Pullman S" first="Seth" last="Pullman">Seth Pullman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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