Etiological musculo‐skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist
Identifieur interne : 002E56 ( Main/Exploration ); précédent : 002E55; suivant : 002E57Etiological musculo‐skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist
Auteurs : Joris N. A. L. Leijnse [États-Unis] ; Mark Hallett [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-09-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Biomechanical Phenomena, Biomechanics, Case study, Dystonia, Dystonic Disorders (etiology), Dystonic Disorders (pathology), Functional Laterality, Hand, Hand (physiopathology), Humans, Male, Musculoskeletal System (physiopathology), Music, Musician, Nervous system diseases, Occupational Diseases (complications), biomechanics, dystonia, focal, guitarist, hand, musician, overuse.
- MESH :
- complications : Occupational Diseases.
- etiology : Dystonic Disorders.
- pathology : Dystonic Disorders.
- physiopathology : Hand, Musculoskeletal System.
- Adult, Biomechanical Phenomena, Functional Laterality, Humans, Male, Music.
Abstract
A case study is presented in which a focal hand dystonia seems to have developed in the right hand of a classical guitarist as a result of a neuromuscular peripheral defect caused by trauma. The trauma was a near total perforation of the first web space by a splinter. Healing was uneventful without apparent functional complications. Two years later the patient noticed difficulties in extending the index in playing, for which he received various unsuccessful treatments during seven years. However, we found more severe dystonic symptoms (cocontractions) in the thumb than in the index during playing, which correlated with an undiagnosed insufficiency in the flexor pollicis brevis (FPB). This defect allowed proposing a biomechanical analysis of compensations for diminished thumb control in playing, which would explain the dysfunction in the index in playing as overcompensation for the thumb problem. If this analysis is correct, the etiology of the case can be traced back to underlying multiarticular control problems in the thumb caused by an insufficient FPB. This defect was considered irrepairable. It was concluded that even with knowledge of the underlying cause, a potentially successful treatment of the dystonia might not exist in this case. The case would demonstrate that task‐specific hand dystonias can arise as overcompensations for (peripheral) neuro‐musculoskeletal defects. The case is illustrated by videos of playing and functional thumb tests. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21636
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 001086
- to stream Istex, to step Curation: 001086
- to stream Istex, to step Checkpoint: 001964
- to stream PubMed, to step Corpus: 002586
- to stream PubMed, to step Curation: 002586
- to stream PubMed, to step Checkpoint: 002828
- to stream Ncbi, to step Merge: 001D73
- to stream Ncbi, to step Curation: 001D73
- to stream Ncbi, to step Checkpoint: 001D73
- to stream Main, to step Merge: 003D78
- to stream PascalFrancis, to step Corpus: 001530
- to stream PascalFrancis, to step Curation: 001791
- to stream PascalFrancis, to step Checkpoint: 001682
- to stream Main, to step Merge: 004272
- to stream Main, to step Curation: 002E56
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Etiological musculo‐skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist</title><author><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N. A. L." last="Leijnse">Joris N. A. L. Leijnse</name></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:61449F1FC11275215D42FBBA20F6222C7795D523</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1002/mds.21636</idno><idno type="url">https://api.istex.fr/document/61449F1FC11275215D42FBBA20F6222C7795D523/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001086</idno><idno type="wicri:Area/Istex/Curation">001086</idno><idno type="wicri:Area/Istex/Checkpoint">001964</idno><idno type="wicri:doubleKey">0885-3185:2007:Leijnse J:etiological:musculo:skeletal</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:17659635</idno><idno type="wicri:Area/PubMed/Corpus">002586</idno><idno type="wicri:Area/PubMed/Curation">002586</idno><idno type="wicri:Area/PubMed/Checkpoint">002828</idno><idno type="wicri:Area/Ncbi/Merge">001D73</idno><idno type="wicri:Area/Ncbi/Curation">001D73</idno><idno type="wicri:Area/Ncbi/Checkpoint">001D73</idno><idno type="wicri:doubleKey">0885-3185:2007:Leijnse J:etiological:musculo:skeletal</idno><idno type="wicri:Area/Main/Merge">003D78</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:07-0491132</idno><idno type="wicri:Area/PascalFrancis/Corpus">001530</idno><idno type="wicri:Area/PascalFrancis/Curation">001791</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001682</idno><idno type="wicri:doubleKey">0885-3185:2007:Leijnse J:etiological:musculo:skeletal</idno><idno type="wicri:Area/Main/Merge">004272</idno><idno type="wicri:Area/Main/Curation">002E56</idno><idno type="wicri:Area/Main/Exploration">002E56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Etiological musculo‐skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist</title><author><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N. A. L." last="Leijnse">Joris N. A. L. Leijnse</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Laboratory for Clinical Biomechanics and Reconstructive Surgery of Hand and Upper Limb, Department of Mechanical Engineering, Speed School for Engineering & Price Institute for Surgical Research, Department of Surgery, University of Louisville, Louisville, Kentucky</wicri:regionArea><placeName><region type="state">Kentucky</region></placeName></affiliation></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Human Motor Control Section, NINDS, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</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="2007-09-15">2007-09-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1803">1803</biblScope><biblScope unit="page" to="1808">1808</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">61449F1FC11275215D42FBBA20F6222C7795D523</idno><idno type="DOI">10.1002/mds.21636</idno><idno type="ArticleID">MDS21636</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Biomechanical Phenomena</term><term>Biomechanics</term><term>Case study</term><term>Dystonia</term><term>Dystonic Disorders (etiology)</term><term>Dystonic Disorders (pathology)</term><term>Functional Laterality</term><term>Hand</term><term>Hand (physiopathology)</term><term>Humans</term><term>Male</term><term>Musculoskeletal System (physiopathology)</term><term>Music</term><term>Musician</term><term>Nervous system diseases</term><term>Occupational Diseases (complications)</term><term>biomechanics</term><term>dystonia</term><term>focal</term><term>guitarist</term><term>hand</term><term>musician</term><term>overuse</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hand</term><term>Musculoskeletal System</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Biomechanical Phenomena</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Music</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Biomécanique</term><term>Dystonie</term><term>Etude cas</term><term>Main</term><term>Musicien</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A case study is presented in which a focal hand dystonia seems to have developed in the right hand of a classical guitarist as a result of a neuromuscular peripheral defect caused by trauma. The trauma was a near total perforation of the first web space by a splinter. Healing was uneventful without apparent functional complications. Two years later the patient noticed difficulties in extending the index in playing, for which he received various unsuccessful treatments during seven years. However, we found more severe dystonic symptoms (cocontractions) in the thumb than in the index during playing, which correlated with an undiagnosed insufficiency in the flexor pollicis brevis (FPB). This defect allowed proposing a biomechanical analysis of compensations for diminished thumb control in playing, which would explain the dysfunction in the index in playing as overcompensation for the thumb problem. If this analysis is correct, the etiology of the case can be traced back to underlying multiarticular control problems in the thumb caused by an insufficient FPB. This defect was considered irrepairable. It was concluded that even with knowledge of the underlying cause, a potentially successful treatment of the dystonia might not exist in this case. The case would demonstrate that task‐specific hand dystonias can arise as overcompensations for (peripheral) neuro‐musculoskeletal defects. The case is illustrated by videos of playing and functional thumb tests. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Kentucky</li><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Kentucky"><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N. A. L." last="Leijnse">Joris N. A. L. Leijnse</name></region><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002E56 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002E56 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:61449F1FC11275215D42FBBA20F6222C7795D523
|texte= Etiological musculo‐skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist
}}
| This area was generated with Dilib version V0.6.23. |  |