Characteristics of sensory trick‐like manoeuvres in jaw‐opening dystonia
Identifieur interne : 002F63 ( Main/Exploration ); précédent : 002F62; suivant : 002F64Characteristics of sensory trick‐like manoeuvres in jaw‐opening dystonia
Auteurs : Axel Schramm [Allemagne] ; Joseph Classen [Allemagne] ; Karlheinz Reiners [Allemagne] ; Markus Naumann [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-02-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Analysis of Variance, Dystonia, Dystonic Disorders (physiopathology), Electromyography (methods), Female, Humans, Jaw, Jaw Diseases (physiopathology), Male, Mastication (physiology), Masticatory Muscles (physiopathology), Middle Aged, Nervous system diseases, Physical Stimulation, Sensation (physiology), Severity of Illness Index, dystonia, gèste antagonistique, oromandibular, sensory tricks.
- MESH :
- methods : Electromyography.
- physiology : Mastication, Sensation.
- physiopathology : Dystonic Disorders, Jaw Diseases, Masticatory Muscles.
- Analysis of Variance, Female, Humans, Male, Middle Aged, Physical Stimulation, Severity of Illness Index.
Abstract
We evaluated the effect of different manipulations on the performance of a standardized counting task in 7 patients with idiopathic jaw‐opening dystonia. Patients used a small stick as sensory stimulus. Following conditions were examined: stick placed between teeth and cheek (CHEEK), biting on stick (TEETH), voluntary jaw occlusion without stick (OCCLUSION). Articulation was rated by patients and experimenters and surface electromyographic activity (EMG) was recorded. Patient‐rating (CHEEK ‐ 36.6%, TEETH ‐ 48.1%) and EMG (−18.1%; −17.3%) were significantly improved for conditions using the stick, whereas experimenter‐rating showed a trend for TEETH (−16.2%). Although jaw occlusion during speaking deteriorates articulation in healthy subjects, there was no further deterioration in patients and EMG was even significantly reduced (−18.6%). Comparable results were obtained in 1 patient using a special dental device. We conclude that sensory tricks significantly improve subjective and objective parameters. Besides tactile stimulation, altered proprioceptive feedback and antagonist activation may modulate hyperactive dystonic networks. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21354
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="2007-02-15">2007-02-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="430">430</biblScope><biblScope unit="page" to="433">433</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">3EF6A243F85FE8D192FCCF6E5A667277921563DE</idno><idno type="DOI">10.1002/mds.21354</idno><idno type="ArticleID">MDS21354</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analysis of Variance</term><term>Dystonia</term><term>Dystonic Disorders (physiopathology)</term><term>Electromyography (methods)</term><term>Female</term><term>Humans</term><term>Jaw</term><term>Jaw Diseases (physiopathology)</term><term>Male</term><term>Mastication (physiology)</term><term>Masticatory Muscles (physiopathology)</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Physical Stimulation</term><term>Sensation (physiology)</term><term>Severity of Illness Index</term><term>dystonia</term><term>gèste antagonistique</term><term>oromandibular</term><term>sensory tricks</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electromyography</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term><term>Sensation</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonic Disorders</term><term>Jaw Diseases</term><term>Masticatory Muscles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Physical Stimulation</term><term>Severity of Illness Index</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Mâchoire</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated the effect of different manipulations on the performance of a standardized counting task in 7 patients with idiopathic jaw‐opening dystonia. Patients used a small stick as sensory stimulus. Following conditions were examined: stick placed between teeth and cheek (CHEEK), biting on stick (TEETH), voluntary jaw occlusion without stick (OCCLUSION). Articulation was rated by patients and experimenters and surface electromyographic activity (EMG) was recorded. Patient‐rating (CHEEK ‐ 36.6%, TEETH ‐ 48.1%) and EMG (−18.1%; −17.3%) were significantly improved for conditions using the stick, whereas experimenter‐rating showed a trend for TEETH (−16.2%). Although jaw occlusion during speaking deteriorates articulation in healthy subjects, there was no further deterioration in patients and EMG was even significantly reduced (−18.6%). Comparable results were obtained in 1 patient using a special dental device. We conclude that sensory tricks significantly improve subjective and objective parameters. Besides tactile stimulation, altered proprioceptive feedback and antagonist activation may modulate hyperactive dystonic networks. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Souabe</li></region><settlement><li>Augsbourg</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Schramm, Axel" sort="Schramm, Axel" uniqKey="Schramm A" first="Axel" last="Schramm">Axel Schramm</name></noRegion><name sortKey="Classen, Joseph" sort="Classen, Joseph" uniqKey="Classen J" first="Joseph" last="Classen">Joseph Classen</name><name sortKey="Naumann, Markus" sort="Naumann, Markus" uniqKey="Naumann M" first="Markus" last="Naumann">Markus Naumann</name><name sortKey="Naumann, Markus" sort="Naumann, Markus" uniqKey="Naumann M" first="Markus" last="Naumann">Markus Naumann</name><name sortKey="Reiners, Karlheinz" sort="Reiners, Karlheinz" uniqKey="Reiners K" first="Karlheinz" last="Reiners">Karlheinz Reiners</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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