Motor training as treatment in focal hand dystonia
Identifieur interne : 003843 ( Main/Exploration ); précédent : 003842; suivant : 003844Motor training as treatment in focal hand dystonia
Auteurs : Kirsten E. Zeuner [États-Unis] ; Holly A. Shill [États-Unis] ; Young H. Sohn [États-Unis] ; Fiona M. Molloy [États-Unis] ; Bonnie C. Thornton [États-Unis] ; James M. Dambrosia [États-Unis] ; Mark Hallett [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-03.
English descriptors
- KwdEn :
- Cerebral Cortex (physiology), Dystonia (diagnosis), Dystonia (physiopathology), Dystonia (therapy), Dystonic Disorders (physiopathology), Dystonic Disorders (therapy), EEG, Electroencephalography, Electromyography (instrumentation), Evoked Potentials, Motor (physiology), Fingers (physiology), Hand (physiopathology), Humans, Magnetics (instrumentation), Middle Aged, Severity of Illness Index, TMS, Teaching (methods), Wrist (physiology), focal hand dystonia, handwriting, motor training.
- MESH :
- diagnosis : Dystonia.
- instrumentation : Electromyography, Magnetics.
- methods : Teaching.
- physiology : Cerebral Cortex, Evoked Potentials, Motor, Fingers, Wrist.
- physiopathology : Dystonia, Dystonic Disorders, Hand.
- therapy : Dystonia, Dystonic Disorders.
- Electroencephalography, Humans, Middle Aged, Severity of Illness Index.
Abstract
Focal hand dystonia may arise as a result of aberrant plasticity from excessive repetitive use. Improvement might be possible with appropriate motor training. Focusing on trying to decrease abnormal overflow of movement to fingers not involved in a task, we developed a motor training program for individualized finger movements. Ten patients with writer's cramp participated in the motor training program. Evaluation was done with the Fahn dystonia scale, kinematic analysis of handwriting, transcranial magnetic stimulation (TMS), and electroencephalography (EEG). Clinical improvement of dystonia was significant using the Fahn dystonia scale, and 6 patients reported an improvement in writing. The handwriting analysis showed a trend for improvement after training in simple exercises. There were no changes in cortical excitability measured by TMS and EEG. Whereas this method of motor training for 4 weeks led to mild subjective improvement and some improvement in handwriting, it is not sufficient to reverse motor cortex abnormalities measured by TMS and EEG. Published 2004 John Wiley & Sons
Url:
DOI: 10.1002/mds.20314
Affiliations:
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Thornton</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Occupational Therapy, Rehabilitation Medicine Department of the Clinical Center, National Institutes of Health, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Dambrosia, James M" sort="Dambrosia, James M" uniqKey="Dambrosia J" first="James M." last="Dambrosia">James M. 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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="2005-03">2005-03</date><biblScope unit="vol">20</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="335">335</biblScope><biblScope unit="page" to="341">341</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">A866A7FB5A427DF712C9EB188E9FD5EEE6495502</idno><idno type="DOI">10.1002/mds.20314</idno><idno type="ArticleID">MDS20314</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebral Cortex (physiology)</term><term>Dystonia (diagnosis)</term><term>Dystonia (physiopathology)</term><term>Dystonia (therapy)</term><term>Dystonic Disorders (physiopathology)</term><term>Dystonic Disorders (therapy)</term><term>EEG</term><term>Electroencephalography</term><term>Electromyography (instrumentation)</term><term>Evoked Potentials, Motor (physiology)</term><term>Fingers (physiology)</term><term>Hand (physiopathology)</term><term>Humans</term><term>Magnetics (instrumentation)</term><term>Middle Aged</term><term>Severity of Illness Index</term><term>TMS</term><term>Teaching (methods)</term><term>Wrist (physiology)</term><term>focal hand dystonia</term><term>handwriting</term><term>motor training</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Electromyography</term><term>Magnetics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Teaching</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cerebral Cortex</term><term>Evoked Potentials, Motor</term><term>Fingers</term><term>Wrist</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term><term>Dystonic Disorders</term><term>Hand</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dystonia</term><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electroencephalography</term><term>Humans</term><term>Middle Aged</term><term>Severity of Illness Index</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Focal hand dystonia may arise as a result of aberrant plasticity from excessive repetitive use. Improvement might be possible with appropriate motor training. Focusing on trying to decrease abnormal overflow of movement to fingers not involved in a task, we developed a motor training program for individualized finger movements. Ten patients with writer's cramp participated in the motor training program. Evaluation was done with the Fahn dystonia scale, kinematic analysis of handwriting, transcranial magnetic stimulation (TMS), and electroencephalography (EEG). Clinical improvement of dystonia was significant using the Fahn dystonia scale, and 6 patients reported an improvement in writing. The handwriting analysis showed a trend for improvement after training in simple exercises. There were no changes in cortical excitability measured by TMS and EEG. Whereas this method of motor training for 4 weeks led to mild subjective improvement and some improvement in handwriting, it is not sufficient to reverse motor cortex abnormalities measured by TMS and EEG. Published 2004 John Wiley & Sons</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Zeuner, Kirsten E" sort="Zeuner, Kirsten E" uniqKey="Zeuner K" first="Kirsten E." last="Zeuner">Kirsten E. Zeuner</name></region><name sortKey="Dambrosia, James M" sort="Dambrosia, James M" uniqKey="Dambrosia J" first="James M." last="Dambrosia">James M. Dambrosia</name><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><name sortKey="Molloy, Fiona M" sort="Molloy, Fiona M" uniqKey="Molloy F" first="Fiona M." last="Molloy">Fiona M. Molloy</name><name sortKey="Shill, Holly A" sort="Shill, Holly A" uniqKey="Shill H" first="Holly A." last="Shill">Holly A. Shill</name><name sortKey="Sohn, Young H" sort="Sohn, Young H" uniqKey="Sohn Y" first="Young H." last="Sohn">Young H. Sohn</name><name sortKey="Thornton, Bonnie C" sort="Thornton, Bonnie C" uniqKey="Thornton B" first="Bonnie C." last="Thornton">Bonnie C. Thornton</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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