Spontaneously changing muscular activation pattern in patients with cervical dystonia
Identifieur interne : 004681 ( Main/Exploration ); précédent : 004680; suivant : 004682Spontaneously changing muscular activation pattern in patients with cervical dystonia
Auteurs : A. Münchau [Royaume-Uni, Allemagne] ; S. R. Filipovic ; A. Oester-Barkey ; N. P. Quinn [Royaume-Uni] ; J. C. Rothwell ; K. P. Bhatia [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Activation, Adult, Aged, Anti-Dyskinesia Agents (therapeutic use), Botulinum Toxins (therapeutic use), Electromyography, Electromyography (methods), Female, Head Movements, Human, Humans, Male, Middle Aged, Neck Muscles (physiopathology), Pathophysiology, Spasmodic torticollis, Spontaneous, Striated muscle, Torticollis (drug therapy), Torticollis (physiopathology), Treatment Failure, Video Recording, Video recording, cervical dystonia, electromyography, muscle pattern, video.
- MESH :
- chemical , therapeutic use : Anti-Dyskinesia Agents, Botulinum Toxins.
- drug therapy : Torticollis.
- methods : Electromyography.
- physiopathology : Neck Muscles, Torticollis.
- Adult, Aged, Female, Head Movements, Humans, Male, Middle Aged, Treatment Failure, Video Recording.
Abstract
The objective of this study was to determine stability of the neck muscle activation pattern in a given dystonic head position in patients with cervical dystonia (CD). We assessed 26 patients with CD and botulinum toxin (BT) treatment failure before surgical denervation. None of them had received BT injections for at least 4 months. To relate dystonic head position to underlying neck muscle activity, we used synchronised video and poly‐electromyographic (EMG) recording over a period of 10 minutes. The muscle activation pattern during constant (“stable”) maximal dystonic excursions was analysed. EMG data of nine patients was excluded from the analysis, as these patients had a constantly changing head position or marked head tremor. In the remaining 17 patients, who had a fairly stable dystonic position, muscular activation patterns during the recording spontaneously changed in nine (Group A) while in eight it remained stable (Group B). There was no significant difference in demographic variables between the two groups other than a male predominance in Group A. However, the retrospectively determined initial response to BT treatment (before BT treatment failure had occurred) was significantly worse in Group A as compared with Group B. Neck muscle activation patterns can spontaneously change in CD patients despite constant dystonic head position, implying an inherent variability of the underlying central motor program in some patients. This should be considered when BT treatment response is unsatisfactory, and should also be taken into account when interpreting results of EMG recordings of neck muscles in these patients. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1236
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 001129
- to stream Istex, to step Curation: 001129
- to stream Istex, to step Checkpoint: 002F07
- to stream Main, to step Merge: 006B62
- to stream PascalFrancis, to step Corpus: 002885
- to stream PascalFrancis, to step Curation: 000436
- to stream PascalFrancis, to step Checkpoint: 002900
- to stream Main, to step Merge: 006D99
- to stream PubMed, to step Corpus: 003C35
- to stream PubMed, to step Curation: 003C35
- to stream PubMed, to step Checkpoint: 003C38
- to stream Ncbi, to step Merge: 000616
- to stream Ncbi, to step Curation: 000616
- to stream Ncbi, to step Checkpoint: 000616
- to stream Main, to step Merge: 006940
- to stream Main, to step Curation: 004681
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Spontaneously changing muscular activation pattern in patients with cervical dystonia</title><author><name sortKey="Munchau, A" sort="Munchau, A" uniqKey="Munchau A" first="A." last="Münchau">A. Münchau</name></author><author><name sortKey="Filipovic, S R" sort="Filipovic, S R" uniqKey="Filipovic S" first="S. R." last="Filipovic">S. R. Filipovic</name></author><author><name sortKey="Oester Arkey, A" sort="Oester Arkey, A" uniqKey="Oester Arkey A" first="A." last="Oester-Barkey">A. Oester-Barkey</name></author><author><name sortKey="Quinn, N P" sort="Quinn, N P" uniqKey="Quinn N" first="N. P." last="Quinn">N. P. Quinn</name></author><author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J. C." last="Rothwell">J. C. Rothwell</name></author><author><name sortKey="Bhatia, K P" sort="Bhatia, K P" uniqKey="Bhatia K" first="K. P." last="Bhatia">K. P. Bhatia</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:8FB72A19E1AEA4F27ED4292F57BE40B39A35F2A1</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1002/mds.1236</idno><idno type="url">https://api.istex.fr/document/8FB72A19E1AEA4F27ED4292F57BE40B39A35F2A1/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001129</idno><idno type="wicri:Area/Istex/Curation">001129</idno><idno type="wicri:Area/Istex/Checkpoint">002F07</idno><idno type="wicri:doubleKey">0885-3185:2001:Munchau A:spontaneously:changing:muscular</idno><idno type="wicri:Area/Main/Merge">006B62</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:02-0177067</idno><idno type="wicri:Area/PascalFrancis/Corpus">002885</idno><idno type="wicri:Area/PascalFrancis/Curation">000436</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002900</idno><idno type="wicri:doubleKey">0885-3185:2001:Munchau A:spontaneously:changing:muscular</idno><idno type="wicri:Area/Main/Merge">006D99</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:11748740</idno><idno type="wicri:Area/PubMed/Corpus">003C35</idno><idno type="wicri:Area/PubMed/Curation">003C35</idno><idno type="wicri:Area/PubMed/Checkpoint">003C38</idno><idno type="wicri:Area/Ncbi/Merge">000616</idno><idno type="wicri:Area/Ncbi/Curation">000616</idno><idno type="wicri:Area/Ncbi/Checkpoint">000616</idno><idno type="wicri:doubleKey">0885-3185:2001:Munchau A:spontaneously:changing:muscular</idno><idno type="wicri:Area/Main/Merge">006940</idno><idno type="wicri:Area/Main/Curation">004681</idno><idno type="wicri:Area/Main/Exploration">004681</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Spontaneously changing muscular activation pattern in patients with cervical dystonia</title><author><name sortKey="Munchau, A" sort="Munchau, A" uniqKey="Munchau A" first="A." last="Münchau">A. Münchau</name><affiliation><wicri:noCountry code="no comma">MRC Human Movement and Balance Unit and</wicri:noCountry></affiliation><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University Department of Clinical Neurology, Institute of Neurology, University College London, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Current Address: Department of Neurology, University of Hamburg, Martinistrasse 52, 20246 Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Filipovic, S R" sort="Filipovic, S R" uniqKey="Filipovic S" first="S. R." last="Filipovic">S. R. Filipovic</name><affiliation><wicri:noCountry code="no comma">MRC Human Movement and Balance Unit and</wicri:noCountry></affiliation></author><author><name sortKey="Oester Arkey, A" sort="Oester Arkey, A" uniqKey="Oester Arkey A" first="A." last="Oester-Barkey">A. Oester-Barkey</name><affiliation><wicri:noCountry code="no comma">MRC Human Movement and Balance Unit and</wicri:noCountry></affiliation></author><author><name sortKey="Quinn, N P" sort="Quinn, N P" uniqKey="Quinn N" first="N. P." last="Quinn">N. P. Quinn</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University Department of Clinical Neurology, Institute of Neurology, University College London, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J. C." last="Rothwell">J. C. Rothwell</name><affiliation><wicri:noCountry code="no comma">MRC Human Movement and Balance Unit and</wicri:noCountry></affiliation></author><author><name sortKey="Bhatia, K P" sort="Bhatia, K P" uniqKey="Bhatia K" first="K. P." last="Bhatia">K. P. Bhatia</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University Department of Clinical Neurology, Institute of Neurology, University College London, National Hospital for Neurology and Neurosurgery, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</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>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2001-11">2001-11</date><biblScope unit="vol">16</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1091">1091</biblScope><biblScope unit="page" to="1097">1097</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8FB72A19E1AEA4F27ED4292F57BE40B39A35F2A1</idno><idno type="DOI">10.1002/mds.1236</idno><idno type="ArticleID">MDS1236</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activation</term><term>Adult</term><term>Aged</term><term>Anti-Dyskinesia Agents (therapeutic use)</term><term>Botulinum Toxins (therapeutic use)</term><term>Electromyography</term><term>Electromyography (methods)</term><term>Female</term><term>Head Movements</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neck Muscles (physiopathology)</term><term>Pathophysiology</term><term>Spasmodic torticollis</term><term>Spontaneous</term><term>Striated muscle</term><term>Torticollis (drug therapy)</term><term>Torticollis (physiopathology)</term><term>Treatment Failure</term><term>Video Recording</term><term>Video recording</term><term>cervical dystonia</term><term>electromyography</term><term>muscle pattern</term><term>video</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Dyskinesia Agents</term><term>Botulinum Toxins</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electromyography</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Neck Muscles</term><term>Torticollis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Head Movements</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Failure</term><term>Video Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Activation</term><term>Electromyographie</term><term>Enregistrement vidéo</term><term>Homme</term><term>Muscle strié</term><term>Physiopathologie</term><term>Spontané</term><term>Torticolis spasmodique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective of this study was to determine stability of the neck muscle activation pattern in a given dystonic head position in patients with cervical dystonia (CD). We assessed 26 patients with CD and botulinum toxin (BT) treatment failure before surgical denervation. None of them had received BT injections for at least 4 months. To relate dystonic head position to underlying neck muscle activity, we used synchronised video and poly‐electromyographic (EMG) recording over a period of 10 minutes. The muscle activation pattern during constant (“stable”) maximal dystonic excursions was analysed. EMG data of nine patients was excluded from the analysis, as these patients had a constantly changing head position or marked head tremor. In the remaining 17 patients, who had a fairly stable dystonic position, muscular activation patterns during the recording spontaneously changed in nine (Group A) while in eight it remained stable (Group B). There was no significant difference in demographic variables between the two groups other than a male predominance in Group A. However, the retrospectively determined initial response to BT treatment (before BT treatment failure had occurred) was significantly worse in Group A as compared with Group B. Neck muscle activation patterns can spontaneously change in CD patients despite constant dystonic head position, implying an inherent variability of the underlying central motor program in some patients. This should be considered when BT treatment response is unsatisfactory, and should also be taken into account when interpreting results of EMG recordings of neck muscles in these patients. © 2001 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Hambourg</li></region><settlement><li>Hambourg</li><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Filipovic, S R" sort="Filipovic, S R" uniqKey="Filipovic S" first="S. R." last="Filipovic">S. R. Filipovic</name><name sortKey="Oester Arkey, A" sort="Oester Arkey, A" uniqKey="Oester Arkey A" first="A." last="Oester-Barkey">A. Oester-Barkey</name><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J. C." last="Rothwell">J. C. Rothwell</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Munchau, A" sort="Munchau, A" uniqKey="Munchau A" first="A." last="Münchau">A. Münchau</name></region><name sortKey="Bhatia, K P" sort="Bhatia, K P" uniqKey="Bhatia K" first="K. P." last="Bhatia">K. P. Bhatia</name><name sortKey="Quinn, N P" sort="Quinn, N P" uniqKey="Quinn N" first="N. P." last="Quinn">N. P. Quinn</name></country><country name="Allemagne"><region name="Hambourg"><name sortKey="Munchau, A" sort="Munchau, A" uniqKey="Munchau A" first="A." last="Münchau">A. Münchau</name></region></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 004681 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004681 | 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:8FB72A19E1AEA4F27ED4292F57BE40B39A35F2A1
|texte= Spontaneously changing muscular activation pattern in patients with cervical dystonia
}}
| This area was generated with Dilib version V0.6.23. |  |