Dynamic balance function in phasic cervical dystonia following Botulinum toxin therapy
Identifieur interne : 004823 ( Main/Exploration ); précédent : 004822; suivant : 004824Dynamic balance function in phasic cervical dystonia following Botulinum toxin therapy
Auteurs : Jörg Müller [Autriche] ; Georg Ebersbach [Autriche] ; Jörg Wissel [Autriche] ; Werner Poewe [Autriche]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Aged, Antispasmodic agent, Botulinum Toxins, Type A (therapeutic use), Botulism, Chemotherapy, Complication, Dynamic equilibrium, Dystonia, Equilibrium disorder, Evolution, Female, Follow-Up Studies, Head Movements (drug effects), Humans, Male, Middle Aged, Muscle relaxant, Neck, Neuromuscular Agents (therapeutic use), Postural Balance (drug effects), Posturography, Torticollis (drug therapy), Torticollis (physiopathology), Toxin, Treatment, Treatment Outcome, botulinum toxin, cervical dystonia, dynamic balance, posturography, stabilometer.
- MESH :
- chemical , therapeutic use : Botulinum Toxins, Type A, Neuromuscular Agents.
- drug effects : Head Movements, Postural Balance.
- drug therapy : Torticollis.
- physiopathology : Torticollis.
- Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Treatment Outcome.
Abstract
Previous research by our group revealed normal dynamic balance function in pure tonic cervical dystonia (CD) with impaired equilibrium in phasic CD patients investigated at least 3 months following Botulinum toxin (BtxA) treatment. The current study was performed to determine whether impaired dynamic equilibrium in phasic CD is influenced by symptomatic treatment with BtxA. Dynamic balance was tested in 20 patients with phasic CD on a dynamic platform with a cylindrical curved base (stabilometer) 4 weeks following BtxA treatment. Balance was assessed by the linear displacement of the platform and the maximum amplitude of platform displacement with open and closed eyes and compared with pre‐BtxA data. Despite a clinically significant BtxA‐induced reduction of phasic head movements, none of the platform measures improved significantly. In addition, there was no correlation between the BtxA‐induced clinical improvement and changes in any of the dynamic balance measures pre‐ vs. post‐BtxA. In conclusion, the persistent dynamic balance impairment after effective BtxA therapy may indicate that disequilibrium in phasic CD does not simply reflect disturbed vestibular input from repetitive head oscillations, but argues in favour of different sensorimotor processing in tonic and phasic CD. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1164
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>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2001-09">2001-09</date><biblScope unit="vol">16</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="934">934</biblScope><biblScope unit="page" to="937">937</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4A3686D15F5A203E6252760BD72A5BB2902BA407</idno><idno type="DOI">10.1002/mds.1164</idno><idno type="ArticleID">MDS1164</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Antispasmodic agent</term><term>Botulinum Toxins, Type A (therapeutic use)</term><term>Botulism</term><term>Chemotherapy</term><term>Complication</term><term>Dynamic equilibrium</term><term>Dystonia</term><term>Equilibrium disorder</term><term>Evolution</term><term>Female</term><term>Follow-Up Studies</term><term>Head Movements (drug effects)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Muscle relaxant</term><term>Neck</term><term>Neuromuscular Agents (therapeutic use)</term><term>Postural Balance (drug effects)</term><term>Posturography</term><term>Torticollis (drug therapy)</term><term>Torticollis (physiopathology)</term><term>Toxin</term><term>Treatment</term><term>Treatment Outcome</term><term>botulinum toxin</term><term>cervical dystonia</term><term>dynamic balance</term><term>posturography</term><term>stabilometer</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Botulinum Toxins, Type A</term><term>Neuromuscular Agents</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Head Movements</term><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Torticollis</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Torticollis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Botulisme</term><term>Chimiothérapie</term><term>Complication</term><term>Cou</term><term>Dystonie</term><term>Equilibre dynamique</term><term>Evolution</term><term>Myorelaxant</term><term>Posturographie</term><term>Spasmolytique</term><term>Toxine</term><term>Traitement</term><term>Trouble équilibre</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous research by our group revealed normal dynamic balance function in pure tonic cervical dystonia (CD) with impaired equilibrium in phasic CD patients investigated at least 3 months following Botulinum toxin (BtxA) treatment. The current study was performed to determine whether impaired dynamic equilibrium in phasic CD is influenced by symptomatic treatment with BtxA. Dynamic balance was tested in 20 patients with phasic CD on a dynamic platform with a cylindrical curved base (stabilometer) 4 weeks following BtxA treatment. Balance was assessed by the linear displacement of the platform and the maximum amplitude of platform displacement with open and closed eyes and compared with pre‐BtxA data. Despite a clinically significant BtxA‐induced reduction of phasic head movements, none of the platform measures improved significantly. In addition, there was no correlation between the BtxA‐induced clinical improvement and changes in any of the dynamic balance measures pre‐ vs. post‐BtxA. In conclusion, the persistent dynamic balance impairment after effective BtxA therapy may indicate that disequilibrium in phasic CD does not simply reflect disturbed vestibular input from repetitive head oscillations, but argues in favour of different sensorimotor processing in tonic and phasic CD. © 2001 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Tyrol (Land)</li></region><settlement><li>Innsbruck</li></settlement><orgName><li>Université de médecine d'Innsbruck</li></orgName></list><tree><country name="Autriche"><noRegion><name sortKey="Muller, Jorg" sort="Muller, Jorg" uniqKey="Muller J" first="Jörg" last="Müller">Jörg Müller</name></noRegion><name sortKey="Ebersbach, Georg" sort="Ebersbach, Georg" uniqKey="Ebersbach G" first="Georg" last="Ebersbach">Georg Ebersbach</name><name sortKey="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name><name sortKey="Wissel, Jorg" sort="Wissel, Jorg" uniqKey="Wissel J" first="Jörg" last="Wissel">Jörg Wissel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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