Table tennis dystonia
Identifieur interne : 001980 ( Main/Exploration ); précédent : 001979; suivant : 001981Table tennis dystonia
Auteurs : Anne Le Floch [France] ; Marie Vidailhet [France] ; Constance Flamand-Rouvière [France] ; David Grabli [France] ; Jean-Michel Mayer [France] ; Michel Gonce [Belgique] ; Emmanuel Broussolle [France] ; Emmanuel Roze [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-02-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Sport.
English descriptors
- KwdEn :
- Adult, Aged, Athletic Injuries (complications), Dystonia, Dystonia (etiology), Female, Humans, Male, Middle Aged, Nervous system diseases, Occupational Diseases (complications), Pathophysiology, Plasticity, Risk factor, Sport, Young Adult, pathophysiology, plasticity, risk factor, sport, task‐specific dystonia.
- MESH :
- complications : Athletic Injuries, Occupational Diseases.
- etiology : Dystonia.
- Adult, Aged, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.22968
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Focal task‐specific dystonia (FTSD) occurs exclusively during a specific activity that usually involves a highly skilled movement. Classical FTSD dystonias include writer's cramp and musician's dystonia. Few cases of sport‐related dystonia have been reported. We describe the first four cases of FTSD related to table tennis (TT), two involving professional international competitors. We also systematically analyzed the literature for reports of sport‐related dystonia including detailed clinical descriptions. We collected a total of 13 cases of sport‐related dystonia, including our four TT players. Before onset, all the patients had trained for many years, for a large number of hours per week. Practice time had frequently increased significantly in the year preceding onset. As TT is characterized by highly skilled hand/forearm movements acquired through repetitive exercises, it may carry a higher risk of FTSD than other sports. Intensive training may result in maladaptive responses and overwhelm homeostatic mechanisms that regulate cortical plasticity in vulnerable individuals. Our findings support the importance of environmental risk factors in sport‐related FTSD, as also suggested in classical FTSD, and have important implications for clinical practice. © 2010 Movement Disorder Society</div>
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