Focal dystonia in musicians: Treatment strategies and long‐term outcome in 144 patients
Identifieur interne : 005002 ( Main/Merge ); précédent : 005001; suivant : 005003Focal dystonia in musicians: Treatment strategies and long‐term outcome in 144 patients
Auteurs : Hans-Christian Jabusch [Allemagne] ; Dorothea Zschucke [Allemagne] ; Alexander Schmidt [Allemagne] ; Stephan Schuele [États-Unis] ; Eckart Altenmüller [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-12.
English descriptors
- KwdEn :
- Adult, Anti-Dyskinesia Agents (therapeutic use), Botulinum Toxins (therapeutic use), Combined Modality Therapy, Disability Evaluation, Dystonic Disorders (rehabilitation), Dystonic Disorders (therapy), Exercise Therapy (methods), Female, Humans, Longitudinal Studies, Male, Music, Retrospective Studies, Treatment Outcome, botulinum toxin, dystonia, ergonomic changes, musician, retraining, trihexiphenidyl.
- MESH :
- chemical , therapeutic use : Anti-Dyskinesia Agents, Botulinum Toxins.
- methods : Exercise Therapy.
- rehabilitation : Dystonic Disorders.
- therapy : Dystonic Disorders.
- Adult, Combined Modality Therapy, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Music, Retrospective Studies, Treatment Outcome.
Abstract
We present the long‐term outcome of 144 musicians with focal dystonia after treatment with botulinum toxin (n = 71), trihexiphenidyl (n = 69), pedagogical retraining (n = 24), ergonomic changes (n = 51), or nonspecific exercises on the instrument (n = 78). Outcome was assessed by patients' subjective rating of cumulative treatment response and response to individual therapies. Seventy‐seven patients (54%) reported an alleviation of symptoms: 33% of the patients with trihexiphenidyl, 49% with botulinum toxin, 50% with pedagogical retraining, 56% with unmonitored technical exercises, and 63% with ergonomic changes. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20631
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