Etiological musculo-skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist.
Identifieur interne : 001D73 ( Ncbi/Checkpoint ); précédent : 001D72; suivant : 001D74Etiological musculo-skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist.
Auteurs : Joris N A L. Leijnse [États-Unis] ; Mark HallettSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- complications : Occupational Diseases.
- etiology : Dystonic Disorders.
- pathology : Dystonic Disorders.
- physiopathology : Hand, Musculoskeletal System.
- Adult, Biomechanical Phenomena, Functional Laterality, Humans, Male, Music.
Abstract
A case study is presented in which a focal hand dystonia seems to have developed in the right hand of a classical guitarist as a result of a neuromuscular peripheral defect caused by trauma. The trauma was a near total perforation of the first web space by a splinter. Healing was uneventful without apparent functional complications. Two years later the patient noticed difficulties in extending the index in playing, for which he received various unsuccessful treatments during seven years. However, we found more severe dystonic symptoms (cocontractions) in the thumb than in the index during playing, which correlated with an undiagnosed insufficiency in the flexor pollicis brevis (FPB). This defect allowed proposing a biomechanical analysis of compensations for diminished thumb control in playing, which would explain the dysfunction in the index in playing as overcompensation for the thumb problem. If this analysis is correct, the etiology of the case can be traced back to underlying multiarticular control problems in the thumb caused by an insufficient FPB. This defect was considered irrepairable. It was concluded that even with knowledge of the underlying cause, a potentially successful treatment of the dystonia might not exist in this case. The case would demonstrate that task-specific hand dystonias can arise as overcompensations for (peripheral) neuro-musculoskeletal defects. The case is illustrated by videos of playing and functional thumb tests.
DOI: 10.1002/mds.21636
PubMed: 17659635
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002586
- to stream PubMed, to step Curation: 002586
- to stream PubMed, to step Checkpoint: 002828
- to stream Ncbi, to step Merge: 001D73
- to stream Ncbi, to step Curation: 001D73
Links to Exploration step
pubmed:17659635Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Etiological musculo-skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist.</title><author><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N A L" last="Leijnse">Joris N A L. Leijnse</name><affiliation wicri:level="1"><nlm:affiliation>Department of Mechanical Engineering, Speed School for Engineering & Price Institute for Surgical Research, University of Louisville, Kentucky 40292, USA. jnleij01@louisville.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mechanical Engineering, Speed School for Engineering & Price Institute for Surgical Research, University of Louisville, Kentucky 40292</wicri:regionArea><wicri:noRegion>Kentucky 40292</wicri:noRegion></affiliation></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1002/mds.21636</idno><idno type="RBID">pubmed:17659635</idno><idno type="pmid">17659635</idno><idno type="wicri:Area/PubMed/Corpus">002586</idno><idno type="wicri:Area/PubMed/Curation">002586</idno><idno type="wicri:Area/PubMed/Checkpoint">002828</idno><idno type="wicri:Area/Ncbi/Merge">001D73</idno><idno type="wicri:Area/Ncbi/Curation">001D73</idno><idno type="wicri:Area/Ncbi/Checkpoint">001D73</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Etiological musculo-skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist.</title><author><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N A L" last="Leijnse">Joris N A L. Leijnse</name><affiliation wicri:level="1"><nlm:affiliation>Department of Mechanical Engineering, Speed School for Engineering & Price Institute for Surgical Research, University of Louisville, Kentucky 40292, USA. jnleij01@louisville.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Mechanical Engineering, Speed School for Engineering & Price Institute for Surgical Research, University of Louisville, Kentucky 40292</wicri:regionArea><wicri:noRegion>Kentucky 40292</wicri:noRegion></affiliation></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Biomechanical Phenomena</term><term>Dystonic Disorders (etiology)</term><term>Dystonic Disorders (pathology)</term><term>Functional Laterality</term><term>Hand (physiopathology)</term><term>Humans</term><term>Male</term><term>Musculoskeletal System (physiopathology)</term><term>Music</term><term>Occupational Diseases (complications)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Occupational Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Hand</term><term>Musculoskeletal System</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Biomechanical Phenomena</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Music</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A case study is presented in which a focal hand dystonia seems to have developed in the right hand of a classical guitarist as a result of a neuromuscular peripheral defect caused by trauma. The trauma was a near total perforation of the first web space by a splinter. Healing was uneventful without apparent functional complications. Two years later the patient noticed difficulties in extending the index in playing, for which he received various unsuccessful treatments during seven years. However, we found more severe dystonic symptoms (cocontractions) in the thumb than in the index during playing, which correlated with an undiagnosed insufficiency in the flexor pollicis brevis (FPB). This defect allowed proposing a biomechanical analysis of compensations for diminished thumb control in playing, which would explain the dysfunction in the index in playing as overcompensation for the thumb problem. If this analysis is correct, the etiology of the case can be traced back to underlying multiarticular control problems in the thumb caused by an insufficient FPB. This defect was considered irrepairable. It was concluded that even with knowledge of the underlying cause, a potentially successful treatment of the dystonia might not exist in this case. The case would demonstrate that task-specific hand dystonias can arise as overcompensations for (peripheral) neuro-musculoskeletal defects. The case is illustrated by videos of playing and functional thumb tests.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Leijnse, Joris N A L" sort="Leijnse, Joris N A L" uniqKey="Leijnse J" first="Joris N A L" last="Leijnse">Joris N A L. Leijnse</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Ncbi/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001D73 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 001D73 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Ncbi
|étape= Checkpoint
|type= RBID
|clé= pubmed:17659635
|texte= Etiological musculo-skeletal factor in focal dystonia in a musician's hand: A case study of the right hand of a guitarist.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:17659635" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a MovDisordV3
| This area was generated with Dilib version V0.6.23. |  |