Focal dystonia in musicians: treatment strategies and long-term outcome in 144 patients.
Identifieur interne : 001368 ( Ncbi/Curation ); précédent : 001367; suivant : 001369Focal dystonia in musicians: treatment strategies and long-term outcome in 144 patients.
Auteurs : Hans-Christian Jabusch [Allemagne] ; Dorothea Zschucke ; Alexander Schmidt ; Stephan Schuele ; Eckart AltenmüllerSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2005.
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.
- 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.
DOI: 10.1002/mds.20631
PubMed: 16078237
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pubmed:16078237Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Institute of Music Physiology and Musicians' Medicine, University of Music and Drama, Hannover, Germany.</nlm:affiliation>
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<wicri:regionArea>Institute of Music Physiology and Musicians' Medicine, University of Music and Drama, Hannover</wicri:regionArea>
<placeName><region type="land" nuts="2">Basse-Saxe</region>
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<author><name sortKey="Zschucke, Dorothea" sort="Zschucke, Dorothea" uniqKey="Zschucke D" first="Dorothea" last="Zschucke">Dorothea Zschucke</name>
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<author><name sortKey="Schmidt, Alexander" sort="Schmidt, Alexander" uniqKey="Schmidt A" first="Alexander" last="Schmidt">Alexander Schmidt</name>
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<author><name sortKey="Schuele, Stephan" sort="Schuele, Stephan" uniqKey="Schuele S" first="Stephan" last="Schuele">Stephan Schuele</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Focal dystonia in musicians: treatment strategies and long-term outcome in 144 patients.</title>
<author><name sortKey="Jabusch, Hans Christian" sort="Jabusch, Hans Christian" uniqKey="Jabusch H" first="Hans-Christian" last="Jabusch">Hans-Christian Jabusch</name>
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<author><name sortKey="Zschucke, Dorothea" sort="Zschucke, Dorothea" uniqKey="Zschucke D" first="Dorothea" last="Zschucke">Dorothea Zschucke</name>
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<author><name sortKey="Schuele, Stephan" sort="Schuele, Stephan" uniqKey="Schuele S" first="Stephan" last="Schuele">Stephan Schuele</name>
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<term>Combined Modality Therapy</term>
<term>Disability Evaluation</term>
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<term>Dystonic Disorders (therapy)</term>
<term>Exercise Therapy (methods)</term>
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<front><div type="abstract" xml:lang="en">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.</div>
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