Sensory motor retuning: a behavioral treatment for focal hand dystonia of pianists and guitarists.
Identifieur interne : 001B66 ( Main/Exploration ); précédent : 001B65; suivant : 001B67Sensory motor retuning: a behavioral treatment for focal hand dystonia of pianists and guitarists.
Auteurs : Victor Candia [Allemagne] ; Thomas Sch Fer ; Edward Taub ; Harald Rau ; Eckart Altenmüller ; Brigitte Rockstroh ; Thomas ElbertSource :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attelles (MeSH), Dystonie (physiopathologie), Dystonie (rééducation et réadaptation), Femelle (MeSH), Humains (MeSH), Main (MeSH), Maladies professionnelles (rééducation et réadaptation), Musique (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Sujet âgé (MeSH).
- MESH :
- physiopathologie : Dystonie.
- rééducation et réadaptation : Dystonie, Maladies professionnelles.
- Adulte, Adulte d'âge moyen, Attelles, Femelle, Humains, Main, Musique, Mâle, Résultat thérapeutique, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Dystonia.
- rehabilitation : Dystonia, Occupational Diseases.
- Adult, Aged, Female, Hand, Humans, Male, Middle Aged, Music, Splints, Treatment Outcome.
Abstract
OBJECTIVE
To evaluate the long-term effectiveness of sensory motor retuning (SMR), a new treatment for focal hand dystonia in musicians.
DESIGN
Prospective case series with an (adventitious) comparison group with 3- to 25-month follow-up in piano and guitar and 0- to 4-month follow-up in flute and oboe players.
SETTING
General community in Germany.
PARTICIPANTS
Eleven professional musicians.
INTERVENTION
Immobilization by splints of 1 or more digits other than the focal dystonic finger. This finger carried out repetitive exercises in coordination with 1 or more of the other digits for 1(1/2) to 2(1/2) hours a day for 8 consecutive days under therapist supervision. The subjects then were instructed to continue practice for 1 hour daily for 1 year.
MAIN OUTCOME MEASURES
Spectral analysis of the output of a dexterity-displacement device that continuously recorded digital displacement during finger movements and a dystonia evaluation scale on which patients rated how well they had just performed dystonic movement sequences and repertoire passages.
RESULTS
The 3 wind players (adventitious placebo controls) did not improve substantially. However, each pianist and guitarist showed marked and significant improvement in spontaneous repertoire performance without the splint. The first subject is now 25 months posttreatment.
CONCLUSIONS
Results suggest that SMR is of value for the treatment of focal hand dystonia in pianists and guitarists.
DOI: 10.1053/apmr.2002.35094
PubMed: 12370865
Affiliations:
- Allemagne
- Bade-Wurtemberg, District de Fribourg-en-Brisgau
- Constance (Allemagne)
- Université de Constance
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Candia, Victor" sort="Candia, Victor" uniqKey="Candia V" first="Victor" last="Candia">Victor Candia</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, University of Konstanz, Konstanz, Germany. victor.candia@uni-konstanz.de</nlm:affiliation>
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<author><name sortKey="Rau, Harald" sort="Rau, Harald" uniqKey="Rau H" first="Harald" last="Rau">Harald Rau</name>
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<author><name sortKey="Altenmuller, Eckart" sort="Altenmuller, Eckart" uniqKey="Altenmuller E" first="Eckart" last="Altenmüller">Eckart Altenmüller</name>
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<author><name sortKey="Rockstroh, Brigitte" sort="Rockstroh, Brigitte" uniqKey="Rockstroh B" first="Brigitte" last="Rockstroh">Brigitte Rockstroh</name>
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<term>Dystonia (physiopathology)</term>
<term>Dystonia (rehabilitation)</term>
<term>Female (MeSH)</term>
<term>Hand (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Music (MeSH)</term>
<term>Occupational Diseases (rehabilitation)</term>
<term>Splints (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Attelles (MeSH)</term>
<term>Dystonie (physiopathologie)</term>
<term>Dystonie (rééducation et réadaptation)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Main (MeSH)</term>
<term>Maladies professionnelles (rééducation et réadaptation)</term>
<term>Musique (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dystonie</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Dystonia</term>
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<term>Middle Aged</term>
<term>Music</term>
<term>Splints</term>
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<term>Musique</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To evaluate the long-term effectiveness of sensory motor retuning (SMR), a new treatment for focal hand dystonia in musicians.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Prospective case series with an (adventitious) comparison group with 3- to 25-month follow-up in piano and guitar and 0- to 4-month follow-up in flute and oboe players.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>General community in Germany.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Eleven professional musicians.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTION</b>
</p>
<p>Immobilization by splints of 1 or more digits other than the focal dystonic finger. This finger carried out repetitive exercises in coordination with 1 or more of the other digits for 1(1/2) to 2(1/2) hours a day for 8 consecutive days under therapist supervision. The subjects then were instructed to continue practice for 1 hour daily for 1 year.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>Spectral analysis of the output of a dexterity-displacement device that continuously recorded digital displacement during finger movements and a dystonia evaluation scale on which patients rated how well they had just performed dystonic movement sequences and repertoire passages.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The 3 wind players (adventitious placebo controls) did not improve substantially. However, each pianist and guitarist showed marked and significant improvement in spontaneous repertoire performance without the splint. The first subject is now 25 months posttreatment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Results suggest that SMR is of value for the treatment of focal hand dystonia in pianists and guitarists.</p>
</div>
</front>
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<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Eleven professional musicians.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Immobilization by splints of 1 or more digits other than the focal dystonic finger. This finger carried out repetitive exercises in coordination with 1 or more of the other digits for 1(1/2) to 2(1/2) hours a day for 8 consecutive days under therapist supervision. The subjects then were instructed to continue practice for 1 hour daily for 1 year.</AbstractText>
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<name sortKey="Rau, Harald" sort="Rau, Harald" uniqKey="Rau H" first="Harald" last="Rau">Harald Rau</name>
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<country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Candia, Victor" sort="Candia, Victor" uniqKey="Candia V" first="Victor" last="Candia">Victor Candia</name>
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