Musician's dystonia in pianists: long-term evaluation of retraining and other therapies.
Musician's dystonia in pianists: long-term evaluation of retraining and other therapies.
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钢琴家音乐家的肌张力障碍：再训练和其他疗法的长期评估。
DOI：
10.1016/j.parkreldis.2013.08.009
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发表时间：
2014
影响因子：
4.1
通讯作者：
E. Altenmüller
中科院分区：
文献类型：
--
作者：
F. V. van Vugt;L. Boullet;H. Jabusch;E. Altenmüller
音乐家肌张力障碍的特征是在乐器上广泛训练的运动中失去自主运动控制。这种情况是难以treat.This回顾性研究报告的干预措施收到了一个同质队列的钢琴家与音乐家的肌张力障碍和主观和客观的变化报告在task performance.MethodsThis是一个回顾性的描述性研究。54名在运动障碍诊所接受治疗的患有音乐家肌张力障碍的钢琴家完成了一份关于过去4年接受治疗的类型和有效性的自我报告问卷。钢琴家的精细运动控制进行了客观评估，通过测量他们的规模playing.ResultsAlmost所有的患者（98.0%）的时间规律报告的运动任务比音乐演奏的赤字。一半的患者正在服用药物（肉毒杆菌毒素（53%），苯海索（51%））。受试者报告参与多种治疗：再培训（87%）、手部治疗（42%）、放松技术（38%）、物理治疗（30%）、心理治疗（23%）、针灸（21%）和身体技术（21%）。81.5%的受试者报告了自我报告的运动表现改善，5.6%的受试者报告完全恢复。42.9%的受试者记录了特定任务运动表现的客观增益（4.8%的受试者恶化）。再训练疗法，放松技术和教师的变化解释了52%的方差在主观outcomes.ConclusionsMusician的肌张力障碍，不仅干扰音乐表演，但其他精细运动任务。客观上，大约50%的患者在参与各种干预策略后改善了任务表现，但主观上，80%的受试者报告了改善。
ObjectiveMusician's dystonia is characterized by loss of voluntary motor control in extensively trained movements on an instrument. The condition is difficult to treat. This retrospective study reports on the interventions received by a homogeneous cohort of pianists with musician's dystonia and the subjective and objective changes reported in task performance.MethodsThis is a retrospective descriptive study. Fifty four pianists with musician's dystonia who had received care in a Movement Disorders Clinic completed a self report questionnaire regarding type and effectiveness of treatment received over the last 4 years. Pianists' fine motor control was assessed objectively by measuring the temporal regularity of their scale playing.ResultsNearly all patients (98.0%) reported deficits in motor tasks other than musical playing. Half of the patients were taking medications (Botulinum toxin (53%), Trihexyphenidyl (51%)). Subjects reported participating in multiple therapies: retraining (87%), hand therapy (42%), relaxation techniques (38%), physiotherapy (30%), psychotherapy (23%), acupuncture (21%) and body techniques (21%). Self-reported improvements in motor performance were reported by 81.5% of the subjects with 5.6% reporting a complete recovery. Objective gains in task-specific motor performance were documented in 42.9% of the subjects (with deterioration in 4.8%). Retraining therapy, relaxation techniques and change in teacher explained 52% of the variance in subjective outcomes.ConclusionsMusician's dystonia not only interferes with musical performance but other fine motor tasks. Objectively, approximately 50% of patients improved task performance following participation in a variety of intervention strategies, but subjectively, 80% of subjects reported improvement.