Long‐term outcome of focal dystonia in string instrumentalists
Long‐term outcome of focal dystonia in string instrumentalists
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弦乐演奏家局灶性肌张力障碍的长期结果
DOI：
10.1002/mds.10647
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发表时间：
2004
影响因子：
8.6
通讯作者：
R. Lederman
中科院分区：
文献类型：
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作者：
S. Schuele;R. Lederman
本研究描述了患有局灶性任务特异性肌张力障碍的弦乐演奏家的临床特征和长期结局。我们提出了一个后续的电话调查结果的21小提琴和中提琴演奏者与局灶性肌张力障碍。18位音乐家回答了问卷。症状发作后平均13.8年可获得长期结局信息。主要投诉为与游戏相关的失控和不自主运动，影响16例患者的指法手和5例患者的弓臂。在18名患者（86%）中，通过观察他们演奏乐器可以发现异常姿势的迹象。治疗尝试包括神经减压、物理治疗、再训练和抗胆碱能药物。在选定的患者中，提供肉毒杆菌毒素注射或夹板装置。只有38%的表演艺术家能够维持他们的职业生涯，其中没有人患有弓臂肌张力障碍。局部肌张力障碍可能影响小提琴和中提琴演奏者的指法手或弓臂。治疗的益处是有限的，在超过一半的患者中，肌张力障碍导致他们音乐生涯的结束。© 2003运动障碍协会
This study describes the clinical characteristics and long‐term outcome in string instrumentalists with focal task‐specific dystonia. We present the results of a follow‐up telephone survey of 21 violin and viola players with focal dystonia. Eighteen musicians responded to the questionnaire. Information on long‐term outcome was available on average 13.8 years after onset of symptoms. Main complaints were playing‐related loss of control and involuntary movements affecting the fingering hand in 16 and the bow arm in 5 patients. In 18 patients (86%), signs of abnormal posture could be detected by watching them play their instrument. Treatment attempts included nerve decompression, physical therapy, retraining, and anticholinergic medication. In selected patients, botulinum toxin injections or splint devices were offered. Only 38% of the performing artists were able to maintain their professional careers, among them none with bow arm dystonia. Focal dystonia may affect the fingering hand or bow arm in violin and viola instrumentalists. Treatment benefit is limited and in more than half of the patients, dystonia leads to the end of their musical career. © 2003 Movement Disorder Society
明尼苏达州罗彻斯特肌张力障碍的流行病学。
影响因子：
--
作者：
Nutt,JG;Muenter,MD;Melton3rd,LJ;Aronson,A;Kurland,LT
通讯作者：
Kurland,LT