Focal hand dystonia in musicians: phenomenology, etiology, and psychological trigger factors
Focal hand dystonia in musicians: phenomenology, etiology, and psychological trigger factors
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DOI：
10.1016/j.jht.2008.11.007
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发表时间：
2009-04-01
影响因子：
2
通讯作者：
Jabusch, Hans-Christian
中科院分区：
文献类型：
--
作者：
Altenmueller, Eckart;Jabusch, Hans-Christian
叙述性审查：音乐家肌张力障碍是一种任务特异性运动障碍，表现为在广泛训练的运动中失去自主运动控制。在许多情况下，这种疾病终止了受影响的音乐家的职业生涯。大约1%的专业音乐家受到影响。在过去，局灶性肌张力障碍（FD）被归类为心理障碍。随着时间的推移，这个问题被归类为神经问题。虽然这种疾病的具体病理生理机制尚不清楚，但其病因似乎是多因素的。虽然可能有家族史，神经生理，物理和环境因素，创伤和压力有助于FD的表型发展。这份手稿分析的证据支持的潜在贡献的情绪脑系统的病因局灶性手肌张力障碍的音乐家。此外，心理学研究结果来自一项大型描述性研究，比较了健康的音乐家，肌张力障碍的音乐家和慢性疼痛的音乐家。有关心理特征的信息可能会被用来修改干预策略和音乐教学，以减少音乐家的肌张力障碍的发生率。J手在那里。2009;22：144-55.
Narrative Review: Musician's dystonia is a task-specific movement disorder, which manifests itself as a loss of voluntary motor control in extensively trained movements. In many cases, the disorder terminates the careers of affected musicians. Approximately 1% of all professional musicians are affected. In the past, focal dystonia (FD) was classified as a psychological disorder. Over time, the problem was classified as a neurological problem. Although the specific pathophysiology of the disorder is still unclear, it appears the etiology is multifactorial. While there may be a family history, neurophysiological, physical, and environmental factors, trauma and stress contribute to the phenotypic development of FD.This manuscript analyzes the evidence supporting the potential contribution of the emotional brain systems in the etiology of focal hand dystonia in musicians. In addition, the psychological findings from a large descriptive study comparing healthy musicians, musicians with dystonia, and musicians with chronic pain. Information about psychogenic characteristics might be used to modify intervention strategies and music instruction to reduce the incidence of musician's dystonia. J HAND THER. 2009;22:144-55.