| Diagnosis and management of focal hand dystonia in a rheumatology practice. | |
| | |
MedLine Citation:
|
PMID: 22273716 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: This article reviews current evidence on etiology, diagnosis and clinical management of patients with a challenging movement disorder referred to as focal hand dystonia (FHd). RECENT FINDINGS: Patients who present to a rhematologist with a history of repetitive overuse, weakness, pain and involuntary, end-range posturing of the digits when performing a target task may have FHd. The etiology is considered idiopathic and multifactorial. There are no specific laboratory or clinical tests to 'rule in' or 'rule out' the diagnosis. Comparative neuroimaging studies report inadequate inhibition and aberrant sensory and motor processing in patients with FHd. This movement disorder can be recalcitrant to recovery. Current research evidence supports the benefit of quieting muscle contractions with botulinum toxin injections, modifying ergonomics, performance biomechanics, lifestyle, stress, health, personality and practice behaviors and simultaneously beginning a progressive brain-retraining program. SUMMARY: Rheumatologist can facilitate effective management of patients with FHd by making an early, accurate diagnosis, providing patient education about the etiology and risk factors associated with the disorder, managing medications and identifying a team to oversee learning-based sensory and motor retraining. |
| | |
Authors:
|
Nancy N Byl |
Related Documents
:
|
7314026 - Management of oesophageal perforation associated with benign stricture and hiatus herni... 596076 - Incidence of cholelithiasis after truncal and selective vagotomy. 15655406 - A preliminary investigation of the effects of a provider network on costs and lost-time... 409976 - Effect of otolith end organ ablation on horizontal optokinetic nystagmus, and optokinet... 18596926 - Attitudes toward consumption and conservation of tigers in china. 8550916 - Survey of dairy managers in the pacific northwest identifying factors associated with t... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-23 |
Journal Detail:
|
Title: Current opinion in rheumatology Volume: - ISSN: 1531-6963 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9000851 Medline TA: Curr Opin Rheumatol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Physical Therapy and Rehabilitation Science, University of California, San Francisco, California, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Size-suppressed dielectrics of Ge nanocrystals: skin-deep quantum entrapment.
Next Document: Possibility of immunotherapy for biliary tract cancer: how do we prove efficacy? Introduction to a c...