Document Detail


Focal dystonia in musicians: treatment strategies and long-term outcome in 144 patients.
MedLine Citation:
PMID:  16078237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the long-term outcome of 144 musicians with focal dystonia after treatment with botulinum toxin (n = 71), trihexiphenidyl (n = 69), pedagogical retraining (n = 24), ergonomic changes (n = 51), or nonspecific exercises on the instrument (n = 78). Outcome was assessed by patients' subjective rating of cumulative treatment response and response to individual therapies. Seventy-seven patients (54%) reported an alleviation of symptoms: 33% of the patients with trihexiphenidyl, 49% with botulinum toxin, 50% with pedagogical retraining, 56% with unmonitored technical exercises, and 63% with ergonomic changes.
Authors:
Hans-Christian Jabusch; Dorothea Zschucke; Alexander Schmidt; Stephan Schuele; Eckart Altenmüller
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Movement disorders : official journal of the Movement Disorder Society     Volume:  20     ISSN:  0885-3185     ISO Abbreviation:  Mov. Disord.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-07     Completed Date:  2006-03-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8610688     Medline TA:  Mov Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1623-6     Citation Subset:  IM    
Affiliation:
Institute of Music Physiology and Musicians' Medicine, University of Music and Drama, Hannover, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Dyskinesia Agents / therapeutic use
Botulinum Toxins / therapeutic use
Combined Modality Therapy
Disability Evaluation
Dystonic Disorders / rehabilitation*,  therapy*
Exercise Therapy / methods
Female
Humans
Longitudinal Studies
Male
Music*
Retrospective Studies
Treatment Outcome*
Chemical
Reg. No./Substance:
0/Anti-Dyskinesia Agents; 0/Botulinum Toxins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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