Focal dystonia in musicians: Treatment strategies and long‐term outcome in 144 patients | Zendy

Jabusch HansChristian | Zendy; Zschucke Dorothea | Zendy; Schmidt Alexander | Zendy; Schuele Stephan | Zendy; Altenmüller Eckart | Zendy

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Focal dystonia in musicians: Treatment strategies and long‐term outcome in 144 patients

Author(s) -

Jabusch HansChristian,

Zschucke Dorothea,

Schmidt Alexander,

Schuele Stephan,

Altenmüller Eckart

Publication year - 2005

Publication title -

movement disorders

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.352

H-Index - 198

eISSN - 1531-8257

pISSN - 0885-3185

DOI - 10.1002/mds.20631

Subject(s) - botulinum toxin , retraining , focal dystonia , dystonia , blepharospasm , cervical dystonia , physical therapy , medicine , physical medicine and rehabilitation , psychology , anesthesia , psychiatry , international trade , business

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. © 2005 Movement Disorder Society

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