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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