Differences in Physical Characteristics and Response to Rehabilitation for Patients with Hand Dystonia: Musicians' Cramp Compared to Writers' Cramp
| Autor: | Maria Shrime, Cindy Barrango, Tricia Wong, Nancy N. Byl, Sarah B. Goldman, Alison McKenzie |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Sensory processing Graphesthesia Writing medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Cohort Studies Physical medicine and rehabilitation Risk Factors medicine Humans Motor skill Dystonia Rehabilitation Proprioception Motor control Recovery of Function Middle Aged Hand medicine.disease Occupational Diseases Treatment Outcome Dystonic Disorders Motor Skills Female Psychology Range of motion Music |
| Zdroj: | Journal of Hand Therapy. 22:172-182 |
| ISSN: | 0894-1130 |
| DOI: | 10.1016/j.jht.2008.12.006 |
| Popis: | Study Design Pre-Post, Mixed Factorial Trial. Introduction Focal hand dystonia is a challenging movement disorder to rehabilitate in musicians and writers. Purpose of the Study To compare the neuromusculoskeletal characteristics of those with writers' cramp (WC) and musicians' cramp (MC), and evaluate responsiveness to learning-based sensorimotor training. Methods Twenty-seven individuals (14 musicians, 13 writers) participated in 8 weeks of supervised therapy supplemented with a home program. Between-group differences on measures of musculoskeletal (physical), sensory, and motor performance were evaluated at baseline and post-intervention. Results Subjects with MC had a higher level of functional independence and better range of motion, but less strength in the affected upper limb than those of subjects with WC. Subjects with MC demonstrated greater accuracy on graphesthesia, kinesthesia, and localization at baseline. No between-group differences in motor performance were noted at baseline or post-intervention. Following individually adapted learning-based sensorimotor training, both groups improved in musculoskeletal (physical) parameters, sensory processing, and motor control; however, improvements on certain subtests differed by group. At follow-up, differences in posture, ROM, strength, graphesthesia, and kinesthesia persisted between the groups. Conclusions Subjects with WC have different physical and performance risk factors compared with those of subjects with MC. Intervention paradigms are efficacious, but variable responses to rehabilitation occur. Level of Evidence 4. |
| Databáze: | OpenAIRE |
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