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Sensory motor retuning : a behavioral treatment for focal hand dystonia of pianists and guitarists

Sensory motor retuning : a behavioral treatment for focal hand dystonia of pianists and guitarists

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CANDIA, Victor, Thomas SCHÄFER, Edward TAUB, Harald RAU, Eckart ALTENMÜLLER, Brigitte ROCKSTROH, Thomas ELBERT, 2002. Sensory motor retuning : a behavioral treatment for focal hand dystonia of pianists and guitarists. In: Archives of Physical Medicine and Rehabilitation. 83, pp. 1342-1348

@article{Candia2002Senso-10719, title={Sensory motor retuning : a behavioral treatment for focal hand dystonia of pianists and guitarists}, year={2002}, doi={10.1053/apmr.2002.35094}, volume={83}, journal={Archives of Physical Medicine and Rehabilitation}, pages={1342--1348}, author={Candia, Victor and Schäfer, Thomas and Taub, Edward and Rau, Harald and Altenmüller, Eckart and Rockstroh, Brigitte and Elbert, Thomas} }

Rau, Harald Rau, Harald Taub, Edward Elbert, Thomas 2002 Rockstroh, Brigitte Objective: To evaluate the long-term effectiveness of sensory motor retuning (SMR), a new treatment for focal hand dystonia in musicians.<br />Design: Prospective case series with an (adventitious) comparison group with 3- to 25-month follow-up in piano and guitar and 0- to 4-month follow-up in flute and oboe players.<br />Setting: General community in Germany.<br />Participants: Eleven professional musicians.<br />Intervention: Immobilization by splints of 1 or more digits other than the focal dystonic finger. This finger carried out repetitive exercises in coordination with 1 or more of the other digits for 1.5 to 2.5 hours a day for 8 consecutive days under therapist supervision. The subjects then were instructed to continue practice for 1 hour daily for 1 year.<br />Main Outcome Measures: Spectral analysis of the output of a dexterity-displacement device that continuously recorded digital displacement during finger movements and a dystonia evaluation scale on which patients rated how well they had just performed dystonic movement sequences and repertoire passages.<br />Results: The 3 wind players (adventitious placebo controls) did not improve substantially. However, each pianist and guitarist showed marked and significant improvement in spontaneous repertoire performance without the splint. The first subject is now 25 months posttreatment.<br />Conclusions: Results suggest that SMR is of value for the treatment of focal hand dystonia in pianists and guitarists. Schäfer, Thomas Candia, Victor deposit-license 2011-03-25T09:21:27Z Schäfer, Thomas Rockstroh, Brigitte 2011-03-25T09:21:27Z Altenmüller, Eckart Sensory motor retuning : a behavioral treatment for focal hand dystonia of pianists and guitarists eng Altenmüller, Eckart Candia, Victor Elbert, Thomas application/pdf Taub, Edward First publ. in: Archives of Physical Medicine and Rehabilitation 83 (2002), pp. 1342-1348

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