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Management of common conditions of the musician: a narrative review for plastic surgeons.
J Plast Surg Hand Surg
September 2023
Division of Plastic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Career-related injuries and disorders in professional musicians are prevalent across all their respective instruments and fields. They often endure long hours of intensive practice that demand high levels of precision, dexterity, and flexibility of their head, neck, hands, and upper extremities. Unlike the average patient, musicians are sensitive to even mild symptoms and deficits that can interfere with performance, which can potentially be career-threatening.
View Article and Find Full Text PDFPractice behaviors as trigger factor for the onset of Musicians' Dystonia.
J Neural Transm (Vienna)
December 2023
Institute of Music Physiology and Musicians' Medicine, University of Music, Drama and Media Hannover, Hannover, Germany.
Musician's Dystonia (MD) is a task-specific movement disorder that results in an involuntary cramping of muscles involved in playing an instrument such as the upper limbs or the embouchure. It is usually painless and occurs in general only at the instrument. The pathophysiology of MD is not completely understood.
View Article and Find Full Text PDFBrain Connectivity in Dystonia: Evidence from Magnetoencephalography.
Adv Neurobiol
June 2023
Department of Neurological Sciences, Rush Parkinson's Disease and Movement Disorders Program, Chicago, IL, USA.
Magnetoencephalography (MEG) detects synchronized activity within a neuronal network by measuring the magnetic field changes generated by intracellular current flow. Using MEG data, we can quantify brain region networks with similar frequency, phase, or amplitude of activity and thereby identify patterns of functional connectivity seen with specific disorders or disease states. In this review, we examine and summarize MEG-based literature on functional networks in dystonias.
View Article and Find Full Text PDFEmbouchure Dystonia as a Network Disease.
Adv Neurobiol
June 2023
Institute of Music Physiology and Musician's Medicine, Hannover University of Music, Drama and Media, Hannover, Germany.
While the pathophysiology of embouchure dystonia, a sub-entity of musician's dystonia, is still not fully understood, recent research has shown that it involves alterations of several brain functions and networks. Maladaptive plasticity in sensorimotor integration, sensory perception, and deficient inhibitory mechanisms at cortical, subcortical, and spinal level seem to contribute to its pathophysiology. Furthermore, functional systems of the basal ganglia and the cerebellum are involved, clearly pointing toward a network disorder.
View Article and Find Full Text PDFReliability and Validity of the Embouchure Dystonia Severity Rating Scale.
J Mov Disord
May 2023
Department of Neurology, Technical University of Munich, Munich, Germany.
Objective: Embouchure dystonia (ED) is a task-specific movement disorder that leads to loss of fine motor control of the embouchure and tongue muscles in wind musicians. In contrast to musicians' hand dystonia, no validated severity rating for ED exists, posing a major obstacle for structured assessment in scientific and clinical settings. The aim of this study is to validate an ED severity rating scale (EDSRS) allowing for a standardized estimation of symptom severity in ED.
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