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2018 | 18 | 2 | 68–73
Article title

Re-trening motoryczny iunieruchomienie w terapii kurczu pisarskiego: ocena kliniczna i fMRI

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Title variants
EN
Motor re-training and immobilisation in the treatment of writer’s cramp: a clinical and fMRI study
Languages of publication
EN
Abstracts
EN
Objectives: The aim of the paper was to: (1) evaluate the effectiveness of the physiotherapeutic program in writer’s cramp, (2) compare the brain activity while writing in patients with writer’s cramp and in healthy controls, (3) compare the brain activity of subjects with writer’s cramp before and after the physiotherapy. Material and methods: Nine patients with diagnosed writer’s cramp and nine age-matched healthy controls were studied. The functional magnetic resonance imaging while writing was performed in the writer’s cramp subjects and in the controls. The patients with writer’s cramp participated in a 3-week therapeutic program of individualised exercises in combination with the immobilisation of the affected limb. The functional magnetic resonance imaging was repeated after completing the therapeutic program. Results: Only the results of the coil drawing test significantly improved after completing the therapeutic program. All other clinical tests did not reveal any significant changes after the therapy. Activation of primary motor cortex, premotor cortex and primary sensory cortex was observed while writing in the subjects with writer’s cramp and in the controls. Brain activation in clusters located in the areas BA4, BA7, BA18 and BA37 was more pronounced in the writer’s cramp group. Individual analysis revealed a significantly increased activation of the cerebellum in the writer’s cramp patients and it decreased after physiotherapy. Conclusion: In the writer’s cramp subjects, functional magnetic resonance imaging revealed increased – when compared to the controls – activity of several brain structures while writing. This activity was modified by individualised physiotherapeutic program.
PL
Celami pracy były: (1) ocena skuteczności programu fizjoterapeutycznego w kurczu pisarskim, (2) porównanie aktywności mózgu podczas pisania u pacjentów z kurczem pisarskim i osób zdrowych, (3) porównanie aktywności mózgu podczas pisania u pacjentów z kurczem pisarskim przed fizjoterapią i po jej przeprowadzeniu. Materiał i metody: Badaniem objęto grupę 9 pacjentów z kurczem pisarskim i 9 zdrowych ochotników. Funkcjonalne obrazowanie metodą rezonansu magnetycznego wykonano podczas pisania w obu grupach. Pacjenci z kurczem pisarskim uczestniczyli w 3-tygodniowym programie terapeutycznym obejmującym zindywidualizowane ćwiczenia w połączeniu z unieruchomieniem zajętej kończyny. W grupie z kurczem pisarskim badanie funkcjonalnym rezonansem magnetycznym przeprowadzono ponownie po zakończeniu programu terapeutycznego. Wyniki: Tylko test rysowania spirali wykazał statystycznie istotną poprawę po zakończeniu programu terapeutycznego. Wszystkie inne testy kliniczne nie ujawniły znamiennych różnic. Zarówno u pacjentów z kurczem pisarskim, jak i u osób zdrowych stwierdzono podczas pisania aktywację pierwotnej kory ruchowej, przedruchowej i pierwotnej czuciowej. Aktywacja w polach BA4, BA7, BA18 i BA37 była silnej wyrażona w grupie z kurczem pisarskim. W tej grupie stwierdzono również istotnie większą aktywację móżdżku, która zmniejszyła się po terapii. Wniosek: U pacjentów z kurczem pisarskim funkcjonalne obrazowanie metodą rezonansu magnetycznego wykazało zwiększoną – w porównaniu z osobami zdrowymi – aktywację szeregu ośrodków w mózgu. Aktywność ta ulegała modyfikacji w następstwie zindywidualizowanego programu fizjoterapeutycznego.
Discipline
Publisher

Year
Volume
18
Issue
2
Pages
68–73
Physical description
Contributors
  • Department of Extrapyramidal Diseases, Medical University of Lodz, Łódź, Poland
author
author
  • Department of Radiology, Medical University of Lodz, Łódź, Poland
  • Department of Medical Rehabilitation, Medical University of Lodz, Łódź, Poland
  • Department of Radiology and Diagnostic Imaging, Barlicki University Hospital, Medical University of Lodz, Łódź, Poland
  • Department of Extrapyramidal Diseases, Medical University of Lodz, Łódź, Poland
References
  • Albanese A, Bhatia K, Bressman SB et al.: Phenomenology and classification of dystonia: a consensus update. Mov Disord 2013; 28: 863–873.
  • Altenmüller E, Baur V, Hofmann A et al.: Musician’s cramp as manifestation of maladaptive brain plasticity: arguments from instrumental differences. Ann N Y Acad Sci 2012; 1252: 259–265.
  • Bäumer T, Demiralay C, Hidding U et al.: Abnormal plasticity of the sensorimotor cortex to slow repetitive transcranial magnetic stimulation in patients with writer’s cramp. Mov Disord 2007; 22: 81–90.
  • Bradnam LV, Graetz LJ, McDonnell MN et al.: Anodal transcranial direct current stimulation to the cerebellum improves handwriting and cyclic drawing kinematics in focal hand dystonia. Front Hum Neurosci 2015; 9: 286.
  • Burke RE, Fahn S, Marsden CD et al.: Validity and reliability of a rating scale for the primary torsion dystonias. Neurology 1985; 35: 73–77.
  • Byl NN, McKenzie A: Treatment effectiveness for patients with a history of repetitive hand use and focal hand dystonia: a planned, prospective follow-up study. J Hand Ther 2000; 13: 289–301.
  • Cogiamanian F, Barbieri S, Priori A: Novel nonpharmacologic perspectives for the treatment of task-specific focal hand dystonia. J Hand Ther 2009; 22: 156–161.
  • Elbert T, Candia V, Altenmüller E et al.: Alteration of digital representations in somatosensory cortex in focal hand dystonia. Neuroreport 1998; 9: 3571–3575.
  • Enke AM, Poskey GA: Neuromuscular re-education programs for musicians with focal hand dystonia: a systematic review. Med Probl Perform Art 2018; 33: 137–145.
  • Furuya S, Nitsche MA, Paulus W et al.: Surmounting retraining limits in musicians’ dystonia by transcranial stimulation. Ann Neurol 2014; 75: 700–707.
  • Goldman JG: Writer’s cramp. Toxicon 2015; 107: 98–104.
  • Hu XY, Wang L, Liu H et al.: Functional magnetic resonance imaging study of writer’s cramp. Chin Med J (Engl) 2006; 119: 1263–1271.
  • Hubsch C, Roze E, Popa T et al.: Defective cerebellar control of cortical plasticity in writer’s cramp. Brain 2013; 136: 2050–2062.
  • Jabusch HC, Vauth H, Altenmüller E: Quantification of focal dystonia in pianists using scale analysis. Mov Disord 2004; 19: 171–180.
  • Jhunjhunwala K, Kotikalapudi R, Lenka A et al.: Abnormalities of eyehand coordination in patients with writer’s cramp: possible role of the cerebellum. Tremor Other Hyperkinet Mov (N Y) 2017; 7: 499.
  • Lohmann K, Schmidt A, Schillert A et al.: Genome-wide association study in musician’s dystonia: a risk variant at the arylsulfatase G locus? Mov Disord 2014; 29: 921–927.
  • Mantel T, Meindl T, Li Y et al.: Network-specific resting-state connectivity changes in the premotor-parietal axis in writer’s cramp. Neuroimage Clin 2017; 17: 137–144.
  • Moore RD, Gallea C, Horovitz SG et al.: Individuated finger control in focal hand dystonia: an fMRI study. Neuroimage 2012; 61: 823–831.
  • Nelson AJ, Blake DT, Chen R: Digit-specific aberrations in the primary somatosensory cortex in Writer’s cramp. Ann Neurol 2009; 66: 146–154.
  • Nibbeling E, Schaake S, Tijssen MA et al.: Accumulation of rare variants in the arylsulfatase G (ARSG) gene in task-specific dystonia. J Neurol 2015; 262: 1340–1343.
  • Pesenti A, Barbieri S, Priori A: Limb immobilization for occupational dystonia: a possible alternative treatment for selected patients. Adv Neurol 2004; 94: 247–254.
  • Pirio Richardson S, Altenmüller E, Alter K et al.: Research priorities in limb and task-specific dystonias. Front Neurol 2017; 8: 170.
  • Pirio Richardson S, Beck S, Bliem B et al.: Abnormal dorsal premotormotor inhibition in writer’s cramp. Mov Disord 2014; 29: 797–803.
  • Preibisch C, Berg D, Hofmann E et al.: Cerebral activation patterns in patients with writer’s cramp: a functional magnetic resonance imaging study. J Neurol 2001; 248: 10–17.
  • Priori A, Pesenti A, Cappellari A et al.: Limb immobilization for the treatment of focal occupational dystonia. Neurology 2001; 57: 405–409.
  • Quartarone A, Bagnato S, Rizzo V et al.: Abnormal associative plasticity of the human motor cortex in writer’s cramp. Brain 2003; 126: 2586–2596.
  • Rothkirch I, Granert O, Knutzen A et al.: Dynamic causal modeling revealed dysfunctional effective connectivity in both, the corticobasal-ganglia and the cerebello-cortical motor network in writers’ cramp. Neuroimage Clin 2018; 18: 149–159.
  • Rozanski VE, Rehfuess E, Bötzel K et al.: Task-specific dystonia in professional musicians. A systematic review of the importance of intensive playing as a risk factor. Dtsch Arztebl Int 2015; 112: 871–877.
  • Siebner HR, Rothwell J: Transcranial magnetic stimulation: new insights into representational cortical plasticity. Exp Brain Res 2003; 148: 1–16.
  • Zeuner KE, Hallett M: Sensory training as treatment for focal hand dystonia: a 1-year follow-up. Mov Disord 2003; 18: 1044–1047.
  • Zeuner KE, Bara-Jimenez W, Noguchi PS et al.: Sensory training for patients with focal hand dystonia. Ann Neurol 2002; 51: 593–598.
  • Zeuner KE, Peller M, Knutzen A et al.: Motor re-training does not need to be task specific to improve writer’s cramp. Mov Disord 2008; 23: 2319–2327.
Document Type
article
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Identifiers
YADDA identifier
bwmeta1.element.psjd-59d4c8fd-47ee-44b2-8388-2c2b3b1a8030
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