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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Differences in physical characteristics and response to rehabilitation for patients with hand dystonia: musicians' cramp compared to writers' cramp.
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Differences in physical characteristics and response to rehabilitation for patients with hand dystonia: musicians' cramp compared to writers' cramp.

机译：手部肌张力障碍患者的身体特征和对康复的反应差异：音乐家的抽筋与作家的抽筋相比。

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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.
机译：研究设计：事前，事后混合析因试验。简介：局灶性手肌张力障碍是一种具有挑战性的运动障碍，需要在音乐家和作家中进行康复。研究目的：比较作者抽筋（WC）和音乐家抽筋（MC）的神经肌肉骨骼特征，并评估对基于学习的感觉运动训练的反应能力。方法：27个人（14位音乐家，13位作家）参加了为期8周的监督治疗，并辅以家庭计划。在基线和干预后评估了肌肉骨骼（身体），感觉和运动表现的组间差异。结果：MC受试者比WC受试者具有更高的功能独立性和更好的运动范围，但患上肢的力量较小。 MC受试者在感觉，运动和基线定位方面表现出更高的准确性。在基线或干预后均未发现运动表现的组间差异。经过基于学习的个体适应性感觉运动训练，两组的肌肉骨骼（物理）参数，感觉处理和运动控制均得到改善。但是，某些子测验的改进因组而异。随访时，两组之间的姿势，ROM，力量，感觉异常和运动感觉持续存在差异。结论：与患有MC的受试者相比，患有WC的受试者具有不同的身体和行为危险因素。干预范例是有效的，但是对康复的反应却不尽相同。证据级别：4。

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