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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Clinical Relevance of Neuromuscular Findings and Abnormal Movement Patterns: A Comparison between Focal Hand Dystonia and Upper Extremity Entrapment Neuropathies.
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Clinical Relevance of Neuromuscular Findings and Abnormal Movement Patterns: A Comparison between Focal Hand Dystonia and Upper Extremity Entrapment Neuropathies.

机译：神经肌肉发现和异常运动模式的临床相关性：局灶性手肌张力障碍和上肢截肢神经病之间的比较。

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NARRATIVE REVIEW: Patients with focal hand dystonia and upper extremity entrapment neuropathies may present with similar symptoms and risk factors making it difficult to distinguish between the two diagnoses. Evaluating for the presence of neuromuscular findings and abnormal movement patterns can help assist the hand therapist in identifying the presence of focal hand dystonia or peripheral motor axon involvement in the absence of pronounced muscle atrophy. The purposes of this review article are twofold. First, to describe selected neuromuscular signs and symptoms characteristic of patients presenting with repetitive overuse syndromes of the upper limb leading to either a nerve entrapment syndrome or a focal hand dystonia. The selected topics will be limited to an overview of ectopic neuronal activity with an emphasis on fasciculations, muscle spasms/cramps, and sensation (including pain). Second, the article will conclude with a brief synopsis of focal hand dystonia and compression neuropathies, highlighting general assessment and treatment principles.
机译：叙述性综述：患有局部手部肌张力障碍和上肢压迫性神经病的患者可能会出现类似的症状和危险因素，因此很难区分这两种诊断。评估神经肌肉发现和异常运动模式的存在可以帮助手部治疗师在缺乏明显的肌肉萎缩的情况下确定局灶性手肌张力障碍或周围运动轴突的存在。本文的目的是双重的。首先，描述出现上肢重复性过度使用综合征而导致神经卡压综合征或局灶性肌张力障碍的患者的选定神经肌肉体征和症状特征。所选主题将限于异位神经元活动的概述，重点是束缚，肌肉痉挛/抽筋和感觉（包括疼痛）。其次，本文将以局灶性手肌张力障碍和压迫性神经病的简要提要作为结尾，重点介绍一般的评估和治疗原则。

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