Task-specific dystonia: pathophysiology and management

J Neurol Neurosurg Psychiatry. 2016 Sep;87(9):968-74. doi: 10.1136/jnnp-2015-311298. Epub 2016 Jan 27.

Abstract

Task-specific dystonia is a form of isolated focal dystonia with the peculiarity of being displayed only during performance of a specific skilled motor task. This distinctive feature makes task-specific dystonia a particularly mysterious and fascinating neurological condition. In this review, we cover phenomenology and its increasingly broad-spectrum risk factors for the disease, critically review pathophysiological theories and evaluate current therapeutic options. We conclude by highlighting the unique features of task-specific dystonia within the wider concept of dystonia. We emphasise the central contribution of environmental risk factors, and propose a model by which these triggers may impact on the motor control of skilled movement. By viewing task-specific dystonia through this new lens which considers the disorder a modifiable disorder of motor control, we are optimistic that research will yield novel therapeutic avenues for this highly motivated group of patients.

Keywords: DYSTONIA.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Dystonia / physiopathology*
  • Dystonic Disorders / physiopathology*
  • Environment
  • Hand / physiopathology*
  • Humans
  • Movement / physiology*
  • Occupational Diseases / physiopathology
  • Risk Factors

Supplementary concepts

  • Dystonia, Focal, Task-Specific