Musician's dystonia

Pract Neurol. 2015 Aug;15(4):317-22. doi: 10.1136/practneurol-2015-001148. Epub 2015 May 28.

Abstract

Musician's dystonia is a task-specific dystonia that usually affects the embouchure or the most active digits of the most active hand, and therefore differs between instruments. Since it is usually painless and intermittent, the diagnosis is often delayed and it is commonly misdiagnosed as being an overuse disorder or tendon pathology. It arises from pathological brain plasticity: physiological studies suggest that it is an exaggeration of brain changes that are required to achieve advanced musical skills. Its treatment often has limited success; however, musical retraining, botulinum toxin or rehabilitation based on modifying the aberrant plasticity may help.

Keywords: Motor learning; Musician’s dystonia; Neuroplasticity.

Publication types

  • Review

MeSH terms

  • Botulinum Toxins / therapeutic use
  • Brain / physiopathology
  • Dystonic Disorders / pathology
  • Dystonic Disorders / therapy*
  • Humans
  • Music*
  • Neurotoxins / therapeutic use
  • Psychomotor Performance / physiology

Substances

  • Neurotoxins
  • Botulinum Toxins