Is Behavioural Therapy a New Treatment Option for Task-Specific Dystonia in Athletes? A Case Series

Tremor Other Hyperkinet Mov (N Y). 2023 May 8:13:16. doi: 10.5334/tohm.737. eCollection 2023.

Abstract

Background: Task-specific dystonia is a movement disorder of the central nervous system characterized by focal involuntary spasms and muscle contractions, which can negatively affect performance of a specific task. It can affect a wide range of fine motor skills, also in athletes. Current management of task-specific dystonia includes mainly prescribing drugs, exercise therapy or botulinum injections to the affected muscles. Psychological interventions for athletes suffering from task-specific dystonia have not been described extensively so far.

Methods: We present a case-series of 4 different advanced skill-level athletes with suspected task-specific dystonia, which had a major impact on their performance. They all received treatment consisting of a combination of standardized behavioural therapy and relaxation techniques in the form of hypnosis in a total of 8 sessions in a 16-week time period.

Results: After treatment, all athletes returned to their original high level of sport performance without further symptoms of their suspected task-specific dystonia.

Discussion: Behavioural therapy in combination with a relaxation technique seems to be a safe and promising treatment for athletes with suspected task-specific dystonia. Further studies in a larger, preferably randomized controlled trial, are warranted to evaluate if this treatment strategy is effective in athletes with suspected task-specific dystonia.

Keywords: Task-specific dystonia; athletes; behavioural therapy; golf; runner’s dystonia; sports; yips.

Publication types

  • Case Reports

MeSH terms

  • Athletes
  • Behavior Therapy
  • Dystonic Disorders* / diagnosis
  • Dystonic Disorders* / therapy
  • Humans
  • Movement Disorders*

Supplementary concepts

  • Dystonia, Focal, Task-Specific