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Focal dystonia

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from ages 30 through 40. Major types of focal dystonia affect the limbs, face, mouth, neck, and larynx. These focal dystonias can be exclusive to specific tasks, like writing or playing an instrument. Focal dystonia will typically have a subtle and slow onset before slowly worsening over years. During the beginning stages, symptoms can be intermittent and without clear associations and provocation. The progression of this disease can vary from person to person. During the first couple years of onset, symptoms can partially or completely disappear for days to months, but return in other parts of the body.
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include history before and after symptom onset and observation of playing the instrument, as deficits can be subtle and considered minor to the general population. Treatment modalities available, such as BoNT/A, leave many musicians unsatisfied due to muscle weakness and lack of improvement in muscle control. In musicians, this is commonly associated with overuse or high volume of practicing. Though musician's dystonia presents initially as task-specific, one study found that the dystonia can progress outside of playing their instrument.
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treating musician's dystonia requires an understanding and collaboration with the musician to obtain a complete history and tailor treatment and education effectively. The most successful treatment for musician's dystonia has been a multidisciplinary approach, involving physicians, physical therapists, physiotherapists, psychologists, and music instructors, focusing on rehabilitation that can involve retraining the brain to play their instrument again and even learning to play other instruments.
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involved over-training particular finger movements in non-human primates, which resulted in the development of focal hand dystonia. Examination of the primary somatosensory cortex in the trained animals showed grossly distorted representations of the maps pertaining to the fingers when compared to the untrained animals. Additionally, these maps in the dystonic animals had lost the distinct borders that were noted in the untrained animals.
87:, a thin layer of neural tissue that covers the brain, is thought to cause contractions. This misfiring may result from impaired inhibitory mechanisms during muscle contraction. When the brain tells a given muscle to contract, it simultaneously silences muscles that would oppose the intended movement. It appears that dystonia interferes with the brain's ability to inhibit those surrounding muscles, leading to loss of selectivity. 323:, Canadian classical guitarist, publicized as the "First Lady of the Guitar", retired from the concert stage for six years in 2003, due to focal dystonia that affected her right hand. She worked to retrain her right hand, and since 2009 has been performing again as a guitarist, singer, and songwriter. 226:
type A (BoNT/A). BoNT/A reduces the symptoms of the disorder but it is not a cure for dystonia. Since the root of the problem is neurological, doctors have explored sensorimotor retraining activities to enable the brain to "rewire" itself and eliminate dystonic movements. The work of several doctors
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Treatments such as splinting and sensorimotor retraining for focal hand dystonia have shown to be beneficial with varying results. It is important to consider the mental health and social aspect of this condition as a musician's self-identity and career can be affected considerably. The approach to
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Physical therapy is commonly used as an adjunct or main form of treatment for focal dystonia, however more studies for its benefit are needed. Bass guitarist and instructor Scott Devine said that he wears a glove while playing bass guitar because of the condition. He finds that the glove stops the
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People with dystonia experience tightness, cramping, fatigue, involuntary sustained or repetitive muscle contractions that can be painless or painful and resulting in abnormal posturing, twisting motions, and even tremors. Focal dystonia typically presents in adults, more commonly in women ranging
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While usually painless, in some instances the sustained contraction and abnormal posturing in dystonia cause pain. Focal dystonia most typically affects people who rely on fine motor skills—musicians, writers, surgeons, etc. It is thought that the excessive motor training those skills require may
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Musician's dystonia treatment studies have yielded varying results. This condition can often be misdiagnosed as psychogenic, as this was previously thought to be its cause. In this population, men are affected more than women from 20 to 60 years of age. Evaluation of musician's dystonia should
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The sensorimotor cortex is organized as discrete "maps" of the human body. Under normal conditions, each body part (such as individual fingers) occupies a distinct area on these cortical maps. In dystonia, these maps lose their distinct borders and overlap occurs. Exploration of this initially
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The cross-connectivity between areas that are normally segregated in the sensory cortex may prevent normal sensorimotor feedback and so contribute to the observed co-contraction of antagonist muscle groups, and inappropriately timed and sequenced movements that underlie the symptoms of focal
379:, an international concert pianist, dealt with this condition in his right hand beginning in the 1960s and switched to only left hand playing. In the 2000s, he regained use of his right hand and recommenced performing and recording with two hands. 725:
Byl, NN; Merzenich, MM; Jenkins, WM. (1996). "A primate genesis model of focal dystonia and repetitive strain injury: I. Learning-induced dedifferentiation of the representation of the hand in the primary somatosensory cortex in adult monkeys".
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stimulation of peripheral muscles induces organizational changes in motor representations, characterized both by an increase in map size of stimulated muscles and a reduction in map separation, as assessed using
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contribute to the development of dystonia as their cortical maps become enlarged and begin to overlap. Focal dystonia is generally "task-specific," meaning that it is only problematic during certain activities.
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The diagnosis of focal dystonia is highly dependent on the history of the patient, as physical exam is typically normal, and ruling out other causes of movement disorder. The main types of are
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Treatment options would be based on the type of focal dystonia the patient has. If possible, incorporating rest earlier to symptom onset has shown to have greater improvement in symptoms for
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Though studies on prevention of focal dystonia is limited, it is believed for musician's dystonia that mindfulness of muscle use and proper rest can help prevent focal dystonia and injury.
1489: 423:, diagnosed in early 2000s. To help him with live shows, Uwe Reitenauer was hired as a second guitarist. Koffler continues to write and perform live on stage with the band. 62:. The condition appears to be associated with over-training, and individualized treatment strategies may involve medications, retraining techniques, and procedures. 143:, all affecting a different region of the body. Labs and imaging may be ordered as workup to evaluate for other causes of dystonia. A provider can rule in or out 79:
Current medical science does not precisely describe the causes of dystonia, however genetic and environmental factors may play a large role. Misfiring of
1564: 156: 26:, is a neurological condition that affects a muscle or group of muscles in a specific part of the body during specific activities, causing involuntary 255:
Recovery from focal dystonia has varying results, ranging from minimal improvement in function to complete recovery and ranging from weeks to years.
1741: 1539: 480:, long distance runner, diagnosed with Runner's dystonia in 2021. She had ended her competitive career a few years prior to the diagnosis. 1801: 1328:
Farias, J., Sarti-MartĂ­nez, MA. Title: "Elite musicians treated by specific fingers motion program to stimulate propiceptive sense",
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Treatment efficacy in an ecologically valid neuropsychological treatment program of 120 professional musicians with focal dystonia
450:, Greek-American classical guitarist-composer, was struck by focal dystonia to his right hand in 2009. He fully recovered in 2013. 2037: 317:, bass guitarist with British rock group, The Hamsters, has made a partial recovery; he plays by using modified guitar plectrums. 1604: 168:
involuntary finger movements. He says it works for him but does not suggest that it may work for everyone with the condition.
1646: 1316: 588: 560: 195:, can be used as a muscle relaxant. Other oral medications have been studied for different types of focal dystonia, such as 812:
Schabrun SM, Ridding MC (2007). "The influence of correlated afferent input on motor cortical representations in humans".
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Bara-Jimenez, W; Catalan, MJ; Hallett, M; Gerloff, C (1998). "Abnormal somatosensory homunculus in dystonia of the hand".
311:, Brazilian singer-guitarist, was diagnosed with focal dystonia in 1999; she eventually recovered and resumed her career. 1352: 1282: 1246: 1210: 1162: 1379: 1658:. "Limitless. How your movements can heal your brain. An essay on the neurodynamics of dystonia". Galene Editions 2016. 235:, making it possible for patients to recover substantial function that was lost to focal dystonia. For some dystonias, 1439: 1982: 100: 1927: 1637:
Rich, Robert F.; Mackin, Evelyn; Callahan, Anne; A. Lee Osterman; Terri M. Skirven; Schneider, Lawrence J. (2002).
1937: 1664:. "Intertwined. How to induce neuroplasticity. A new approach to rehabilitating dystonias". Galene Editions 2012. 50:, the fingers either curl into the palm or extend outward without control. In musicians, the condition is called 1987: 1794: 1579: 1464: 302: 107:
dystonia. It is hypothesized that a deficit in inhibition caused by a genetically mediated loss of inhibitory
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MartĂ­, Maria. J.; Tolosa, Eduardo S. (2012), Watts, Ray L.; Standaert, David G.; Obeso, Jose A. (eds.),
2161: 2131: 1839: 1692: 414: 403:, Korean singer-songwriter and guitarist diagnosed with dystonia in her left hand in 2012. In 2015, on 240: 1756: 2415: 1887: 1859: 1787: 1101:
Hautekiet, Arne; Raes, Katrien; Geers, Sybille; Santens, Patrick; Oostra, Kristine (November 2021).
2176: 2090: 2057: 1902: 1742:"What Every Guitarist Should Know: A Guide to the Prevention and Rehabilitation of Focal Dystonia" 2032: 1844: 244: 2381: 2324: 2080: 305:, bluegrass banjo player, has focal dystonia in his right hand, and has switched to the guitar. 236: 128: 2186: 1834: 1678:
Leisner, David (2007). "Curing Focal Dystonia or How to Play the Guitar with Large Muscles".
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Hunter, Mackin & Callahan's Rehabilitation of the Hand and Upper Extremity (2 Volume Set)
911:"Focal task-specific dystonia of the musicians' hand--a practical approach for the clinician" 364: 354: 329:, American Pulitzer Prize winning comic strip artist and book writer/illustrator. Known for 136: 94:
Imaging studies in humans with focal dystonia have confirmed this finding. Also, synchronous
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Rosenkranz, Karin; Katherine Butler; Aaron Williamon; John C. Rothwell (November 18, 2009).
341:, and others. His work was featured as that of the main character, as an adult, of the film 231:
has shown that sensorimotor retraining activities and proprioceptive stimulation can induce
1992: 1829: 1704: 512: 447: 429:, classical guitarist, has recovered the full use of his hand after a decade of disability. 223: 95: 27: 1636: 1565:"CANNIBAL CORPSE's ALEX WEBSTER Opens up About His Battle with Rare Neurological Disorder" 438: 8: 2279: 2171: 2166: 2111: 2070: 1957: 1952: 1103:"Evidence of rehabilitation therapy in task-specific focal dystonia: a systematic review" 854: 132: 84: 1708: 239:
may be considered where BoNT treatment fails. If the dystonia is cause by an underlying
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Dystonia. Rewiring the brain through movement and dance | Federico Bitti | TEDxNapoli
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Choosing music over meds, one man's quest to retrain his brain to overcome dystonia
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comics, has focal dystonia of the right hand, which impedes his artwork.
2304: 2254: 2214: 2151: 1242: 1206: 435:, guitarist, switched to playing left-handed when affected by dystonia. 410: 320: 308: 204: 192: 58:. In sports, it may be involved in what is commonly referred to as the 1773: 184: 16:
Nerve disorder affecting certain muscle(s) during specific activities
1670:. "Rebellion of the body. Understanding musician's Focal dystonia". 1440:"Andrew Dawes wins GG award for lifetime achievement - WE Vancouver" 1238:
How your movements can heal your brain | Joaquin Farias | TEDxNapoli
1779: 357:, announced focal dystonia in September 2011; he has left the band. 196: 39: 111:
may be the underlying cause of the deficits observed in dystonia.
42:, each affecting a different region of the body. For example, in 2126: 1897: 1766: 1667: 1661: 1655: 1364: 1294: 1258: 1222: 1174: 768: 295: 1641:. St. Louis: Mosby. pp. 2053–2075 ("Focal Hand Dystonia"). 2065: 80: 1046:
Batla, Amit; Stamelou, Maria; Bhatia, Kailash P. (June 2012).
1977: 555:. Narberth, PA: Science & Medicine, Inc. pp. 66–72. 397:, pianist, who changed to performing only with his left hand. 31: 1402: 59: 1100: 1107:
European Journal of Physical and Rehabilitation Medicine
675:"Neurophysiology of dystonia: The role of inhibition" 519:(3 ed.), New York, NY: The McGraw-Hill Companies 391:, Baroque violinist, switched to playing left-handed. 1605:"Goucher reveals diagnosis of neurological disorder" 1580:"Bass Magazine Lockdown Check-In With Victor Wooten" 611:
Stahl, Christine M.; Frucht, Steven J. (July 2017).
513:"Chapter 29. Adult-Onset Idiopathic Focal Dystonias" 1330:
Congreso Nacional De La Sociedad Anatómica Española
1045: 724: 613:"Focal task specific dystonia: a review and update" 441:, lead guitarist of progressive extreme metal band 222:This condition is often treated with injections of 1693:"The brain that plays music and is changed by it" 2402: 1631:Medical Problems of the Instrumentalist Musician 1187:Dystonia. The Canadian Movement Disorder group. 1158:Why I Wear "The Gloves" /// Scott's Bass Lessons 456:, American country blues musician from Minnesota 1690: 1490:"Metal-Rules.com: Interview with Pink Cream 69" 811: 1795: 583:. The McGraw-Hill Company, Inc. p. 339. 407:, she announced that she quit playing guitar. 247:has shown to have improvement in some cases. 610: 510: 266: 38:. There are many different types of focal 1802: 1788: 880: 698: 644: 581:Harrison's Neurology in Clinical Medicine 550: 363:, noted violinist and co-founder of the 187:use, as some patients have had success. 2038:Temporal dynamics of music and language 1739: 1677: 1161:. 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Cassells 287: 274: 269: 261: 253: 233:neuroplasticity 220: 189:Benzodiazepines 174: 165: 153: 121: 77: 68: 17: 12: 11: 5: 2429: 2419: 2418: 2413: 2396: 2395: 2393: 2392: 2385: 2378: 2371: 2364: 2357: 2350: 2342: 2340: 2336: 2335: 2333: 2332: 2327: 2322: 2317: 2312: 2307: 2302: 2297: 2292: 2287: 2282: 2277: 2272: 2270:Daniel Levitin 2267: 2262: 2257: 2252: 2247: 2245:Henkjan Honing 2242: 2237: 2232: 2227: 2222: 2217: 2212: 2206: 2204: 2198: 2197: 2195: 2194: 2189: 2184: 2179: 2174: 2169: 2164: 2159: 2154: 2149: 2144: 2139: 2134: 2129: 2124: 2119: 2114: 2108: 2106: 2105:Related fields 2102: 2101: 2099: 2098: 2093: 2088: 2083: 2078: 2073: 2068: 2062: 2060: 2054: 2053: 2051: 2050: 2045: 2040: 2035: 2030: 2025: 2020: 2018:Relative pitch 2015: 2010: 2008:Musical syntax 2005: 2000: 1995: 1990: 1985: 1980: 1975: 1970: 1965: 1960: 1955: 1950: 1948:Levitin effect 1945: 1940: 1935: 1930: 1925: 1920: 1915: 1910: 1905: 1900: 1895: 1890: 1885: 1880: 1875: 1870: 1868:Absolute pitch 1864: 1862: 1856: 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2377: 2376: 2372: 2370: 2369: 2365: 2363: 2362: 2358: 2356: 2355: 2351: 2349: 2348: 2344: 2343: 2341: 2337: 2331: 2330:Sandra Trehub 2328: 2326: 2323: 2321: 2318: 2316: 2313: 2311: 2310:Roger Shepard 2308: 2306: 2303: 2301: 2300:Carl Seashore 2298: 2296: 2293: 2291: 2288: 2286: 2285:James Mursell 2283: 2281: 2278: 2276: 2273: 2271: 2268: 2266: 2263: 2261: 2258: 2256: 2253: 2251: 2248: 2246: 2243: 2241: 2240:Tuomas Eerola 2238: 2236: 2235:Diana Deutsch 2233: 2231: 2230:Irène Deliège 2228: 2226: 2223: 2221: 2218: 2216: 2213: 2211: 2208: 2207: 2205: 2203: 2199: 2193: 2192:Zoomusicology 2190: 2188: 2185: 2183: 2180: 2178: 2175: 2173: 2170: 2168: 2165: 2163: 2160: 2158: 2155: 2153: 2150: 2148: 2145: 2143: 2142:Music therapy 2140: 2138: 2135: 2133: 2130: 2128: 2125: 2123: 2120: 2118: 2115: 2113: 2110: 2109: 2107: 2103: 2097: 2096:Tone deafness 2094: 2092: 2089: 2087: 2084: 2082: 2079: 2077: 2076:Beat deafness 2074: 2072: 2069: 2067: 2064: 2063: 2061: 2059: 2055: 2049: 2046: 2044: 2041: 2039: 2036: 2034: 2031: 2029: 2026: 2024: 2021: 2019: 2016: 2014: 2011: 2009: 2006: 2004: 2001: 1999: 1996: 1994: 1991: 1989: 1986: 1984: 1981: 1979: 1976: 1974: 1971: 1969: 1968:Mozart effect 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1946: 1944: 1941: 1939: 1936: 1934: 1931: 1929: 1926: 1924: 1921: 1919: 1916: 1914: 1911: 1909: 1906: 1904: 1901: 1899: 1896: 1894: 1891: 1889: 1886: 1884: 1881: 1879: 1876: 1874: 1871: 1869: 1866: 1865: 1863: 1861: 1857: 1851: 1848: 1846: 1843: 1841: 1838: 1836: 1833: 1831: 1828: 1826: 1825:Biomusicology 1823: 1822: 1820: 1816: 1812: 1805: 1800: 1798: 1793: 1791: 1786: 1785: 1782: 1775: 1772:Gorrie, Jon. 1771: 1768: 1765: 1758: 1754: 1750: 1749:Guitar Review 1743: 1738: 1734: 1730: 1726: 1722: 1718: 1714: 1710: 1706: 1702: 1698: 1694: 1689: 1685: 1681: 1680:Guitar Review 1676: 1673: 1669: 1666: 1663: 1660: 1657: 1654: 1650: 1644: 1640: 1635: 1632: 1628: 1627: 1606: 1600: 1585: 1584:Bass Magazine 1581: 1574: 1566: 1560: 1545: 1541: 1534: 1519: 1515: 1509: 1495: 1491: 1485: 1470: 1466: 1460: 1446:on 2013-11-15 1445: 1441: 1435: 1420: 1416: 1410: 1404: 1399: 1385: 1381: 1374: 1366: 1354: 1350: 1349: 1342: 1335: 1331: 1325: 1318: 1314: 1310: 1304: 1296: 1284: 1280: 1276: 1275: 1268: 1260: 1248: 1244: 1240: 1239: 1232: 1224: 1212: 1208: 1204: 1203: 1196: 1190: 1184: 1176: 1164: 1160: 1159: 1152: 1144: 1140: 1136: 1132: 1128: 1124: 1120: 1116: 1112: 1108: 1104: 1097: 1089: 1085: 1081: 1077: 1073: 1069: 1065: 1061: 1057: 1053: 1049: 1042: 1040: 1038: 1036: 1034: 1019: 1015: 1009: 1007: 998: 994: 990: 986: 982: 978: 974: 970: 966: 959: 957: 955: 953: 944: 940: 936: 932: 928: 924: 920: 916: 912: 905: 903: 901: 892: 888: 883: 878: 874: 870: 866: 862: 858: 851: 843: 839: 835: 831: 827: 823: 819: 815: 808: 800: 796: 792: 788: 784: 780: 776: 772: 765: 757: 753: 749: 745: 741: 737: 734:(2): 508–20. 733: 729: 721: 719: 710: 706: 701: 696: 692: 688: 684: 680: 676: 669: 667: 665: 656: 652: 647: 642: 638: 634: 630: 626: 622: 618: 614: 607: 605: 603: 601: 592: 586: 582: 575: 573: 564: 558: 554: 547: 545: 543: 541: 539: 537: 535: 533: 518: 514: 507: 505: 503: 501: 499: 497: 495: 490: 479: 476: 473: 470: 467: 466:Victor Wooten 464: 461: 458: 455: 452: 449: 446: 444: 440: 437: 434: 431: 428: 427:David Leisner 425: 422: 421:Pink Cream 69 418: 416: 412: 409: 406: 402: 399: 396: 395:Gary Graffman 393: 390: 387: 384: 381: 378: 377:Leon Fleisher 375: 372: 371:Keith Emerson 369: 366: 362: 359: 356: 352: 349: 346: 345: 340: 339: 334: 333: 328: 325: 322: 319: 316: 313: 310: 307: 304: 301: 298: 297: 292: 289: 288: 282: 278: 264: 256: 248: 246: 242: 238: 234: 230: 225: 215: 214: 210: 206: 202: 201:tetrabenazine 198: 194: 190: 186: 182: 178: 169: 160: 158: 148: 146: 142: 141:limb dystonia 138: 134: 130: 126: 125:blepharospasm 116: 112: 110: 104: 102: 97: 92: 88: 86: 82: 72: 63: 61: 57: 54:, or simply, 53: 49: 45: 41: 37: 33: 29: 25: 21: 2387: 2380: 2373: 2366: 2361:Musicophilia 2359: 2352: 2345: 2315:John Sloboda 2295:Oliver Sacks 2265:Fred Lerdahl 2117:Bioacoustics 2085: 2043:Tonal memory 2028:Shepard tone 1757:the original 1752: 1748: 1700: 1696: 1683: 1679: 1671: 1638: 1608:. Retrieved 1599: 1589:29 September 1587:. Retrieved 1583: 1573: 1559: 1547:. Retrieved 1543: 1533: 1521:. Retrieved 1517: 1508: 1497:. Retrieved 1493: 1484: 1472:. Retrieved 1468: 1459: 1448:. Retrieved 1444:the original 1434: 1422:. Retrieved 1418: 1409: 1398: 1387:. Retrieved 1383: 1373: 1363:– via 1357:. Retrieved 1347: 1341: 1333: 1329: 1324: 1308: 1303: 1293:– via 1287:. Retrieved 1273: 1267: 1257:– via 1251:. Retrieved 1237: 1231: 1221:– via 1215:. Retrieved 1201: 1195: 1183: 1173:– via 1167:. Retrieved 1157: 1151: 1110: 1106: 1096: 1055: 1051: 1021:. Retrieved 1017: 972: 969:Hand Clinics 968: 918: 914: 864: 860: 850: 820:(1): 41–49. 817: 813: 807: 774: 770: 764: 731: 727: 682: 678: 620: 616: 580: 552: 521:, retrieved 516: 478:Kara Goucher 460:Alex Webster 454:Charlie Parr 361:Andrew Dawes 342: 336: 332:Bloom County 330: 315:Andy Billups 294: 279: 275: 262: 254: 221: 175: 166: 154: 140: 122: 113: 109:interneurons 105: 93: 89: 78: 69: 55: 51: 43: 23: 19: 18: 2320:Carl Stumpf 2250:David Huron 2202:Researchers 1908:Entrainment 1610:13 December 1415:"Biography" 1359:18 February 1289:18 February 1253:18 February 1217:18 February 1169:18 February 1113:: 710–719. 472:Julian Lage 401:Jang Jae-in 385:, guitarist 291:Scott Adams 213:amphetamine 172:Medications 2405:Categories 2305:Max Schoen 2255:Nina Kraus 2215:Lola Cuddy 2152:Musicology 1544:City Pages 1499:2021-02-16 1450:2013-11-14 1389:2010-05-02 1243:TEDx Talks 1207:TEDx Talks 1023:2022-03-21 1014:"UpToDate" 523:2022-03-20 485:References 411:Alex Klein 321:Liona Boyd 309:Badi Assad 259:Prevention 218:Procedures 205:amantadine 193:Clonazepam 191:, such as 2058:Disorders 1143:232018908 1127:1973-9095 1072:1534-3138 989:0749-0712 935:0894-1130 728:Neurology 637:1432-1459 462:, bassist 303:Tom Adams 251:Prognosis 185:off-label 151:Treatment 119:Diagnosis 2411:Dystonia 1733:30266285 1725:11458838 1686:: 10–15. 1549:23 April 1523:23 April 1474:23 April 1424:23 April 1353:Archived 1336:, p. 110 1283:Archived 1247:Archived 1211:Archived 1163:Archived 1135:33619945 1080:22415705 997:12852672 943:19272752 891:19923295 834:17602215 799:23696383 756:43897851 709:20817092 655:28039522 197:baclofen 179:such as 96:afferent 40:dystonia 2127:Hearing 1898:Earworm 1705:Bibcode 1623:Sources 1469:cso.org 1365:YouTube 1295:YouTube 1259:YouTube 1223:YouTube 1175:YouTube 1088:2397836 882:2998172 842:7060907 791:9818942 748:8757029 700:3016461 646:5502053 443:Obscura 296:Dilbert 83:in the 81:neurons 2066:Amusia 1860:Topics 1731:  1723:  1645:  1315:  1141:  1133:  1125:  1086:  1078:  1070:  995:  987:  941:  933:  889:  879:  840:  832:  797:  789:  754:  746:  707:  697:  653:  643:  635:  587:  559:  211:, and 181:Artane 139:, and 75:Causes 34:) and 32:spasms 1818:Areas 1760:(PDF) 1745:(PDF) 1729:S2CID 1674:2004. 1139:S2CID 1084:S2CID 838:S2CID 795:S2CID 752:S2CID 46:, or 1721:PMID 1643:ISBN 1612:2023 1591:2023 1551:2018 1525:2018 1476:2018 1426:2018 1361:2022 1313:ISBN 1291:2022 1255:2022 1219:2022 1171:2022 1131:PMID 1123:ISSN 1076:PMID 1068:ISSN 993:PMID 985:ISSN 939:PMID 931:ISSN 887:PMID 830:PMID 787:PMID 744:PMID 705:PMID 651:PMID 633:ISSN 585:ISBN 557:ISBN 338:Opus 60:yips 1753:133 1713:doi 1701:930 1684:133 1115:doi 1060:doi 977:doi 923:doi 877:PMC 869:doi 822:doi 818:183 779:doi 736:doi 695:PMC 687:doi 641:PMC 625:doi 621:264 335:, 2407:: 1751:. 1747:. 1727:. 1719:. 1711:. 1699:. 1695:. 1682:. 1582:. 1542:. 1516:. 1492:. 1467:. 1417:. 1382:. 1277:. 1241:. 1205:. 1137:. 1129:. 1121:. 1111:57 1109:. 1105:. 1082:. 1074:. 1066:. 1056:14 1054:. 1050:. 1032:^ 1016:. 1005:^ 991:. 983:. 973:19 971:. 967:. 951:^ 937:. 929:. 919:22 917:. 913:. 899:^ 885:. 875:. 865:29 863:. 859:. 836:. 828:. 816:. 793:. 785:. 775:44 773:. 750:. 742:. 732:47 730:. 717:^ 703:. 693:. 683:42 681:. 677:. 663:^ 649:. 639:. 631:. 619:. 615:. 599:^ 571:^ 531:^ 515:, 493:^ 243:, 207:, 203:, 199:, 159:. 135:, 131:, 127:, 103:. 1803:e 1796:t 1789:v 1735:. 1715:: 1707:: 1651:. 1614:. 1593:. 1553:. 1527:. 1502:. 1478:. 1453:. 1428:. 1392:. 1367:. 1319:. 1297:. 1261:. 1225:. 1177:. 1145:. 1117:: 1090:. 1062:: 1026:. 999:. 979:: 945:. 925:: 893:. 871:: 844:. 824:: 801:. 781:: 758:. 738:: 711:. 689:: 657:. 627:: 593:. 565:. 367:. 347:. 30:(

Index

muscular contractions
spasms
abnormal postures
dystonia
writer's cramp
yips
neurons
sensorimotor cortex
afferent
transcranial magnetic stimulation
interneurons
blepharospasm
oromandibular dystonia
spasmodic dysphonia
spasmodic torticollis
dopamine-responsive dystonia
writer's cramp
Anticholinergics
Artane
off-label
Benzodiazepines
Clonazepam
baclofen
tetrabenazine
amantadine
antipsychotics
amphetamine
botulinum neurotoxin
Joaquin Farias
neuroplasticity

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