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Occupational Cramps/Focal Dystonias

 
 

Copyright 2017, Mark Alan Wade

Primary Author: Hochberg, F.
Journal Title: Medical Problems of the Instrumental Musician
Date Published: 2000
Language: English
Category: Nervous Disorders
Key Words: occupational focal dystonia instrumental musician
Full Citation: Hochberg, Fred H., and Natasha S. Hochberg. Occupational Cramps/Focal Dystonias. In Medical Problems of the Instrumentalist Musician, edited by Rauol Tubiana and Peter C. Amadio, 295-310. London: Martin Dunitz, 2000.
Full Abstract: Chronic overuse of the arm or fingers results in movement disorders. In particular, repetitive motion can result in upper extremity 'dystonias'. These are painless contractions that hinder smooth repetitive movements of the involved digits or limb. As a result, patients present with twisted appendages or unusual posture. This review aims to elucidate these dystonias and separate them from peripheral nerve entrapments, tenosynovitis, epicondylitis, and arthritis. The appropriate diagnosis provides the basis for proper medication, muscle restrengthening and botulinum toxin injections.