NDLI: Effective behavioral treatment of focal hand dystonia in musicians alters somatosensory cortical organization.

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Effective behavioral treatment of focal hand dystonia in musicians alters somatosensory cortical organization.

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Effective behavioral treatment of focal hand dystonia in musicians alters somatosensory cortical organization.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ray, William Rockstroh, Brigitte Candia, Victor Elbert, Thomas Wienbruch, Christian
Description	Author Affiliation: Candia V ( Department of Psychology, University of Konstanz, Fach D25, D-78457 Konstanz, Germany. Victor.Candia@Uni-Konstanz.de);
Abstract	New perspectives in neurorehabilitation suggest that behavioral treatments of movement disorders may modify the functional organization of central somatosensory neural networks. On the basis of the assumption that use-dependent reorganization in these networks contributes to the fundamental abnormalities seen in focal dystonia, we treated 10 affected musicians and measured the concomitant somatosensory changes by using whole-head magnetoencephalography. We found that effective treatment, using the method of sensory motor retuning, leads to alterations in the functional organization of the somatosensory cortex. Specifically, before treatment, somatosensory relationships of the individual fingers differ between the affected and unaffected hands, whereas after treatment, finger representations contralateral to the dystonic side become more similar to the less-affected side. Further, somatosensory finger representations are ordered more according to homuncular principles after treatment. In addition, the observed physiologic changes correlated with behavioral data. These results confirm that plastic changes in parallel with emergent neurological dysfunction may be reversed by context-specific, intensive training-based remediation.
ISSN	00278424
e-ISSN	10916490
Journal	Proceedings of the National Academy of Sciences of the United States of America
Issue Number	13
Volume Number	100
Language	English
Publisher	National Academy of Sciences
Publisher Date	2003-06-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Dystonic Disorders Therapy Hand Injuries Movement Disorders Somatosensory Cortex Anatomy & Histology Behavior Therapy Brain Mapping Fingers Immobilization Motor Cortex Occupational Exposure Physiology Splints Time Factors Research Support, Non-U.S. Gov't Multidisciplinary
Content Type	Text
Resource Type	Article
Subject	Multidisciplinary

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