2016
The clinical phenomenology and associations of trick maneuvers in cervical dystonia
FILIP, Pavel, Marek BALÁŽ, Rastislav ŠUMEC a Martin BAREŠZákladní údaje
Originální název
The clinical phenomenology and associations of trick maneuvers in cervical dystonia
Autoři
FILIP, Pavel (703 Slovensko, domácí), Marek BALÁŽ (703 Slovensko, domácí), Rastislav ŠUMEC (703 Slovensko, domácí) a Martin BAREŠ (203 Česká republika, garant, domácí)
Vydání
Journal of Neural Transmission, Wien, Springer Wien, 2016, 0300-9564
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30000 3. Medical and Health Sciences
Stát vydavatele
Rakousko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.392
Kód RIV
RIV/00216224:14110/16:00088837
Organizační jednotka
Lékařská fakulta
UT WoS
000373162900014
Klíčová slova anglicky
Sensory trick; Cervical dystonia; Botulinum toxin; Treatment effectiveness
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 2. 8. 2016 14:37, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
Sensory trick is an unusual clinical feature in cervical dystonia that attenuates disease symptoms by slight touch to a specific area of the face or head. Using a semi-quantitative questionnaire-based study of 197 patients with idiopathic cervical dystonia, we sought to determine probable pathophysiologic correlates, with the wider aim of examining its eventual clinical significance. The typical sensory trick, i.e., light touch, not necessitating the use of force leading to simple overpowering of dystonic activity, was present in 83 (42.1 %) patients. The vast majority of the patients required a specific sequence of sensorimotor inputs, including touch sensation on the face or different areas of the head, and also sensory and motor input of the hand itself. Deviations often led to a significant decrease in effectiveness and lack of expected benefit. Moreover, patients able to perform the maneuver reported compellingly higher subjective effect of botulinum toxin treatment (median 7 vs. 5 on a scale of 0–10; p\0.0001) and lower depression score (median 10 vs. 14 on the Montgomery Asberg Depression Rating scale; p\0.001). Overall, the results point to marked disruption of sensorimotor networks in cervical dystonia. The mechanism of the sensory trick action may be associated with balancing the abnormal activation patterns by specific sensorimotor inputs. Its presence may be considered a positive predictive factor for responsiveness to botulinum toxin treatment.
Návaznosti
ED1.1.00/02.0068, projekt VaV |
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NT13437, projekt VaV |
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