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Musicians’ Cramp — Einflussfaktoren auf die Entstehung fokaler Dystonien bei Berufsmusikern

  • Kirsten Igler
  • Karin Vitzthum
  • Beatrice Braun
  • Stefanie Mache
  • Eileen Wanke
  • David Quarcoo
  • Michael Spallek
  • David A. Groneberg
Originalarbeit / Original article

Zusammenfassung

Fokale Dystonien gehen mit dem Kontrollverlust bestimmter Bewegungsabläufe einher. Am häufigsten betroffen sind Berufsgruppen, in deren Aufgabenfeld motorisch hochkomplexe Bewegungen ausgeführt werden müssen.

Nach eingehender Literaturrecherche in verschiedenen medizinischen Datenbanken wurde versucht, Einflussfaktoren auf den Verlauf fokaler Dystonien bei der Berufsgruppe der Musiker zu identifizieren und Mechanismen der Pathogenese zu beleuchten.

Zwar konnte keine eindeutige Krankheitsursache festgestellt werden, jedoch verdichtet sich der Verdacht auf eine neurologische Ätiologie. Eine Kombinationstherapie wird empfohlen.

Schlüsselwörter

fokale Dystonie Musikerdystonie Ätiologie der Dystonie 

Musicians’ Cramp — impact on onset of focal dystonia in professional musicians

Abstract

Focal dystonia is accompanied by a loss of control of specific motion sequences. Professions which have to fulfil highly complex motoric skills such as musicians are mainly affected.

By the means of a systematic literature research in medical electronic databases the purpose of this review was to identify the impact and the course of focal dystonia and its pathogenetic mechanisms especially regarding professional musicians.

No distinct causal association could be detected, but a neurologic etiology seems very likely. In terms of therapy a multi modal approach seems recommended.

Key words

musicians’ cramp focal dystonia etiology of dystonia 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Kirsten Igler
    • 1
  • Karin Vitzthum
    • 1
    • 2
  • Beatrice Braun
    • 1
  • Stefanie Mache
    • 1
    • 2
    • 3
  • Eileen Wanke
    • 1
    • 2
  • David Quarcoo
    • 1
    • 2
  • Michael Spallek
    • 1
  • David A. Groneberg
    • 1
    • 2
  1. 1.Institut für ArbeitsmedizinCharité — Universitätsmedizin Berlin, Freie Universität & Humboldt-Universität zu BerlinBerlinDeutschland
  2. 2.Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin Abteilung RehabilitationsmedizinGoethe-UniversitätFrankfurt am MainDeutschland
  3. 3.Medizinische Klinik m. S. PsychosomatikCharité — Universitätsmedizin Berlin, Freie Universität Berlin und Humboldt-Universität zu BerlinBerlinDeutschland

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