Musician’s Dystonia in a Violinist
Musician’s dystonia is a form of task-specific dystonia in which the ability to play a musical instrument is impaired by focal dystonia precipitated exclusively by playing the instrument (see Chap. 54). Violinist’s or pianist’s dystonia most commonly affects the fourth and fifth fingers of one hand but may also affect the wrist and arm. Embouchure dystonia affects coordination of the lips, tongue, and facial muscles in brass and wind players. In the case of violinist’s dystonia, impaired coordination is noticed first followed by abnormal posturing of the fingers or hand. It often appears during a period of high-intensity practice which often drives the musician to further increase practice time.
KeywordsBotulinum Toxin Motor Task Finger Movement Musical Instrument Facial Muscle
Musician’s dystonia violinist.mp4 (MP4 19,279KB)
Flexion posturing of fourth and fifth fingers appears very shortly after beginning to play the violin. It stops when she is not playing the violin.