𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Paramedical treatment in primary dystonia: A systematic review

✍ Scribed by Cathérine C.S. Delnooz; Martin W.I.M. Horstink; Marina A. Tijssen; Bart P.C. van de Warrenburg

Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
109 KB
Volume
24
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Dystonia is a disabling movement disorder with a significant impact on quality of life. The current therapeutic armamentarium includes various drugs, botulinum toxin injections, and occasionally (neuro)surgery. In addition, many patients are referred for paramedical (including allied health care) interventions. An enormous variation in the paramedical treatment is provided, largely because evidence‐based, accepted treatment regimes are not available. We have conducted a systematic review of studies that explored the effect of various paramedical interventions in primary dystonia. Only studies that have used clinical outcome measures were included. There were no class A1 or A2 studies and therefore, level 1 or 2 practice recommendations for a specific intervention could not be deducted. Many papers were case reports, mostly with a very limited number of patients and a clear publication bias for beneficial effects of a particular paramedical intervention. Some potentially interesting interventions come from class B studies, which include physical therapy in addition to botulinum toxin injections (BoNT‐A) in cervical dystonia; sensorimotor training and transcutaneous electrical nerve stimulation (TENS) in writer's cramp; and speech therapy added to BoNT‐A injections in laryngeal dystonia. Good quality clinical studies are therefore warranted, which should have the aim to be generally applicable. A design in which the paramedical intervention is added to a current gold standard, for example, BoNT‐A injections in cervical dystonia, is recommended. © 2009 Movement Disorder Society

📜 SIMILAR VOLUMES

Nonmotor manifestations of dystonia: A s
Nonmotor manifestations of dystonia: A systematic review
✍ Daniel J. Kuyper; Veronica Parra; Shanae Aerts; Michael S. Okun; Benzi M. Kluger 📂 Article 📅 2011 🏛 John Wiley and Sons 🌐 English ⚖ 139 KB

## Abstract Nonmotor symptoms are increasingly recognized as important determinants of quality of life and disability in a wide range of movement disorders. There is a limited body of research suggesting that many of these symptoms are also commonly associated with primary and other genetic forms o

Sensory tricks and treatment in primary
Sensory tricks and treatment in primary lingual dystonia
✍ Eng-King Tan; Ling-Ling Chan 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 35 KB

We read with interest the recent report by Jong and colleagues. 1 The authors highlighted a patient with primary lingual dystonia induced by speaking, with the problem relieved by something in the mouth and with anticholinergic treatment. Complete remission was noted 2 years later. The authors sugge

Pain treatment of agitation in patients
Pain treatment of agitation in patients with dementia: a systematic review
✍ B.S. Husebo; C. Ballard; D. Aarsland 📂 Article 📅 2011 🏛 John Wiley and Sons 🌐 English ⚖ 124 KB 👁 1 views

## Background: Advancing age is associated with high prevalence of both dementia and pain. dementia is frequently accompanied by distressing behavioral and psychological symptoms, including agitation and aggression, particularly in nursing home patients. the etiology of agitation is multifactorial.

Interpretation of treatment outcome in t
Interpretation of treatment outcome in the clinically node-negative neck in primary parotid carcinoma: A systematic review of the literature
✍ Matthijs H. Valstar; Michiel W. M. van den Brekel; Ludwig E. Smeele 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 110 KB 👁 1 views

## Abstract ## Background Critical evaluation of outcome of primary parotid carcinoma treatment is limited by pathologic diversity and low incidence numbers. Scientific evidence for the optimal management of the N0‐neck is scarce and was, therefore, investigated in a systematic literature review.