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特定任务性局灶性肌张力障碍模型。

A model of task-specific focal dystonia.

机构信息

Institute of Music Physiology and Musicians' Medicine, University of Music, Drama, and Media, Emmichplatz 1, 30175 Hannover, Germany.

出版信息

Neural Netw. 2013 Dec;48:25-31. doi: 10.1016/j.neunet.2013.06.012. Epub 2013 Jul 6.

DOI:10.1016/j.neunet.2013.06.012
PMID:23892909
Abstract

Task-specific focal dystonia is a task-specific movement disorder which manifests itself as a loss of voluntary motor control in extensively trained movements. The condition is most frequent in musicians. Until today, the aetiology of focal hand dystonia is not completely understood, but there is growing evidence for an abnormal cortical processing of sensory information, as well as degraded representation of motor functions. It was demonstrated that in the somatosensory cortex the topographical location of sensory inputs from individual fingers is corrupted. Occasionally, a change in sensory information of the hand may at least temporarily improve the condition. This phenomenon is called sensory trick. In this paper, we propose a model of encoding of sensory stimuli which could explain the task specificity of cortical representations of the fingers or other effectors in the context of dystonia. In the framework of this model a sensory stimulus is encoded as a signal vector of higher dimension. A part of its components directly represents the sensory stimulus, while the remaining components describe the context. This model does not only account for the task specificity, but may also explain some characteristics of the retraining process in this disorder.

摘要

任务特异性局灶性肌张力障碍是一种任务特异性运动障碍,表现为在广泛训练的运动中丧失自愿运动控制。这种情况在音乐家中最为常见。直到今天,局灶性手部肌张力障碍的病因仍不完全清楚,但越来越多的证据表明皮质对感觉信息的处理异常,以及运动功能的表示退化。已经证明,在体感皮层中,来自单个手指的感觉输入的拓扑位置被破坏。偶尔,手部感觉信息的变化至少可以暂时改善病情。这种现象称为感觉技巧。在本文中,我们提出了一种编码感觉刺激的模型,该模型可以解释在肌张力障碍的背景下手指或其他效应器的皮质表示的任务特异性。在该模型的框架内,感觉刺激被编码为更高维度的信号向量。其组成部分的一部分直接表示感觉刺激,而其余部分则描述上下文。该模型不仅解释了任务特异性,而且还可以解释该疾病的再训练过程的某些特征。

相似文献

1
A model of task-specific focal dystonia.特定任务性局灶性肌张力障碍模型。
Neural Netw. 2013 Dec;48:25-31. doi: 10.1016/j.neunet.2013.06.012. Epub 2013 Jul 6.
2
Aristotle's illusion reveals interdigit functional somatosensory alterations in focal hand dystonia.亚里士多德错觉揭示了局限性手部运动障碍中手指间功能体感的改变。
Brain. 2013 Mar;136(Pt 3):782-9. doi: 10.1093/brain/aws372. Epub 2013 Feb 11.
3
Movement-induced uncoupling of primary sensory and motor areas in focal task-specific hand dystonia.运动引起的局限性任务特异性手部运动障碍的主要感觉和运动区的解偶联。
Neuroscience. 2013 Oct 10;250:434-45. doi: 10.1016/j.neuroscience.2013.07.027. Epub 2013 Jul 20.
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Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.音乐家的局灶性肌张力障碍:现象学、病理生理学、触发因素及治疗
Med Probl Perform Art. 2010 Mar;25(1):3-9.
5
Finger-specific loss of independent control of movements in musicians with focal dystonia.手指特定丧失运动独立性控制在局灶性肌张力障碍的音乐家。
Neuroscience. 2013 Sep 5;247:152-63. doi: 10.1016/j.neuroscience.2013.05.025. Epub 2013 May 23.
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Focal hand dystonia in musicians: phenomenology, etiology, and psychological trigger factors.音乐家的局灶性手部肌张力障碍:现象学、病因及心理触发因素
J Hand Ther. 2009 Apr-Jun;22(2):144-54; quiz 155. doi: 10.1016/j.jht.2008.11.007. Epub 2009 Mar 10.
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Changing the brain through therapy for musicians' hand dystonia.通过治疗音乐家手部肌张力障碍来改变大脑。
Ann N Y Acad Sci. 2005 Dec;1060:335-42. doi: 10.1196/annals.1360.028.
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Sensorimotor integration in focal task-specific hand dystonia: a magnetoencephalographic assessment.局灶性特定任务性手部肌张力障碍中的感觉运动整合:一项脑磁图评估
Neuroscience. 2008 Jun 23;154(2):563-71. doi: 10.1016/j.neuroscience.2008.03.045. Epub 2008 Mar 28.
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Focal dystonia in musicians: phenomenology, pathophysiology and triggering factors.音乐家的局限性肌张力障碍:现象学、病理生理学和触发因素。
Eur J Neurol. 2010 Jul;17 Suppl 1:31-6. doi: 10.1111/j.1468-1331.2010.03048.x.
10
Focal dystonia in musicians.音乐家的局限性肌张力障碍。
Neurologia. 2011 Jan-Feb;26(1):45-52. doi: 10.1016/j.nrl.2010.09.019. Epub 2010 Nov 18.

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Neurobiological mechanisms associated with antipsychotic drug-induced dystonia.与抗精神病药引起的张力障碍相关的神经生物学机制。
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A unifying motor control framework for task-specific dystonia.针对特定任务的肌张力障碍的统一运动控制框架。
Nat Rev Neurol. 2018 Feb;14(2):116-124. doi: 10.1038/nrneurol.2017.146. Epub 2017 Nov 6.
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Is failed predictive control a risk factor for focal dystonia?预测性控制失败是局灶性肌张力障碍的一个风险因素吗?
Mov Disord. 2016 Dec;31(12):1772-1776. doi: 10.1002/mds.26818. Epub 2016 Oct 27.
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Are movement disorders and sensorimotor injuries pathologic synergies? When normal multi-joint movement synergies become pathologic.运动障碍和感觉运动损伤是病理性协同作用吗?当正常的多关节运动协同作用变得病理性时。
Front Hum Neurosci. 2015 Jan 6;8:1050. doi: 10.3389/fnhum.2014.01050. eCollection 2014.