Università di Catania, Catania, Italia.
Policlinico Vittorio Emanuele, Catania, Italia.
Rev Neurol. 2021 Apr 16;72(8):269-282. doi: 10.33588/rn.7208.2020421.
Focal hand dystonia in musicians is a task-specific movement disorder characterized by an involuntary loss of control and coordination of finger movements during instrumental playing.
Literature searches with the keywords 'dystonia' AND 'musician' AND 'finger' OR 'treatment' OR 'therapy' OR 'rehabilitation' were conducted in PubMed, EMBASE, Cochrane Library and Web of Science to perform the systematic review about the several strategies used to treat dystonia in musicians. The search was performed independently by two authors (R.C. and M.V.) from 6 April 2020 till 6 June 2020. The research identified a total of 423 articles. Seventy-seven selected articles were analysed by the reviewers. Thirty-six publications met the inclusion criteria and were included in the systematic review.
The systematic review was performed to identify the main used treatments for dystonia in musicians. We defined the several techniques to better guide the physician to delineate a rehabilitation protocol adopting the better strategies described in the current literature.
This systematic review tried to provide to the reader a complete overview of the literature of all possible different treatments for dystonia in musicians. A correct protocol could permit to improve the motor performance and the quality of life of musicians.
音乐家特发性手部痉挛是一种特定于任务的运动障碍，其特征是在乐器演奏过程中手指运动出现不由自主的控制和协调丧失。
在 PubMed、EMBASE、Cochrane 图书馆和 Web of Science 中使用关键词“dystonia（痉挛）”和“musician（音乐家）”以及“finger（手指）”或“treatment（治疗）”或“therapy（疗法）”或“rehabilitation（康复）”进行文献检索，以对针对音乐家痉挛的几种治疗策略进行系统综述。该检索由两位作者（R.C. 和 M.V.）于 2020 年 4 月 6 日至 6 月 6 日独立进行。研究共确定了 423 篇文章。77 篇选定文章由审稿人进行了分析。36 篇出版物符合纳入标准并被纳入系统评价。
进行了系统评价以确定治疗音乐家痉挛的主要方法。我们定义了几种技术，以更好地指导医生制定康复方案，采用当前文献中描述的更好策略。
本系统评价试图为读者提供有关音乐家痉挛的所有可能不同治疗方法的文献综述。正确的方案可以提高音乐家的运动表现和生活质量。
