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Published 25 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.07.2008.0432]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Therapeutic immobilisation for small guitar player’s dystonia: a case report

Flavia Waissman1, João Santos Pereira2, Osvaldo J M Nascimento3

1 State University of Rio de Janeiro, Barão de Itambi Street, Number 14, Apartment 302, Rio de Janeiro, 22231000, Brazil
2 State University of Rio de Janeiro, Neurology, Afonso Pena Street, No. 25, Apartment 804, Rio de, 20270242, Brazil
3 Universidade Federal Fluminense, Niterói, Brazil

Correspondence to:
Flavia Waissman, flaviaqbw{at}yahoo.com.br

SUMMARY

The development of focal hand dystonia through repetitive tasks is a result of degradation of cortical somatosensory representation due to repetitive fast stimuli sufficient to alter the sensory-motor stimulus, harming the motor control. A sensory-motor training program can modify this disorder. A behavioural intervention focusing on movement could help reduce or eliminate these conditions.


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