Long-term (seven-year) follow-up of sensory-motor rehabilitation therapy for task-specific focal hand dystonia.

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2025-05-12 DOI:10.1016/j.jht.2025.02.008

Katherine Butler, Anna Sadnicka, Mark J Edwards, Jennifer Freeman

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引用次数: 0

Abstract

Background: Medical treatments for task-specific dystonia (TSD) often have limited long-term success, leading to interest in rehabilitative approaches. Our previous feasibility study supported the acceptability and short-term benefits of sensory-motor rehabilitation for a cohort of 12 individuals. Long-term outcomes remain unknown.

Purpose: Investigate the long-term (7 year) follow-up of clinical outcomes and treatment effectiveness in participants with TSD who engaged in our previous feasibility study.

Study design: Follow-up study.

Methods: Online surveys and telephone interviews were undertaken at 1 and 7 years. A telephone interview was completed at 7 years.

Results: All 12 participants (seven musicians dystonia, five writing dystonia) who had completed the original feasibility study took part. All showed improvements in clinical outcomes at one and 7 years (effect sizes 0.25-0.93). Interviews and surveys indicated continued use of effective rehabilitation strategies 7 years after completing the program.

Discussion: Following treatment, people continue to use rehabilitative strategies, perceived by them as effective, with sustained benefits across varying domains for up to 7 years.

Conclusions: Benefits of sensory-motor rehabilitation can be sustained. The underlying mechanisms of these changes require investigation.

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任务特异性局灶性手肌张力障碍的感觉-运动康复治疗的长期（7年）随访。

背景：对任务特异性肌张力障碍（TSD）的医学治疗通常具有有限的长期成功，导致对康复方法的兴趣。我们之前的可行性研究支持了12个人的感觉-运动康复的可接受性和短期效益。长期结果尚不清楚。目的：探讨长期（7年）随访的ptsd患者的临床结局和治疗效果。研究设计：随访研究。方法：分别在1岁和7岁时进行在线调查和电话访谈。在7岁时完成一次电话采访。结果：12名完成了原可行性研究的参与者（7名音乐家肌张力障碍者，5名写作肌张力障碍者）全部参与。1年和7年的临床结果均有改善（效应值0.25-0.93）。访谈和调查表明，在完成项目7年后，他们继续使用有效的康复策略。讨论：在治疗之后，人们继续使用他们认为有效的康复策略，在长达7年的时间里，在各个领域都有持续的益处。结论：感觉-运动康复的益处是可以持续的。这些变化的潜在机制需要调查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.