Neurorehabilitation in dystonia: a holistic perspective.

Bradnam, LV; Meiring, RM; Boyce, M; McCambridge, A

Neurorehabilitation in dystonia: a holistic perspective.

Bradnam, LV Meiring, RM Boyce, M McCambridge, A

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Journal of neural transmission (Vienna, Austria : 1996), 2020, pp. 1-10
Issue Date:: 2020-10-24

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Field	Value	Language
dc.contributor.author	Bradnam, LV
dc.contributor.author	Meiring, RM
dc.contributor.author	Boyce, M
dc.contributor.author	McCambridge, A https://orcid.org/0000-0001-6822-4199
dc.date.accessioned	2020-12-09T04:36:03Z
dc.date.available	2020-10-09
dc.date.available	2020-12-09T04:36:03Z
dc.date.issued	2020-10-24
dc.identifier.citation	Journal of neural transmission (Vienna, Austria : 1996), 2020, pp. 1-10
dc.identifier.issn	0300-9564
dc.identifier.issn	1435-1463
dc.identifier.uri	http://hdl.handle.net/10453/144591
dc.description.abstract	Rehabilitation for isolated forms of dystonia, such as cervical or focal hand dystonia, is usually targeted towards the affected body part and focuses on sensorimotor control and motor retraining of affected muscles. Recent evidence, has revealed people who live with dystonia experience a range of functional and non-motor deficits that reduce engagement in daily activities and health-related quality of life, which should be addressed with therapeutic interventions. These findings support the need for a holistic approach to the rehabilitation of dystonia, where assessment and treatments involve non-motor signs and symptoms, and not just the dystonic body part. Most studies have investigated Cervical Dystonia, and in this population, it is evident there is reduced postural control and walking speed, high fear of falling and actual falls, visual compensation for the impaired neck posture, and a myriad of non-motor symptoms including pain, fatigue, sleep disorders and anxiety and depression. In other populations of dystonia, there is also emerging evidence of falls and reduced vision-related quality of life, along with the inability to participate in physical activity due to worsening of dystonic symptoms during or after exercise. A holistic approach to dystonia would support the management of a wide range of symptoms and signs, that if properly addressed could meaningfully reduce disability and improve quality of life in people living with dystonia.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	Journal of neural transmission (Vienna, Austria : 1996)
dc.relation.isbasedon	10.1007/s00702-020-02265-0
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1109 Neurosciences, 1701 Psychology
dc.subject.classification	Neurology & Neurosurgery
dc.title	Neurorehabilitation in dystonia: a holistic perspective.
dc.type	Journal Article
utslib.location.activity	Austria
utslib.for	1109 Neurosciences
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2020-12-09T04:35:56Z
pubs.publication-status	Published

Abstract:

Rehabilitation for isolated forms of dystonia, such as cervical or focal hand dystonia, is usually targeted towards the affected body part and focuses on sensorimotor control and motor retraining of affected muscles. Recent evidence, has revealed people who live with dystonia experience a range of functional and non-motor deficits that reduce engagement in daily activities and health-related quality of life, which should be addressed with therapeutic interventions. These findings support the need for a holistic approach to the rehabilitation of dystonia, where assessment and treatments involve non-motor signs and symptoms, and not just the dystonic body part. Most studies have investigated Cervical Dystonia, and in this population, it is evident there is reduced postural control and walking speed, high fear of falling and actual falls, visual compensation for the impaired neck posture, and a myriad of non-motor symptoms including pain, fatigue, sleep disorders and anxiety and depression. In other populations of dystonia, there is also emerging evidence of falls and reduced vision-related quality of life, along with the inability to participate in physical activity due to worsening of dystonic symptoms during or after exercise. A holistic approach to dystonia would support the management of a wide range of symptoms and signs, that if properly addressed could meaningfully reduce disability and improve quality of life in people living with dystonia.

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http://hdl.handle.net/10453/144591