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Strategies for treatment of dystonia

  • Neurology and Preclinical Neurological Studies - Review Article
  • Published:
Journal of Neural Transmission Aims and scope Submit manuscript

An Erratum to this article was published on 06 November 2015

Abstract

Treatment of dystonias is generally symptomatic. To produce sufficient therapy effects, therefore, frequently a multimodal and interdisciplinary therapeutic approach becomes necessary, combining botulinum toxin therapy, deep brain stimulation, oral antidystonic drugs, adjuvant drugs and rehabilitation therapy including physiotherapy, occupational therapy, re-training, speech therapy, psychotherapy and sociotherapy. This review presents the recommendations of the IAB—Interdisciplinary Working Group for Movement Disorders Special Task Force on Interdisciplinary Treatment of Dystonia. It reviews the different therapeutic modalities and outlines a strategy to adapt them to the dystonia localisation and severity of the individual patient. Hints to emerging and future therapies will be given.

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Author information

Authors and Affiliations

  1. Department of Neurology, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625, Hannover, Germany

    Dirk Dressler

  2. Institute of Music Physiology and Musicians’ Medicine, Hanover University of Music, Drama and Media, Hannover, Germany

    Eckart Altenmueller

  3. Chulalongkorn Centre for Excellence on Parkinson’s Disease and Related Disorders, King Chulalongkorn Memorial Hospital, Bangkok, Thailand

    Roongroj Bhidayasiri

  4. Department of Neurology, King Faisal Specialist Hospital, Riyadh, Kingdom of Saudi Arabia

    Saeed Bohlega

  5. Centro de Estudios de Trastornos del Movimiento, University of Santiago, Santiago de Chile, Chile

    Pedro Chana

  6. Hospital Sao Joaquim Beneficencia Portuguesa, Sao Paulo, Brazil

    Tae Mo Chung

  7. Department of Neurology, Mount Sinai Medical Center, New York, NY, USA

    Steven Frucht

  8. Department of Neurology, Fundacion Jimenez Diaz, Madrid, Spain

    Pedro J. Garcia-Ruiz

  9. Neurocentro della Svizzera Italiana, Ospedale Regionale di Lugano, Lugano, Switzerland

    Alain Kaelin

  10. Department of Neurology, University of Tokushima, Tokushima, Japan

    Ryuji Kaji

  11. Department of Neurology, Palacky University, Olomouc, Czech Republic

    Petr Kanovsky

  12. Department of Ear-, Nose and Throat, Universitätsmedizin Göttingen, Göttingen, Germany

    Rainer Laskawi

  13. Department of Neurology, Hospital de Clínicas José de San Martín, University of Buenos Aires, Buenos Aires, Argentina

    Federico Micheli

  14. Clinic ‘Cecil Plus’, Moscow, Russia

    Olga Orlova

  15. Department of Neurology, University of Zagreb, Zagreb, Croatia

    Maja Relja

  16. Department of Neurology, University of Santo Tomas, Manila, Philippines

    Raymond Rosales

  17. Department of Neurological-Psychiatric Nursing, Medical University of Gdansk, Gdansk, Poland

    Jaroslaw Slawek

  18. Scientific Research Institute of Neurology, Moscow, Russia

    Sofia Timerbaeva

  19. Reta Lila Weston Institute, University College, London, UK

    Thomas T. Warner

  20. IAB–Interdisciplinary Working Group for Movement Disorders, Hamburg, Germany

    Fereshte Adib Saberi

Authors
  1. Dirk Dressler
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  2. Eckart Altenmueller
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  3. Roongroj Bhidayasiri
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  4. Saeed Bohlega
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  5. Pedro Chana
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  6. Tae Mo Chung
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  7. Steven Frucht
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  8. Pedro J. Garcia-Ruiz
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  9. Alain Kaelin
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  10. Ryuji Kaji
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  11. Petr Kanovsky
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  12. Rainer Laskawi
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  13. Federico Micheli
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  14. Olga Orlova
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  15. Maja Relja
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  16. Raymond Rosales
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  17. Jaroslaw Slawek
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  18. Sofia Timerbaeva
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  19. Thomas T. Warner
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  20. Fereshte Adib Saberi
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Corresponding author

Correspondence to Dirk Dressler.

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Dressler, D., Altenmueller, E., Bhidayasiri, R. et al. Strategies for treatment of dystonia. J Neural Transm 123, 251–258 (2016). https://doi.org/10.1007/s00702-015-1453-x

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  • DOI: https://doi.org/10.1007/s00702-015-1453-x

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