Distonía focal en músicos / FOCAL DYSTONIA IN MUSICIANS

The aim of this report was to describe the Focal dystonia in Musicians. Musician´s dystonia is a disorder characterized by abnormal movements, with excessive activation of muscular antagonists or co-contraction of antagonist muscles that are not required for a specific movement. Belongs to the group of occupational dystonias ; is a specific disorder of a determinated task in musicians, that include the absence of voluntary control of movements detailed determinated in the ejecution of an instrument, and manifiests itself by the deteriorization of his dexterity in the ejecution. Dystonia, including all his forms, is the third more frequent pathology of abnormal movements, after Parkinson´s disease and the essential trembling. Musician´s dystonia is a task-specific movement that manifiests itself as a loss of voluntary motor control in extensively trained movements. Approximately 1 % of all professional musicians develop musician´s dystrofia, and in many cases the disorder terminates the careers of affected musicians. Several theories have been referred related to the etiology. The aim of this report was to present the author´s casuistic of Focal dystonia in musicians in Argentina, considering the type of instrument, which kind of music is ejecuted ­classic or popular- and to inform the treatment proposed and the results obtained.

Effects of Dăoyĭn Qìgōng in postpolio syndrome patients with cold intolerance / Efeitos do Dăoyĭn Qìgōng em pacientes com síndrome pós-pólio com queixa de intolerância ao frio

Postpolio syndrome (PPS) is characterized by progressive muscle weakness due to former infection with poliomyelitis and can be associated with other symptoms such as cold intolerance (CI). Dăoyĭn Qìgōng (DQ) is a technique in Traditional Chinese Medicine that impacts the circulation of energy and blood. OBJECTIVE: It was to verify the effects of DQ in PPS patients complaining of cold intolerance. METHODS: Ten PPS patients were assessed using the visual analogue scale (VAS) adapted for CI before and after intervention with DQ; patients practiced it in a sitting position for 40 minutes, 3 times per week over 3 consecutive months. Patients were reassessed three months after ceasing DQ. RESULTS: There was a statistically significant difference in local and systemic VAS-Cold both at the end of DQ training and three months past the end of this. CONCLUSION: The DQ technique ameliorated CI complaints in patients with PPS.

A síndrome pós-poliomielite (SPP) é caracterizada por instalação de nova fraqueza muscular às manifestações residuais da poliomielite, associada a outros sintomas, como intolerância ao frio (IF). O Dăoyĭn Qìgōng (DQ) é uma técnica da medicina tradicional chinesa que interfere na circulação da energia e do sangue. OBJETIVO: Foi verificar os efeitos do DQ em pacientes com SPP com queixa de intolerância ao frio. MÉTODO: Dez pacientes com SPP foram avaliados com a escala visual analógica (EVA) adaptada para IF antes e após intervenção com DQ, adaptados para a posição sentada, com duração de 40 minutos, 3 vezes por semana, durante 3 meses. RESULTADOS: Verificou-se diferença estatisticamente significante, na EVA-frio local e sistêmica, após o término do treinamento. CONCLUSÃO: O DQ é uma técnica que interferiu positivamente na queixa de IF em pacientes com SPP.