Article

Patients with focal hand dystonia and upper extremity
entrapment neuropathies may present with similar symptoms and risk factors making
it difficult to distinguish between the two diagnoses. Evaluating for the presence of neuromuscular findings and abnormal movement patterns can help assist
the hand therapist in identifying the presence of focal hand dystonia or
peripheral motor axon involvement in the absence of pronounced muscle atrophy.
The purposes of this review article are twofold.
First, to describe selected
neuromuscular signs and symptoms characteristic of patients presenting with
repetitive overuse syndromes of the upper limb leading to either a nerve
entrapment syndrome or a focal hand dystonia. The selected topics will be limited
to an overview of ectopic neuronal activity with an emphasis on fasciculations,
muscle spasms/cramps, and sensation (including pain). Second, the article will
conclude with a brief synopsis of focal hand dystonia and compression
neuropathies, highlighting general assessment and treatment principles.

Langue : ANGLAIS