Generalized Dystonia (Full Version)

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coloradojulie -> Generalized Dystonia (October 8, 2004 8:06:00 PM)

Hi all,

I am looking for physical therapy interventions or references in the management of this condition in an 11 year old boy..who seems to have a progressive condition. Any help would be appreciated.

CJ



Andrew M. Ball PT PhD -> Re: Generalized Dystonia (October 11, 2004 2:16:00 AM)

I've found that working on core stability, from a developmental kinesiologic/NDT approach appears to be most helpful. Beyond that, I'd need to know a little more about the child's specific diagnosis. From the little you've provided, I assume a metabolic disorder or progressive muscular dystrophy such as Duchanne or Becker syndrome?



coloradojulie -> Re: Generalized Dystonia (October 11, 2004 11:21:00 AM)

Thanks Andrew...

Generalized dystonia is his diagnosis...caused by DYT1 gene deletion...therefore genetic. Early onset beginning in the bilateral lower extremity, present in his dominant hand and intermittently in his trunk.

My understanding is a efferent overload without proper interneuron inhibition at the synaptic junction. When a muscle is not dystonic, it has normal tone and strength is often preserved.

Core work is a great idea...I wonder if you know any inhibitory techniques besides biofeedback or whether "sensory tricks" can be used in treatment

Your reply is appreciated.



Andrew M. Ball PT PhD -> Re: Generalized Dystonia (October 11, 2004 2:16:00 AM)

I've found that working on core stability, from a developmental kinesiologic/NDT approach appears to be most helpful. Beyond that, I'd need to know a little more about the child's specific diagnosis. From the little you've provided, I assume a metabolic disorder or progressive muscular dystrophy such as Duchanne or Becker syndrome?



coloradojulie -> Re: Generalized Dystonia (October 11, 2004 11:21:00 AM)

Thanks Andrew...

Generalized dystonia is his diagnosis...caused by DYT1 gene deletion...therefore genetic. Early onset beginning in the bilateral lower extremity, present in his dominant hand and intermittently in his trunk.

My understanding is a efferent overload without proper interneuron inhibition at the synaptic junction. When a muscle is not dystonic, it has normal tone and strength is often preserved.

Core work is a great idea...I wonder if you know any inhibitory techniques besides biofeedback or whether "sensory tricks" can be used in treatment

Your reply is appreciated.



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