Losing dexterity: patterns of impaired coordination of finger movements in musician's dystonia.
Extensive training can bring about highly-skilled action, but may also impair motor dexterity by producing involuntary movements and muscular cramping, as seen in focal dystonia (FD) and tremor. To elucidate the underlying neuroplastic mechanisms of FD, the present study addressed the organization of finger movements during piano performance in pianists suffering from the condition. Principal component (PC) analysis identified three patterns of fundamental joint coordination constituting finger movements in both patients and controls. The first two coordination patterns described less individuated movements between the "dystonic" finger and key-striking fingers for patients compared to controls. The third coordination pattern, representing the individuation of movements between the middle and ring fingers, was evident during a sequence of strikes with these fingers in controls, which was absent in the patients. Consequently, rhythmic variability of keystrokes was more pronounced during this sequence of strikes for the patients. A stepwise multiple-regression analysis further identified greater variability of keystrokes for individuals displaying less individuated movements between the affected and striking fingers. The findings suggest that FD alters dexterous joint coordination so as to lower independent control of finger movements, and thereby degrades fine motor control.
Institute for Music Physiology and Musicians' Medicine, Hanover University of Music, Drama and Media, Emmichplatz 1, Hanover, Germany 30175.|Department of Information and Communication Sciences, Sophia University, Tokyo, Japan, 1020081.
Shinichi
S
Furuya
Department of Engineering Science, Osaka University, Osaka, Japan, 5608531.
Kenta
K
Tominaga
Department of Engineering Science, Osaka University, Osaka, Japan, 5608531.
Fumio
F
Miyazaki
Institute for Music Physiology and Musicians' Medicine, Hanover University of Music, Drama and Media, Emmichplatz 1, Hanover, Germany 30175.
Eckart
E
Altenmüller
D001696:Biomechanical Phenomena; D020821:Dystonic Disorders / Q000503:physiopathology*; D005385:Fingers / Q000503:physiopathology*; D006225:Hand / Q000503:physiopathology; D006801:Humans; D007596:Joints / Q000503:physiopathology; D009048:Motor Skills / Q000502:physiology*; D009068:Movement; D009146:Music; D025341:Principal Component Analysis; D012044:Regression Analysis; D013997:Time Factors