Anastasopoulos, 1998 [29] |
ND: 10, NC: 12, M: 43.0 (13.9), D: 4–16 |
CD |
Perception of ‘visual straight ahead’ (VSA) |
VSA shifted to trunk under head/trunk misalignment. Mechanisms suggested: (i) central compensation restoring VSA, (ii) reference frame shift to more stable trunk coord. system |
Anastasopoulos, 2003 [58] |
ND: 12, NC: 12, M: 43.8 (10.7), D: 6.1 (3.4) |
CD |
Neutral head position estimation after head/trunk displacement |
Patients use neck proprioception, but lack head posture knowledge, suggesting an offset of a non-sensory setpoint. |
Anastasopoulos, 2013 [50] |
ND: 8, NC: 10, R: 42–72, D: 2–10 |
CD |
Peripheral target foveation and trunk kinematic assessment |
Prevalence of hypometric gaze saccades and trunk bradykinesia in neck dystonia. |
Anastasopoulos, 2014 [64] |
ND: 13, NC: 23, R: 20–61, D: 3–16 |
CD |
Measured resistive torques to passive head/trunk/head+trunk movements |
Resistive torques higher in patients than controls and independent of torticollis direction, suggesting impaired proprioceptive feedback. |
Avanzino, 2013 [45] |
ND: 14, NC: 17, M: 42.3 (12.3), D: 9.6 (7.4) |
FHD |
Temporal expectation task: video of hand motion or inanimate obj. |
More timing error in patients when viewing hand motion vs. inanimate object motion, suggesting planning deficits. |
Avanzino, 2018 [85] |
ND: 20, NC: 17, M: 60.3 (11.5) |
CD |
Catching a ball with unpredictable mass |
Adaptation to heavier mass similar between patients and controls, but the anticipatory adjustment to impact reduced for patients, suggesting cerebellum’s role in predictive control is abnormal in CD. |
Bove, 2004 [114] |
ND: 12, NC: 12, M: 59 (15.1), D: 9.4 (5.5) |
CD |
Postural balance and stepping in place w/wo vibration to neck |
Reference frame for body orientation progresses to different egocentric reference as disease advances. |
Brugger, 2018 [23] |
ND: 35, NC: 16, Older adults, D: ~16 (12.5) |
CD |
Quiet stance posture analysis during neck vibration with/without effective sensory trick |
Patients with effective sensory trick responded similarly to controls during vibration; those without had little change in posture. Effectiveness of sensory trick may require an intact ability to preserve proprioceptive gain. |
De Pauw, 2017 [57] |
ND: 24, NC: 70, No ages listed, D: 13 (8.7) |
CD |
3D motion tracking of return-to-neutral head position |
Larger positional errors in patients than in controls, and tendency to overshoot return to neutral head position. |
De Pauw, 2018 [116] |
ND: 23, NC: 36, M: 59.4 (14.6), D: 13 (8.7) |
CD |
Seated postural control |
Postural instability was increased in patients, with center of pressure correlating to impairments in cervical sensorimotor control. |
Filip, 2013 [41] |
ND: 30, NC: 30, M: 52 (13.7), D: 3–38 |
CD |
Virtual projectile intercept task |
Visual input - predictive motor control integration problem, suggesting impairment to the cerebellar anticipatory timing function and ability to integrate visual and motor information. |
Frima, 2003 [24] |
ND: 21, NC: 18, R: 29-72 |
CD |
Tendon vibration inducing illusion of elbow joint movement |
Perception of movement increased in patients, suggesting subnormal muscle spindles elasticity. |
Frima, 2008 [25] |
ND: 30, NC: 19, R: 29–75, incl. parents, siblings, children |
CD |
Same as Frima 2003 |
Higher prevalence of abnormal perception in 1st degree relatives, suggesting trait heritability. |
Hoffland, 2014 [97] |
ND: 26, NC: 10, M: 56.5 (8.2) |
CD, FHD, BEB |
Split-belt gait adaptation with 3D motion capture |
Gait adaptation impairment in BEB and FHD, but not CD patients, suggesting different cerebellar pathologies. |
Hubsch, 2011 [51] |
ND: 14, NC: 14, M: 31.8 (15.1) |
DYT1 |
Reactive saccade adaptation |
Less adaptation in patients than controls, suggesting cerebellar dysfunction in DYT1 dystonia (myoclonus). |
Inzelberg, 1995 [67] |
ND: 8, NC: 6, R: 19–43, D: 2–27 |
non-specific |
Temporal and spatial analysis of unimanual reaching w/wo vision |
Velocity profiles in patients less symmetric than in controls, longer deceleration phase, similar to PD. Impairments were more prevalent during ‘closed-loop’ control suggesting abnormalities in integrating feedback into subsequent motor commands. |
Kägi, 2013 [38] |
ND: 32, NC: not specified, M: 56.4 (9.9), D: 12.5 (8.5) |
CD |
Temporal discrimination to visual, tactile, and visuotactile stimuli |
Visuotactile discrimination improvement with sensory tricks, particularly in patients with shorter disease duration, suggesting a progressive loss of adaptive mechanisms. |
Karnath, 2000 [63] |
Case study of 48 y/o female |
CD |
3D tracking of head position before/after vibration |
More improvement after vibration than TENS or haptics, suggesting impaired central processing of neck muscle afferents. |
Katschnig-Winter, 2014 [69] |
ND: 12, NC: 11, M: 58.8 (9.6), D: 6–36 |
CD |
Center-out reaching: motor reference task, sequence learning, motor adaptation |
Higher peak velocities, longer movement times in patients, normal sequence learning and motor adaptation. |
Lekhel, 1997 [22] |
ND: 19, NC: 12, M: 33.8, R: 24–49 |
CD, FHD, BEB |
Postural sway analysis, with vibration of neck muscles |
Decreased postural sway in patients, possibly due to vestibular signal - neck muscle spindle signal integration. |
Müller, 2004 [32] |
ND: 28, NC: 28, M: 49.5 (14.3), D: 0.5–43 |
CD |
Subjective straight-ahead task, BORB battery, VOSP battery |
Intact allocentric but compromised egocentric spatial abilities in patients; reliance on proprioceptive neck inputs. |
Naumann, 2000 [37] |
ND: 10, R: 28–76, D: 1–19 |
CD |
PET recording in response to sensory trick application |
Sensory tricks normalizing head position shift egocentric midline reference to opposite side of head turn, decreasing M1 activation. |
Pelosin, 2009 [72] |
ND: 10, NC: 10, M: 50.5, R: 35-65, D: 1-10 |
CD |
Center-out reaching before/after botulinum toxin treatment |
Botox improved spatiotemporal control of reaching, possibly improving proprioceptive feedback by relaxation of muscle spindles. |
Putzki, 2006 [26] |
ND: 23, NC: 13, R: 42–64, D: 0.5–24 |
CD, BEB |
Passive finger movement detection and discrimination |
Patients were less sensitive to movement, with poorer directional discrimination, suggesting contribution of defective sensory processing to dystonic symptoms. |
Rome, 1999 [20] |
ND: 24, NC: 18, NO: 21, R: 30–77, D: 1–33 |
CD, FHD |
Arm position matching, with/without tendon vibration |
Contralateral joint position perception impaired in dystonia, but not PD. Botox injections did not recover function. |
Sadnicka, 2018 [84] |
ND: 10, NC: 12, M: 43.9 (14.3), D: 2–58 |
DYT1 |
Center-out reaching with visuomotor perturbation |
Increased baseline task-dependent variability predicted poor adaptation in patients. Specifically, variability in feedforward component of movement was most predictive, suggesting unwanted noise affects planning, but not online corrective actions. |
Sedov, 2019 [52] |
ND: 12, R: 22–68, D: 2–17 |
CD |
In-vivo single-unit neuron recording in basal ganglia and EMG of trapezius |
Malfunction of neural integrator results from impairments to cerebellar, basal ganglia, and feedback converging on integrator. Asymmetry in pallidal activity correlated with degree and direction of head turning. |
Vacherot, 2007 [31] |
ND: 12, NC: 11, M: 63 (4.7) |
CD |
Balance testing, assessing subjective visual vertical |
Whole body stabilization not affected in patients, but head stabilization reliant on referencing the trunk. |
van der Steen, 2014 [46] |
ND: 15, NC: 15, M: 36.5 (12), D: 1–20, prof. musicians |
FHD |
Temporal perception and motor task battery |
Musician’s dystonia not associated with sensory deficits; likely a highly task-specific disorder. |
Yoneda, 2000 [21] |
ND: 29, NC: 15, M: 57.7, R: 29–79, D: 11.5 |
CD, FHD, BEB |
Arm position matching, with/without tendon vibration |
Abnormal perception of tonic vibration reflex in patients suggests abnormal muscle spindle afferent processing. Despite localized motor deficits, authors suggest FHD is a systemic disorder. |