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. 2019 Apr 11;9(4):79. doi: 10.3390/brainsci9040079

Table 1.

References addressing sensorimotor integration in patients with cervical dystonia (CD), focal hand dystonia (FHD), benign essential blepharospasm (BEB), and DYT1 dystonia (DYT1). The number after the year reflects position in the reference list. Under Participants, ND, NC, and NO respectively denote dystonia, control, and other non-dystonic movement disorder sample sizes, R denotes age range, M denotes mean (standard deviation), and D denotes duration of symptoms, all in years.

Author/Year Participants Type Technique / Design Key Findings
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.