Fokale Dystonie bei Musikern und Sportlern - Disziplinübergreifende Erklärungsansätze, theoriebasierte Interventionen
Final Report Abstract
Classifying and diagnosing patients based on individual characteristics such as severity, phenomenology, sensorimotor and psychological triggering factors was so far impossible. Our findings indicated for example that one subgroup of patients can also be characterized by psychological comorbidities. Interestingly, it was also found that in this subpopulation dystonia was manifested about 10-15 years earlier than patients without any psychological comorbidity. These results among others allow us to better classify patients according to their specific symptoms and design more individualized treatment interventions. For instance affected musicians with additional psychological comorbidities could follow treatments which involve not only the restoration of the motor programs (e.g. retraining) but also specific psychological interventions aiming to reduce emotional impairments (e.g. stress, anxiety) associated to the development of the loss of fine motor control. With respect to the yips phenomenon where the knowledge remains more limited as compared to musician’s dystonia it was found that the prevalence rate, which is much higher than the prevalence of musician’s dystonia, in combination to the existence of yips symptoms in amateur golfers, suggested also that different subtypes according to specific characteristics should be classified. When comparing yips-affected athletes with affected musicians, results indicated that affected golfers could also be subdivided to those with and those without psychological comorbidities. Inspired from the knowledge we do have from musicians (healthy and dystonic) a suggested classification of the yips phenomenon was suggested by differentiating patients who could experience motor disturbances triggered primarily by psychological factors or primarily by sensorimotor triggering factors or finally by both. This detailed description of the different yips subtypes allows better diagnosis and the design of more individualized treatment interventions. As a conclusion the current study provided crucial understandings of both phenomena and the results suggest that further studies exploring the different subtypes of musician with focal dystonia and athletes with yips should be further conducted. Finally, all studies have been conducted in close collaboration in both institutions. It should be emphasized that the cooperation between two different institutions turned out to be highly efficient, inspiring and scientifically fruitful. Finally we published several media interviews via Babett Lobinger and Bernd Gerland and Prof. Eckart Altenmüller, e.g. http://www.spiegel.de/gesundheit/diagnose/yips-beim-golfen-das-zucken-undkrampfen-hindert-beim-putten-a-943840.html
Publications
- (2018) Psychodiagnostics: Classification of the Yips Phenomenon based on Musician's Dystonia. Medicine and science in sports and exercise 50 (11) 2217–2225
Ioannou, Christos I.; Klämpfl, Martin K.; Lobinger, Babett H.; Raab, Markus; Altenmüller, Eckart
(See online at https://doi.org/10.1249/MSS.0000000000001696) - (2013). How to detect the yips in golf. Human Movement Science, 32, 1270-1287
Klämpfl, M. K., Lobinger, B. H., & Raab, M.
(See online at https://doi.org/10.1016/j.humov.2013.04.004) - (2012). Understanding yips in golf: Thoughts, feelings, and focus of attention in yips-affected golfers. The Sport Psychologist, 26, 325-340
Philippen, P. B., & Lobinger, B.
(See online at https://doi.org/10.1123/tsp.26.3.325) - (2013). Reinvestment - The Cause of the Yips? PLOS ONE, 8
Klämpfl, M. K., Lobinger, B. H., & Raab, M.
(See online at https://doi.org/10.1371/journal.pone.0082470) - (2014). Apollo’s curse: Causes and cures of motor failures in musicians: A proposal for a new classification. Adv Exp Med Biol, 826, 161-178
Altenmüller, E., Ioannou, C.I., Raab, M., & Lobinger, B.
(See online at https://doi.org/10.1007/978-1-4939-1338-1_11) - (2014). Apollo’s curse: Causes and cures of motor failures in musicians: A proposal for a new classification. Adv Exp Med Biol, 826, 161-178
Altenmüller, E., Ioannou, C.I., Raab, M., & Lobinger, B.
(See online at https://doi.org/10.1007/978-1-4939-1338-1_11) - (2014). Psychological characteristics inmusician's dystonia: a new diagnostic classification. Neuropsychologia, 61, 80-88
Ioannou, C. I., & Altenmüller, E.
(See online at https://doi.org/10.1016/j.neuropsychologia.2014.05.014) - (2014). Self-report vs. kinematic screening test: Prevalence, demographics and sports biography of yips-affected golfers. Journal of Sports Sciences, 33, 655-664
Klämpfl, M. K., Philippen, P. B., & Lobinger, B. H.
(See online at https://doi.org/10.1080/02640414.2014.961026) - (2014). We are able, we intend, we act-but we do not succeed: A review on paradoxical performance in sports. Journal of Clinical Sport Psychology, 8, 357-377
Lobinger, B. H., Klämpfl, M. K., & Altenmüller, E.
(See online at https://doi.org/10.1123/jcsp.2014-0047) - (2015). Apollo's curse: neurological causes of motor impairments in musicians. Prog Brain Res, 217, 89-106
Altenmüller, E., Ioannou, C.I. & Lee, A.
(See online at https://doi.org/10.1016/bs.pbr.2014.11.022) - (2016). Objective evaluation of performance stress in musicians with focal dystonia: a feasibility study. Journal of Motor Behavior
Ioannou, C. I., Furuya, S., & Altenmüller, E.
(See online at https://doi.org/10.1080/00222895.2016.1161590) - (2016). The impact of stress on motor performance in skilled musicians suffering from focal dystonia: physiological and psychological characteristics. Neuropsychologia, 85, 226-236
Ioannou, C. I., Furuya, S., & Altenmüller, E.
(See online at https://doi.org/10.1016/j.neuropsychologia.2016.03.029)
