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Divergent Recovery Paths in Musicians' Dystonia Cover

Divergent Recovery Paths in Musicians' Dystonia

Open Access
|Jan 2026

Figures & Tables

Table 1

Participants’ characteristics.

A) SUBJECT RELATED DATA
MHDED
MEANSDMEANSD
Age (yrs)49114911
n%n%
Gender
Female5722%1921%
Male20878%7379%
B) INSTRUMENTAL GROUPS
MHDED
n%n%
Instrumental Group
Keyboard- instrumentalists9435.5%00%
plucked instrument6123.8%00%
Woodwind- instrumentalists6022.6%1920%
String- instrumentalists4115.4%00%
percussionists51.9%00%
Brass- instrumentalists20.7%7380%
other10.4%00%

[i] Abbreviations: yrs = years; SD = standard deviation; MHD = musician’s hand dystonia; ED = embouchure dystonia.

Table 2

Comparisons between groups.

MHDED
%χ2p-adj
gender distributionsee Table 1see Table 10.030.9
patients with pain/trauma22%27%1.20.2
positive family history15%9%2.40.12
received treatment80%53%24.7<<0.001
medianWP
cumulated practice time (hrs)2255427774103040.9
practice time per year until onset (hrs/year)10041006105970.6
time (beginning to play – onset) (yrs)2426115280.4
age at dystonia onset (yrs)3437109510.1
age when beginning to play the instrument (yrs)99.5104070.03

[i] Abbreviations: yrs = years; MHD = musician’s hand dystonia; ED = embouchure dystonia. p-adj: false discovery rate -adjusted p-values for multiple testing.

tohm-16-1-1101-g1.png
Figure 1

Playing ability after dystonia onset and today for musician’s hand dystonia (MHD) and embouchure dystonia (ED).

In ED, playing ability is significantly lower than in MHD at onset as well as today. Whereas in ED no significant change in playing ability occurs, there is a significant improvement in MHD. Error bars indicate standard error.

tohm-16-1-1101-g2.png
Figure 2

Difference in mean playing ability between after onset and today for ED and MHD.

A negative value indicates a deterioration, a positive value an improvement since dystonia onset. There is no improvement in the ED group. Error bars indicate standard error.

DOI: https://doi.org/10.5334/tohm.1101 | Journal eISSN: 2160-8288
Language: English
Submitted on: Sep 12, 2025
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Accepted on: Nov 25, 2025
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Published on: Jan 20, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Johanna Doll-Lee, Edoardo Passarotto, Eckart Altenmüller, André Lee, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.