orsonw -> RE: It's been a while, guitar tinkering,focal dystonia, Grisha etc.. (Apr. 12 2025 19:15:17)
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I still think it is linked to performance anxiety, somewhat Yes. Best current research shows psychological factors may be relevant for some, though not for all musicians experiencing focal dystonia. There are multi-factoral drivers. Problems like adhesive capsulitis could have an impact but not directly due to the physiology, but in the same way that any other shoulder or body movement issue could be a factor. Below image is a summary of risk factors from a recent literature review. Kris this paper is reasonably easy to read for a layperson and may give you some insight to help your recovery. I can send you a copy if you can't access the full paper online. "...psychological predisposing factors such as state and trait anxiety, depression, obsessive-compulsive-disorder (OCD), perfectionism, social phobia and specific phobias, neuroticism, emotional instability, low self-efficacy, apathy, catastrophization, personality issues, stigma, stress, fear." "Ioannou and Altenmuller (2014)13 studied the personality profile of focal dystonia in musicians and recognized two different subgroups. The first (called “high psychological effects”) represents those participants who exhibit higher levels of anxiety, perfectionism and negative coping strategies whereas the second (called “low psychological effects”) represents an opposite psychological profile.13 Surprisingly, the FD musicians distributed equally into the different subgroups, while the healthy musicians, as expected, were more present in the low psychological effects group. This indicates the existence of two different psychological types of FD in musicians and it must be taken into consideration when working on prevention." Comoletti S, Mercogliano C. Focal dystonia in musicians, a literature review. J Hand Ther. 2024 Oct-Dec;37(4):616-624. doi: 10.1016/j.jht.2024.02.011. Epub 2024 Jun 28. PMID: 38942654. https://pubmed.ncbi.nlm.nih.gov/38942654/
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