TY - JOUR
T1 - Inter-muscular coherence in speed skaters with skater's cramp
AU - Nijenhuis, B.
AU - Tijssen, M. A.J.
AU - van Zutphen, T.
AU - van der Eb, J.
AU - Otten, E.
AU - Elting, J. W.
N1 - Funding Information:
The authors declare that there was no specific funding received, and there were no conflicts of interest for this work. BN: receives a bench fee as a PhD student at the University of Groningen Campus Fryslân. MT: reports grants from The Netherlands Organisation for Health Research and Development ZonMW Topsubsidie ( 91218013 ), the European Fund for Regional Development from the European Union ( 01492947 ) and the province of Friesland, the Stichting Wetenschapsfonds Dystonie and unrestricted grants from Actelion and Merz. TZ: reports grants from ZonMw ( 10530012110002 ). JE-STW project: Realtime Feedback in Speed Skating supported by the NWO (Dutch Research Council) ( 12870 ). EO-has nothing to disclose. JWE-has nothing to disclose.
Funding Information:
The authors declare that there was no specific funding received, and there were no conflicts of interest for this work. BN: receives a bench fee as a PhD student at the University of Groningen Campus Fryslân. MT: reports grants from The Netherlands Organisation for Health Research and Development ZonMW Topsubsidie (91218013), the European Fund for Regional Development from the European Union (01492947) and the province of Friesland, the Stichting Wetenschapsfonds Dystonie and unrestricted grants from Actelion and Merz. TZ: reports grants from ZonMw (10530012110002). JE-STW project: Realtime Feedback in Speed Skating supported by the NWO (Dutch Research Council) (12870). EO-has nothing to disclose. JWE-has nothing to disclose.
Publisher Copyright:
© 2022 The Authors
PY - 2023/2
Y1 - 2023/2
N2 - Introduction: Skater's cramp is a career-ending movement disorder in expert speed skaters noted to be a likely task-specific dystonia. In other movement disorders, including task-specific dystonia, studies have found evidence of central dysregulation expressed as higher inter-muscular coherence. We looked at whether inter-muscular coherence was higher in affected skaters as a possible indicator that it is centrally driven, and by extension further evidence it is a task-specific dystonia.Methods: In 14 affected and 14 control skaters we calculated inter-muscular coherence in the theta-band in a stationary task where tonic muscle activation was measured at 10%, 20% and 50% of maximum voluntary contraction. Additionally, we calculated wavelet coherence while skating at key moments in the stroke cycle.Results: Coherence did not differ in the stationary activation task. While skating, coherence was higher in the impacted leg of affected skaters compared to their non-impacted leg, p = .05, η2 = 0.031, and amplitude of electromyography correlated with coherence in the impacted leg, p = .009, R2adjusted = 0.41. A sub-group of severely affected skaters (n = 6) had higher coherence in the impacted leg compared to the left and right leg of controls, p = .02, Cohen's d = 1.59 and p = .01, Cohen's d = 1.63 respectively. Results were less clear across the entire affected cohort probably due to a diverse case-mix.Conclusion: Our results of higher coherence in certain severe cases of skater's cramp is preliminary evidence of a central dysregulation, making the likelihood it is a task-specific dystonia higher.
AB - Introduction: Skater's cramp is a career-ending movement disorder in expert speed skaters noted to be a likely task-specific dystonia. In other movement disorders, including task-specific dystonia, studies have found evidence of central dysregulation expressed as higher inter-muscular coherence. We looked at whether inter-muscular coherence was higher in affected skaters as a possible indicator that it is centrally driven, and by extension further evidence it is a task-specific dystonia.Methods: In 14 affected and 14 control skaters we calculated inter-muscular coherence in the theta-band in a stationary task where tonic muscle activation was measured at 10%, 20% and 50% of maximum voluntary contraction. Additionally, we calculated wavelet coherence while skating at key moments in the stroke cycle.Results: Coherence did not differ in the stationary activation task. While skating, coherence was higher in the impacted leg of affected skaters compared to their non-impacted leg, p = .05, η2 = 0.031, and amplitude of electromyography correlated with coherence in the impacted leg, p = .009, R2adjusted = 0.41. A sub-group of severely affected skaters (n = 6) had higher coherence in the impacted leg compared to the left and right leg of controls, p = .02, Cohen's d = 1.59 and p = .01, Cohen's d = 1.63 respectively. Results were less clear across the entire affected cohort probably due to a diverse case-mix.Conclusion: Our results of higher coherence in certain severe cases of skater's cramp is preliminary evidence of a central dysregulation, making the likelihood it is a task-specific dystonia higher.
KW - Dystonia
KW - Inter-muscular coherence
KW - Speed skating
U2 - 10.1016/j.parkreldis.2022.105250
DO - 10.1016/j.parkreldis.2022.105250
M3 - Article
C2 - 36563538
AN - SCOPUS:85145716574
SN - 1353-8020
VL - 107
JO - Parkinsonism & Related Disorders
JF - Parkinsonism & Related Disorders
M1 - 105250
ER -