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Focal hand dystonia, also known as “musician’s cramp,” is a movement disorder that causes involuntary flexing in the fingers, or finger cramps, when playing a musical instrument. This disorder poses a huge problem for professional musicians and in some cases can even threaten their careers. Many methods have been attempted to try and alleviate the ailment, but the most effective training method has been the “slow-down exercise” (SDE). This exercise, based on the fact that symptoms disappear when playing at a slow tempo, involves selecting a short passage that triggers the cramps then slowing the tempo down to where the musician can play without involuntary finger flexing. The same passage is then repeated over and over, gradually increasing the speed over time. While this method has helped improve symptoms, it was unclear what aspects of motor skills improved through SDE training.

Michiko Yoshie, Naotaka Sakai, Tatsuyuki Ohtsuki and Kazutoshi Kudo investigated how SDE affected motor performance, muscular activity, and somatosensation in a dystonic pianist. The study entitled “Slow-Down Exercise Reverses Sensorimotor Reorganization in Focal Hand Dystonia: A Case Study of a Pianist” tested a musician over a 12 month period as she underwent SDE training for 30 minutes a day, playing a specific passage that evoked the finger cramps most substantially. During the motor task, the musician’s surface EMG was recorded using EMG amplifiers and a BIOPAC MP Data Acquisition System. Throughout the rehabilitation process the musician improved her speed of key strokes and actually helped recover her normal motor and somatosensory functions. The researchers even found evidence that showed the brain had the capacity to reverse sensorimotor reorganization that was induced by the focal hand dystonia. The findings objectively show that SDE training not only improves effected people’s key strokes but helps to completely recover from the neurological disorder.