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trihexyphenidyl and Dystonic Disorders

trihexyphenidyl has been researched along with Dystonic Disorders in 18 studies

Trihexyphenidyl: One of the centrally acting MUSCARINIC ANTAGONISTS used for treatment of PARKINSONIAN DISORDERS and drug-induced extrapyramidal movement disorders and as an antispasmodic.

Dystonic Disorders: Acquired and inherited conditions that feature DYSTONIA as a primary manifestation of disease. These disorders are generally divided into generalized dystonias (e.g., dystonia musculorum deformans) and focal dystonias (e.g., writer's cramp). They are also classified by patterns of inheritance and by age of onset.

Research Excerpts

ExcerptRelevanceReference
"Trihexyphenidyl significantly improved dystonia, motor function and development in children with dystonic cerebral palsy in this study."8.31Trihexyphenidyl in young children with dystonic cerebral palsy: A single arm study. ( Das, B; Juneja, M; Khanna, R; Khosla, M; Mishra, D; Rajkumar, L; Sairam, S; Ventatakrishnan, A, 2023)
"We report 2 uncomplicated pregnancies in 1 woman with early-onset, sporadic, primary generalized dystonia (DYT1 negative) treated with high dosage trihexyphenidyl and review the literature on antidystonic agents and pregnancy."7.77Exposure to high dosage trihexyphenidyl during pregnancy for treatment of generalized dystonia: case report and literature review. ( Reich, SG; Robottom, BJ, 2011)
"Severe dystonia was presented in late stage of this disease."5.56Trihexyphenidyl for treatment of dystonia in ataxia telangiectasia: a case report. ( Jia, Y; Li, M; Qi, X; Wang, S; Wang, Y; Zhang, L, 2020)
"Trihexyphenidyl significantly improved dystonia, motor function and development in children with dystonic cerebral palsy in this study."4.31Trihexyphenidyl in young children with dystonic cerebral palsy: A single arm study. ( Das, B; Juneja, M; Khanna, R; Khosla, M; Mishra, D; Rajkumar, L; Sairam, S; Ventatakrishnan, A, 2023)
"Trihexyphenidyl (THP), a non-selective muscarinic receptor (mAChR) antagonist, is commonly used for the treatment of dystonia associated with TOR1A, otherwise known as DYT1 dystonia."4.12Blockade of M4 muscarinic receptors on striatal cholinergic interneurons normalizes striatal dopamine release in a mouse model of TOR1A dystonia. ( Donsante, Y; Downs, AM; Hess, EJ; Jinnah, HA, 2022)
"We report 2 uncomplicated pregnancies in 1 woman with early-onset, sporadic, primary generalized dystonia (DYT1 negative) treated with high dosage trihexyphenidyl and review the literature on antidystonic agents and pregnancy."3.77Exposure to high dosage trihexyphenidyl during pregnancy for treatment of generalized dystonia: case report and literature review. ( Reich, SG; Robottom, BJ, 2011)
"The majority (84%) had focal dystonia, most frequently cervical dystonia and blepharospasm."2.66Patient-reported responses to medical treatment in primary dystonia. ( Choi, JH; Jeon, B; Kim, HJ; Kim, R; Park, S; Shin, J; Woo, KA; Yoo, D, 2020)
"Severe dystonia was presented in late stage of this disease."1.56Trihexyphenidyl for treatment of dystonia in ataxia telangiectasia: a case report. ( Jia, Y; Li, M; Qi, X; Wang, S; Wang, Y; Zhang, L, 2020)
"Examination revealed dystonia of facial muscles every time she chewed but absent during drinking and speaking."1.46Chewing-induced facial dystonia: a rare presentation of task-specific dystonia. ( Garg, A; Kumar Rana, K; Kumawat, BL; Sharma, C, 2017)
"Case note review of 278 children with dystonia referred to our service."1.43Medication use in childhood dystonia. ( Kaminska, M; Lin, JP; Lumsden, DE; Tomlin, S, 2016)
"Here, we present a novel case of focal dystonia of a 51 years old right-handed woman who had developed difficulty in writing and performing fine motor tasks."1.39Focal dystonia of right hand with mirror movements upon use of left arm. ( Athar, A; Rana, AQ, 2013)
"DYT16 is an autosomal recessive dystonia-parkinsonism due to putative mutations at PRKRA gene."1.38DYT16: the original cases. ( Camargos, S; Cardoso, F; Lees, AJ; Singleton, A, 2012)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19902 (11.11)18.7374
1990's0 (0.00)18.2507
2000's1 (5.56)29.6817
2010's11 (61.11)24.3611
2020's4 (22.22)2.80

Authors

AuthorsStudies
Downs, AM1
Donsante, Y1
Jinnah, HA1
Hess, EJ1
Rajkumar, L1
Ventatakrishnan, A1
Sairam, S1
Khosla, M1
Khanna, R1
Das, B1
Mishra, D1
Juneja, M1
Zhang, L1
Jia, Y1
Qi, X1
Li, M1
Wang, S1
Wang, Y1
Woo, KA1
Kim, HJ1
Yoo, D1
Choi, JH1
Shin, J1
Park, S1
Kim, R1
Jeon, B1
Sharma, C1
Kumawat, BL1
Garg, A1
Kumar Rana, K1
Patel, AS1
Sulica, L1
Frucht, SJ1
Rana, AQ1
Athar, A1
van Vugt, FT1
Boullet, L1
Jabusch, HC2
Altenmüller, E2
Lumsden, DE1
Kaminska, M1
Tomlin, S1
Lin, JP2
Gika, AD1
Hughes, E1
Goyal, S1
Sparkes, M1
Verma, A1
Yadav, R1
Robottom, BJ1
Reich, SG1
Suzuki, K1
Takano, M1
Hashimoto, K1
Numao, A1
Nakamura, T1
Sakuta, H1
Hirata, K1
Camargos, S1
Lees, AJ1
Singleton, A1
Cardoso, F1
BURNS, C1
CORNER, BD1
Baik, JS1
Park, JH1
Kim, JY1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Placebo-Controlled, Double-Blind, Randomized, Cross Over Pilot Study Of The Efficacy And Tolerability Of Incobotulinum Toxin A (Xeomin®) As A Treatment For Focal Task-Specific Dystonia Of The Musician's Hand[NCT02107261]Phase 221 participants (Actual)Interventional2014-03-31Completed
A Placebo-controlled, Double-blind, Randomized, Cross Over Pilot Study of the Efficacy and Tolerability of Abobotulinum Toxin A (Dysport) as a Treatment for Task-dependent Upper Limb Tremor[NCT03136341]Phase 425 participants (Anticipated)Interventional2018-12-04Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Perceived Stress Scale (PSS)

Patient reported outcomes measured by questionnaires that address adverse events and the impact of quality of life using the perceived stress scale. A 10-item questionnaire, each item scored 0 (never) to 4 (very often), full scale from 0-40, with higher score indicating higher perceived stress. the more often the person perceives stress Change in PSS at week 8 compared to baseline (NCT02107261)
Timeframe: baseline and at 8 weeks

Interventionscore on a scale (Least Squares Mean)
Placebo-1.429
XEOMIN-0.5031

Change in Medical Research Council (MRC) Scale

"Motor strength using a dynamometer of the finger/wrist/elbow flexors to document any treatment induced weakness.~Scale from 0-4, higher score indicates poorer health outcomes." (NCT02107261)
Timeframe: baseline and at 8 weeks

,
Interventionscore on a scale (Least Squares Mean)
Right FDP dig 2R Lumb dig 4
Placebo0.07-0.013
XEOMIN-0.087-0.1190

Change in Motor Strength Comparison

"Motor strength tested using a dynamometer to document any weakness the treatment may produce as compared to the baseline visit and 8 weeks.~Dynamometer (DYN) - is a mechanical device that measures the pounds of force that a muscle exerts, Grip - a device that measures grip strength, and finger flexors digit 2 and 3 (FF d2-3). These measures are the amount of lbs of force exert. The higher number is the highest exerted out of 3 tries." (NCT02107261)
Timeframe: baseline and at 8 weeks

,
Interventionlbs of force exert (Least Squares Mean)
DYN pnch 4 maxDYN pnch 4 avgDYN pnch 3 maxDYN pnch 3 AvgGrip maxGrip avgFF D2-3
Placebo0.6791.0650.55701.14403.0844.94419.526
XEOMIN-3.037-2.323-2.905-2.2-25.04-22.172-4.423

Physician Global Perception of Change - Blinded Rater 1

The principal outcome measure was improvement in musical performance, measured by blinded rater, using physician global perception of change at post treatment compared to at 8 weeks. Categories are very much improved, much improved, minimal improved, no change, and minimal worse. (NCT02107261)
Timeframe: at visit 4 (week 8)

,
InterventionParticipants (Count of Participants)
Very much improvedMuch ImprovedMinimally ImprovedNo ChangeMinimally Worse
Incobotulinum Toxin Injection14301
Placebo11333

Physician Global Perception of Change - Blinded Rater 2

The principal outcome measure was improvement in musical performance, measured by blinded rater, using physician global perception of change at post treatment compared to at 8 weeks. Categories are very much improved, much improved, minimal improved, no change, and minimal worse. (NCT02107261)
Timeframe: at visit 4 (week 8)

,
InterventionParticipants (Count of Participants)
Very much improvedMuch ImprovedMinimal ImprovedNo ChangeMinimal Worse
Incobotulinum Toxin Injection02511
Placebo01433

Rating of Overall Musical Performance - Blinded Rater 1

"Rating of overall musical performance based on comparison to baseline video at week 8.~Rating from +3, very much improved to -3, very much worse. Higher score indicates more improvement." (NCT02107261)
Timeframe: baseline and at 8 weeks

,
InterventionParticipants (Count of Participants)
+3 Very much improved+2 Much improved+1 Minimally improved0 No change-1 Minimal worse-2 Much worse-3 Very much worse
Placebo0205400
XEOMIN1232100

Rating of Overall Musical Performance - Blinded Rater 2

"Rating of overall musical performance based on comparison to baseline video at week 8.~Best Overall Musical Performance on 7 point scale from +3 Very much improved to -3 Very much worse. Higher score indicates more improvement." (NCT02107261)
Timeframe: baseline and week 8

,
InterventionParticipants (Count of Participants)
+3 Very much improved+2 Much Improved+1 Minimally Improved0 No Change-1 Minimally Worse-2 Much worse-3 Very much worse
Incobotulinum Toxin Injection0242100
Placebo0305300

Reviews

2 reviews available for trihexyphenidyl and Dystonic Disorders

ArticleYear
Patient-reported responses to medical treatment in primary dystonia.
    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2020, Volume: 75

    Topics: Baclofen; Benzodiazepines; Dystonic Disorders; Female; Humans; Levodopa; Male; Medical Records; Pati

2020
Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
    Medical problems of performing artists, 2010, Volume: 25, Issue:1

    Topics: Botulinum Toxins, Type A; Drug Therapy, Combination; Dystonic Disorders; Education, Professional, Re

2010
Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
    Medical problems of performing artists, 2010, Volume: 25, Issue:1

    Topics: Botulinum Toxins, Type A; Drug Therapy, Combination; Dystonic Disorders; Education, Professional, Re

2010
Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
    Medical problems of performing artists, 2010, Volume: 25, Issue:1

    Topics: Botulinum Toxins, Type A; Drug Therapy, Combination; Dystonic Disorders; Education, Professional, Re

2010
Focal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
    Medical problems of performing artists, 2010, Volume: 25, Issue:1

    Topics: Botulinum Toxins, Type A; Drug Therapy, Combination; Dystonic Disorders; Education, Professional, Re

2010

Other Studies

16 other studies available for trihexyphenidyl and Dystonic Disorders

ArticleYear
Blockade of M4 muscarinic receptors on striatal cholinergic interneurons normalizes striatal dopamine release in a mouse model of TOR1A dystonia.
    Neurobiology of disease, 2022, 06-15, Volume: 168

    Topics: Animals; Cholinergic Agents; Corpus Striatum; Disease Models, Animal; Dopamine; Dopamine Agents; Dys

2022
Trihexyphenidyl in young children with dystonic cerebral palsy: A single arm study.
    Journal of pediatric rehabilitation medicine, 2023, Volume: 16, Issue:1

    Topics: Cerebral Palsy; Child; Child, Preschool; Dystonia; Dystonic Disorders; Humans; Infant; Motor Skills;

2023
Trihexyphenidyl for treatment of dystonia in ataxia telangiectasia: a case report.
    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020, Volume: 36, Issue:4

    Topics: Ataxia Telangiectasia; Child; Dystonia; Dystonic Disorders; Humans; Male; Mutation; Phenotype; Trihe

2020
Chewing-induced facial dystonia: a rare presentation of task-specific dystonia.
    BMJ case reports, 2017, Jul-17, Volume: 2017

    Topics: Dystonia; Dystonic Disorders; Face; Facial Muscles; Female; Humans; Mastication; Middle Aged; Tetrab

2017
Velopharyngeal Dystonia: An Unusual Focal Task-specific Dystonia?
    Tremor and other hyperkinetic movements (New York, N.Y.), 2017, Volume: 7

    Topics: Adult; Cholinergic Antagonists; Dystonic Disorders; Female; Humans; Male; Middle Aged; Speech Disord

2017
Focal dystonia of right hand with mirror movements upon use of left arm.
    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2013, Volume: 23, Issue:5

    Topics: Dystonic Disorders; Female; Hand; Humans; Middle Aged; Treatment Outcome; Trihexyphenidyl

2013
Musician's dystonia in pianists: long-term evaluation of retraining and other therapies.
    Parkinsonism & related disorders, 2014, Volume: 20, Issue:1

    Topics: Acupuncture Therapy; Adult; Antiparkinson Agents; Botulinum Toxins, Type A; Dystonic Disorders; Fema

2014
Medication use in childhood dystonia.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2016, Volume: 20, Issue:4

    Topics: Adolescent; Antiparkinson Agents; Baclofen; Child; Chloral Hydrate; Cohort Studies; Diazepam; Drug-R

2016
Trihexyphenidyl for acute life-threatening episodes due to a dystonic movement disorder in Rett syndrome.
    Movement disorders : official journal of the Movement Disorder Society, 2010, Feb-15, Volume: 25, Issue:3

    Topics: Adolescent; Antiparkinson Agents; Child; Dystonic Disorders; Electrocardiography; Electroencephalogr

2010
Isolated lingual dystonia : responding to anticholinergic treatment.
    The Journal of the Association of Physicians of India, 2011, Volume: 59

    Topics: Adult; Cholinergic Antagonists; Dystonic Disorders; Female; Humans; Speech; Tongue; Tongue Diseases;

2011
Exposure to high dosage trihexyphenidyl during pregnancy for treatment of generalized dystonia: case report and literature review.
    The neurologist, 2011, Volume: 17, Issue:6

    Topics: Adolescent; Adult; Antiparkinson Agents; Child; Child, Preschool; Dystonic Disorders; Female; Humans

2011
Computer mouse-related dystonia: a novel presentation of task-specific dystonia.
    Journal of neurology, 2012, Volume: 259, Issue:10

    Topics: Aged; Clonazepam; Computers; Cumulative Trauma Disorders; Dystonia; Dystonic Disorders; GABA Antagon

2012
DYT16: the original cases.
    Journal of neurology, neurosurgery, and psychiatry, 2012, Volume: 83, Issue:10

    Topics: Adolescent; Adult; Age of Onset; Anti-Dyskinesia Agents; Antiparkinson Agents; Baclofen; Biperiden;

2012
Clumsy children.
    British medical journal, 1963, Jan-26, Volume: 1, Issue:5325

    Topics: Child; Conversion Disorder; Dystonia Musculorum Deformans; Dystonic Disorders; Genetic Diseases, X-L

1963
Dystonia musculorum deformans in siblings; treated with artane (trihexyphenidyl).
    Proceedings of the Royal Society of Medicine, 1952, Volume: 45, Issue:7

    Topics: Dystonia Musculorum Deformans; Dystonic Disorders; Genetic Diseases, X-Linked; Humans; Siblings; Tri

1952
Primary lingual dystonia induced by speaking.
    Movement disorders : official journal of the Movement Disorder Society, 2004, Volume: 19, Issue:10

    Topics: Antiparkinson Agents; Dystonic Disorders; Female; Humans; Middle Aged; Speech; Tongue; Trihexyphenid

2004