Annals of Movement Disorders

REVIEW ARTICLES
Year
: 2023  |  Volume : 6  |  Issue : 1  |  Page : 7--12

Geste antagoniste in dystonia: Demystifying the tricks


Shweta Prasad, Vikram V Holla, Lulup Kumar Sahoo, Dhruv Batra, Albert Stezin, Rohan R Mahale, Nitish L Kamble, Ravi Yadav, Pramod K Pal 
 Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Hosur Road, Bengaluru, Karnataka, India; Department of Neurology, National Institute of Mental Health and Neurosciences, Hosur Road, Bengaluru, Karnataka, India

Correspondence Address:
Pramod K Pal
Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bengaluru - 560029, Karnataka
India

Sensory tricks, also known as “geste antagoniste” or “alleviating maneuvers,” refer to specific maneuvers that temporarily improve dystonic postures; this is often considered to be a hallmark of primary dystonia. Although classically described to be simple activities such as a gentle touch, they can be complex and multisensory, including tactile, proprioceptive, visual, auditory, and thermal stimuli or even imaginary tricks. To date, there is no concrete concept to explain the mechanisms by which geste antagoniste alleviate dystonia. The suggested mechanisms imply an increase in intracortical facilitation in dystonia, and balance between facilitation and inhibition is restored by the geste. This narrative review aims to provide a brief overview of geste antagoniste, covering the historical aspects, types of geste, known mechanisms, and implications.


How to cite this article:
Prasad S, Holla VV, Kumar Sahoo L, Batra D, Stezin A, Mahale RR, Kamble NL, Yadav R, Pal PK. Geste antagoniste in dystonia: Demystifying the tricks.Ann Mov Disord 2023;6:7-12


How to cite this URL:
Prasad S, Holla VV, Kumar Sahoo L, Batra D, Stezin A, Mahale RR, Kamble NL, Yadav R, Pal PK. Geste antagoniste in dystonia: Demystifying the tricks. Ann Mov Disord [serial online] 2023 [cited 2023 May 28 ];6:7-12
Available from: https://www.aomd.in/article.asp?issn=2590-3446;year=2023;volume=6;issue=1;spage=7;epage=12;aulast=Prasad;type=0