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Quality of life in dystonia largerly depends on the occurrence and severity of non-motor symptoms
In the paper by Junker et al, the contributors to quality of life (QoL) were investigated in a large sample of 603 subjects with isolated idiopathic dystonia.1 Dystonia is classically seen as a motor disorder and this mirrors the characteristics of available disease severity scales and treatment options. However, research over the last decade has shown that treatment strategies merely focused on the management of motor manifestations do not guarantee an improvement of QoL, the real target of our interventions.
Various non-motor symptoms (NMS) are highly prevalent in dystonia and sometimes even define its diagnostic definitions, such as in Myoclonus-Dystonia.2 Many studies …
Contributors JY wrote the first draft of the manuscript. AF revised and wrote the final draft.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.