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[Abstract Title]. - Society for Neuroscience

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against the botulinum neurotoxin type A heavy or light chain or against the full complex.<br />

Separation fractions were functionally analyzed using the mouse hemidiaphragma assay.<br />

The 150 kDa neurotoxin type A molecule is released from the 900 kDa complex in less than one<br />

minute when exposed to physiological pH values (pH 7.2-7.6).<br />

It is concluded that the 150 kDa botulinum neurotoxin type A molecule is released from the 900<br />

kDa complex in less than one minute when exposed to physiological pH values. This time frame<br />

is extremely short in comparison to the onset of the therapeutic effect which is measured in days.<br />

There<strong>for</strong>e, the complexing proteins cannot stabilize the neurotoxin or inhibit its diffusion as<br />

claimed. Accordingly, the necessity of these complexing proteins in medicinal <strong>for</strong>mulations must<br />

be questioned. Finally, these data aid in understanding the clinical equipotency of Xeomin(1), the<br />

150 kDa botulinum neurotoxin type A molecule free of complexing proteins, and botulinum<br />

neurotoxin type A preparations containing complexing proteins.<br />

(1) not approved <strong>for</strong> marketing in the USA<br />

Disclosures: K.H. Eisele, Merz Pharmaceuticals, A. Employment (full or part-time); K.B. Fink<br />

, Merz Pharmaceuticals, A. Employment (full or part-time); H.V. Taylor, Merz Pharmaceuticals,<br />

A. Employment (full or part-time).<br />

Poster<br />

248. Dystonia<br />

Time: Sunday, November 16, 2008, 1:00 pm - 5:00 pm<br />

Program#/Poster#: 248.15/U14<br />

Topic: C.03.j. Dystonia<br />

<strong>Title</strong>: The effects of a comprehensive sensorimotor retraining program on individuals with<br />

Focal Hand Dystonia vs. normal control participants<br />

Authors: *A. L. MCKENZIE 1 , N. BYL 2 ;<br />

1 Physical Therapy, Chapman Univ., Orange, CA; 2 Physical Therapy and Rehabil. Sci., Univ. of<br />

Cali<strong>for</strong>nia at San Francisco, San Francisco, CA<br />

<strong>Abstract</strong>: Background and Purpose: Focal hand dystonia (FHD), also known as occupational<br />

hand cramps, writer‟s cramp, or musician‟s cramp, is a condition characterized by involuntary,<br />

sustained, co-contraction of the flexors and extensors of the affected digits, resulting in<br />

decreased motor control of the hand during specific tasks. Previously, we reported the effects of<br />

a comprehensive sensorimotor retraining on patients with FHD using both clinical outcomes and<br />

magnetoencephalography, but the effects of such training on normal, healthy controls were not<br />

known. The purpose of this study was to compare clinical parameters <strong>for</strong> musicians and writers<br />

with FHD to those <strong>for</strong> normal, healthy control subjects to delineate differences in responses to

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