{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T16:44:22Z","timestamp":1756572262987,"version":"3.40.5"},"reference-count":55,"publisher":"Human Kinetics","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Context<\/jats:bold>:<\/jats:italic> Sport-related dystonia is a rare form of activity-specific dystonia that can severely impair an athlete\u2019s ability to perform. Due to a lack of data on the condition, it is difficult to diagnose and often overlooked, and no gold standard treatment has yet been defined. <jats:italic><jats:bold>Case Presentation<\/jats:bold>:<\/jats:italic> We present a rare and challenging case of sport-related dystonia that affected a 24-year-old male professional soccer player. The patient presented with severe rigidity and dystonia of the right lower-extremity, particularly the ankle and foot. The symptoms set on &gt;1\u00a0year prior to the presentation to our outpatient clinic. He began to complain of stiffness and difficulty moving his lower limbs, especially his right leg, initially when playing soccer, but then also when walking normally. On presentation, he was unable to run and walked with difficulty, supporting his body weight only on the outside of his right foot. He also reported a motor trick and reverse motor trick involving the oral musculature in order to move his lower limb more freely. <jats:italic><jats:bold>Management and Outcomes<\/jats:bold>:<\/jats:italic> An integrated rehabilitation approach based on postural rehabilitation, neuromuscular rehabilitation, and dental intervention was used to successfully treat this condition. The approach included: (1)\u00a0postural rehabilitation with the M\u00e9zi\u00e8res-Bertel\u00e8 method to reduce muscular stiffness, (2)\u00a0neuromuscular re-education with Tai Chi exercises and electromyography-guided biofeedback, and (3)\u00a0dental intervention and swallowing rehabilitation to limit impaired oral habits (due to the relationship between his impaired lower limb movements and motor tricks of the oral musculature). After 7\u00a0months of integrated rehabilitation, the patient returned to professional soccer. <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> This case report highlights the potential efficacy of an integrative rehabilitation approach for sports dystonia, particularly in cases where traditional treatments may not be effective. Such an approach could be considered a valuable option in the management of this rare, but debilitating, condition in athletes. Further research is needed to assess the effectiveness of this approach in larger populations.<\/jats:p>","DOI":"10.1123\/jsr.2023-0100","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T09:53:03Z","timestamp":1714729983000},"page":"365-375","source":"Crossref","is-referenced-by-count":2,"title":["Treating Dystonia in a Soccer Player Through an Integrated Rehabilitative Approach: A Case Report"],"prefix":"10.1123","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0369-1700","authenticated-orcid":true,"given":"Valeria","family":"Giorgi","sequence":"first","affiliation":[{"name":"Rehabilitation Center, Apostolo Foundation, Merate, Italy"},{"name":"Unit\u00e0 di Ricerca Clinica, Gruppo Ospedaliero Moncucco, Lugano, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0071-2865","authenticated-orcid":true,"given":"Giovanni","family":"Apostolo","sequence":"additional","affiliation":[{"name":"Rehabilitation Center, Apostolo Foundation, Merate, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bertel\u00e8","sequence":"additional","affiliation":[{"name":"Rehabilitation Center, Apostolo Foundation, Merate, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Nat Rev Dis Primers","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-018-0023-6","article-title":"Dystonia","volume":"4","author":"Balint B","year":"2018","unstructured":"Balint B, Mencacci NE, Valente EM, et\u00a0al. 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