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jws-mds.21017.mpg11693K Segment 1 . Film of a young boy with generalized dystonia from a film by T.J. Putnam and E. Herz, Disorders of Gait (1946). The filming technique shows the patient nude, walking back and forth in profile against a dark background. The increasing intensity of dystonic spasms in the foot and hand along with the markedly twisted lordotic trunk are captured in segments shot at regular speed, slow motion, and in close-up. Segment 2 . Three siblings with generalized dystonia are shown in this segment from S.P. Goodhart and B.H. Balser's film, Dystonia Musculorum Deformans (1944). The video shows the three patients in order of their severity from the least affected (young man) to the moderately affected sister and then the most severely disabled older sister using standard speed and slow motion. ? Segment 3 . This segment, taken from the Goodhart film, emphasizes the positive impact of full body casting in the control of dystonia. The patient is shown prior to treatment with serious deformity and then after 3 months of casting. Though the improvement is clearly evident, action-induced spasms and ambient dystonia remain. Segment 4 . Case 1 from the Goodhart film was filmed over 6 years. Goodhart originally considered her case psychogenic, but later vacillated on the relative contribution of organic and behavioral contributions. Her dystonia was sudden in onset with high variability in disability.

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