A new therapeutic proposal for writer's cramp: a case report

Sao Paulo Medical Journal

Flavia Quadros Boisson Waissman¹  João Santos Pereira¹  Osvaldo José Moreira Nascimento¹ 

[1] ,Federal Fluminense Department of Neurology Niterói Rio de Janeiro ,Brazil

关键词: Writer's cramp;    Focal dystonia;    Dystonic disorders;    Movement disorders;    Handwriting;    Câimbra do escrivão;    Distonia focal;    Distúrbios distônicos;    Distúrbios do movimento;    Escrita manual;   

DOI  :  10.1590/S1516-31802010000200010

来源: SciELO

【 摘 要 】

CONTEXT: Writer's cramp is a kind of focal hand dystonia that appears when individuals are writing. Since pharmacological treatment has not shown the desired therapeutic response, a study on immobilization of the damaged musculature was performed on two individuals with writer's cramp, using splints with the objective of reducing the handwriting abnormalities. CASE REPORT: Two patients presenting writer's cramp who had previously undergone different therapies, including botulinum toxin, without an adequate response, participated in a body awareness program, followed by immobilization of the hand musculature damaged by dystonia, by means of splints, with handwriting training. At the end of the procedure, objective and subjective improvements in the motor pattern of writing could be observed. The immobilization of the dystonic musculature of the hand by means of splints and the motor training of handwriting helped to improve and consequently to reduce the dystonic component observed in the writer's cramp.

【 授权许可】

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