Sensitive training through body awareness to improve the writing of patients with writer’s cramp

Flavia Quadros Boisson Waissman,Marco AntôNio A Leite,Osvaldo J.M Nascimento,JoãO Santos Pereira,Marco Orsini

doi:10.4081/ni.2013.e24

Abstract

The aim of this article is to evaluate if body awareness is important to improve the writing ability before using the splints. Twelve patients with writer’s cramp were evaluated by a specialist in movement disorders. The Burke-Fahn-Marsden Scale (BFM), the Jedynak Protocol and the Analog Pain Scale were used. The rehabilitation training was administered over an eight-week period, in two phases of four weeks each, twice a week. Each session would last 60 minutes. A significant improvement was shown, not only in the motor, but also in the pain perception, through the BFM scale, the Jedynak Protocol and the Analog Pain Scale. Therefore, we conclude that the motor training, thanks to the body awareness and immobilization by splints of the affected dystonic musculature, led to an important improvement in the writer’s cramp writing.

Highlights

Introduction botulinum toxin applicationOther two with and all selected subjects had previously undercarpal tunnel syndrome pain that hindered gone EMG more than once, showing discrete daily activities and the last with intense changes in motor conduction or even withoutFocal dystonia is a specific-task disorder referred shoulder pain were excluded.evidence of any disturbance, it was decided, for with difficult recovery, which occurs due to Out of the 12 individuals, eleven were right- humanitarian reasons, not to do the exam motor programming dysfunction, resulting in handed and one was left-handed
UNISUAM, Bonsucesso, Brazil nly Abstract o The aim of this article is to evaluate if body e awareness is important to improve the writing s ability before using the splints
Of a total of 21 volunteers with the clinical diagnosis of writer’s cramp seen and examined in the Sector of Movement Disorders, Neurology at Pedro Ernesto University Hospital (HUPE), The Rio de Janeiro State University (UERJ), 12 were selected to participate in this study: seven men and five women, aged between 24 and 76, regardless of how long they have had the disease or level of dystonia, as long as they would obey the criteria of inclusion established i.e., not participating in any physiotherapy program, not making used of botulinum toxin for at least six months or using any medicine for dystonia treatment

Summary

Introduction

Evidence of any disturbance, it was decided, for with difficult recovery, which occurs due to Out of the 12 individuals, eleven were right- humanitarian reasons, not to do the exam motor programming dysfunction, resulting in handed and one was left-handed. Their formal above, because none of the participants wantan imbalance between agonist and antagonist education ranged from elementary (one), ed due to the previous results, which really musculature during the movement.[1] Many pro- high-school (eight) and university degree should not be discarded, especially in individufessionals such as teachers, writers, musi- (three), holding different professions.

Objectives

Methods

Results

Conclusion