Effects of modified pen grip and handwriting training on writer's cramp.
Arch Phys Med Rehabil
; 90(5): 867-75, 2009 May.
Article
em En
| MEDLINE
| ID: mdl-19406309
ABSTRACT
OBJECTIVE:
To evaluate the use of a modified pen grip and subsequent handwriting training in patients with writer's cramp (WC).DESIGN:
Handwriting performance with normal and modified pen grip was examined once in healthy controls and repeatedly in patients with WC (2 baseline tests before training, directly after training, after a 3-month follow-up).SETTING:
Ambulatory care for motor writing disorders.PARTICIPANTS:
Patients with WC (n=26) and healthy controls (n=14). INTERVENTION Seven sessions of handwriting training with various motor exercises were conducted by an occupational therapist. During training, the patients always used a modified pen grip (stabilized between index and middle finger). MAIN OUTCOMEMEASURES:
Writing frequency and fluency, grip force on the pen, writing pressure, Fahn dystonia scale, visual analog scales for impairment and pain.RESULTS:
Patients with WC showed increased writing pressure and grip force before training. Using the modified pen grip caused in both patients with WC and controls a decrease in pressure and grip force. Handwriting training resulted in a further improvement of both parameters in patients with WC. Grip force reduction remained stable over follow-up.CONCLUSIONS:
Results suggest that patients with WC benefit from the use of the modified pen grip in combination with handwriting training.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Força da Mão
/
Distúrbios Distônicos
/
Mãos
/
Escrita Manual
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2009
Tipo de documento:
Article