首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Does training improve writer's cramp?: An evaluation of a behavioral treatment approach using kinematic analysis.
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Does training improve writer's cramp?: An evaluation of a behavioral treatment approach using kinematic analysis.

机译:培训会改善作家的抽筋吗?:使用运动学分析评估行为治疗方法。

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Patients with writer's cramp (WC) show uncontrollable muscle co-contractions of agonists and antagonists and unusual postures of the upper limb during writing; their handwriting is inefficient and exhausting. Currently the treatment of choice is to inject botulinum toxin in selective hand muscles. However, this treatment has two drawbacks: it is short-lasting and may be associated with adverse side effects. An alternative behavioral treatment, namely, the handwriting training developed by Mai and coworkers, was carried out and evaluated in 50 patients with WC. A digitizing tablet was used to record the handwriting movements before and after training, and then again after a follow-up period. The results indicate the efficacy of the handwriting training. Speed and smoothness of the handwriting increased during the training with effects observed after an extended follow-up period. Handwriting training leads to significant improvements, but does not bring handwriting performance to normal levels. This training should be considered as an alternative or supplement to the traditional treatment with botulinum toxin or other programs based on neuroplasticity.
机译:患有作家抽筋(WC)的患者在写作过程中表现出激动剂和拮抗剂的肌肉无法控制的收缩以及上肢的异常姿势。他们的笔迹效率低下,筋疲力尽。目前,选择的治疗方法是在选择性的手部肌肉注射肉毒杆菌毒素。但是,这种治疗有两个缺点:持续时间短并且可能与不良副作用有关。另一项行为治疗方法,即由Mai和同事开发的手写训练,在50例WC患者中进行了评估。使用数字化平板电脑记录训练前后的笔迹运动,然后在随访期之后再次记录。结果表明了手写训练的有效性。在训练期间,笔迹的速度和平滑度得到了提高,并且在延长的随访期之后观察到了效果。手写训练可以带来显着的改善,但不会使手写性能达到正常水平。该培训应被视为肉毒杆菌毒素或基于神经可塑性的其他程序的传统治疗方法的替代或补充。

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