Archives of physical medicine and rehabilitation · 2009
Effects of modified pen grip and handwriting training on writer's cramp.
Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Baur Barbara, Fürholzer Waltraud, Jasper Isabelle, Marquardt Christian, Hermsdörfer Joachim
Аннотация
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 OUTCOME MEASURES: 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.
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 OUTCOME MEASURES: 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.