Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 24 , ISSUE 4 ( December, 2013 ) > List of Articles

CASE REPORT

A Multidisciplinary Rehabilitation Approach for Writer's Cramp: A Case Study

D R Tripathi, Amod Kumar, Mahesh Talele, Suryabhan Singh

Citation Information : Tripathi DR, Kumar A, Talele M, Singh S. A Multidisciplinary Rehabilitation Approach for Writer's Cramp: A Case Study. Indian J Phy Med Rehab 2013; 24 (4):106-109.

DOI: 10.5005/ijopmr-24-4-106

Published Online: 00-12-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 61 year-old male was referred from neurology to PMR department RML hospital, New Delhi, with difficulty in writing for 2 years prior to consultation. Initially difficulty in writing which is accompanied with pain after prolonged writing. Also he noticed tremor and stiffness while writing. Disability progressed and he was unable to write even a few words legibly and cannot hold object (spoon) which leads to anxiety and dependency.

When the patient was examined at PMR OPD, EMG/NCV study was advised, which showed normal sensory and motor nerve functions.

The present treatment involved the use of a multidisciplinary therapeutic approach with Physical Medicine and Rehabilitation Specialist, Clinical psychologist and Occupational Therapist which gave us satisfactory results within 6- 8 months. The findings in this case is very encouraging and studies with large sample sizes can be considered for further conclusive evidence on the treatment of writer's cramp.


PDF Share
  1. Br J Industrial Medicine, 28: 280.
  2. Writer's cramp in office workers -an epidemiologic study. Indian J Psychiatry 1981;23:90.
  3. Dystonia. Abnormal movements result from loss of inhibition. Adv Neurol 2004;94:1-9.
  4. Hand Cramps: clinical features and electromyographic patterns in a focal dystonia. Neurology 1988;38:1005-12.
  5. Br J Psychiatry 1965;111:841.
  6. Psychological Healing. p. 719. London, Allen and Unwin, 1925.
  7. Progressive Relaxation. 2nd ed. Chicago: University of Chicago Press, 1938.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.