Waissman Flavia Quadros Boisson, Orsini Marco, Nascimento Osvaldo J M, Leite Marco Antônio A, Pereira João Santos
Neurology Department, Fluminense Federal University - UFF , Niteroi ; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital , The Rio de Janeiro State University - UERJ.
Neurology Department, Fluminense Federal University - UFF , Niteroi ; Science Reabilitation, University Center Augusto Motta - UNISUAM , Bonsucesso, Brazil.
Neurol Int. 2013 Nov 18;5(4):e24. doi: 10.4081/ni.2013.e24. eCollection 2013.
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.
本文的目的是评估在使用夹板之前，身体感知对于提高书写能力是否重要。十二名书写痉挛患者由运动障碍专家进行评估。使用了伯克 - 法恩 - 马斯登量表（BFM）、杰迪纳克方案和视觉模拟疼痛量表。康复训练为期八周，分两个阶段，每个阶段四周，每周两次。每次训练持续60分钟。通过BFM量表、杰迪纳克方案和视觉模拟疼痛量表显示，不仅在运动方面，而且在疼痛感知方面都有显著改善。因此，我们得出结论，运动训练由于身体感知以及受影响的肌张力障碍肌肉组织通过夹板固定，使得书写痉挛的书写能力得到了重要改善。
