The Effectiveness of Behaviour Therapy in Writer’s Cramp: A Case Report

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mahesh M M ◽  
Dr. Johnson Alex
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Family History ◽  
Male Patient ◽  
Motor Nerve ◽  
Conclusive Evidence ◽  
Behaviour Therapy ◽  
Present Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

42 years old male patient referred from neurology department, working as a teacher, educated up to MSc, premorbidly anxious personality, family history mental illness (first degree relatives), comes from MSES with presenting complaints of difficulty in writing or copying since seven years. Disability progressed and he was unable to write even a few words legibly and could not hold object which leads to anxiety and dependency. When the patient was examined at Neurology OPD, find out that he has normal sensory and motor nerve functions. The present treatment involved the use of Bahaviour therapy. 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.

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

2013 ◽  
Vol 24 (4) ◽  
pp. 106-109
Author(s):  
D R Tripathi ◽  
Amod Kumar ◽  
Mahesh Talele ◽  
Suryabhan Singh
Keyword(s):  
Therapeutic Approach ◽  
Motor Nerve ◽  
Conclusive Evidence ◽  
Clinical Psychologist ◽  
New Delhi ◽  
Physical Medicine ◽  
Present Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp

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.

scholarly journals Functional recovery from chronic writer’s cramp by brain-computer interface rehabilitation: a case report

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Yasunari Hashimoto ◽  
Tetsuo Ota ◽  
Masahiko Mukaino ◽  
Meigen Liu ◽  
Junichi Ushiba
Keyword(s):  
Case Report ◽  
Functional Recovery ◽  
Brain Computer Interface ◽  
Computer Interface ◽  
Writer’S Cramp ◽  
Writer's Cramp

Fetishism Treated by Negative Conditioning

1963 ◽  
Vol 109 (460) ◽  
pp. 404-407 ◽  
Author(s):  
D. F. Clark
Keyword(s):  
Clinical Psychologist ◽  
Behaviour Therapy ◽  
Excellent Review ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Conditioned Responses ◽  
Made In

Negative conditioning or aversion therapy is most frequently thought of in relation to the treatment of alcoholism. The article by Franks (1958) gives an excellent review of the general principles involved. However, Eysenck (1960) includes several papers in his book to illustrate the effectiveness of such treatment in cases of homosexuality, writer's cramp (Liversedge and Sylvester, 1955) and fetishism (Raymond, 1956). A suggestion made in the latter was that the fetishist may well become such because of an unusual capacity for quickly forming conditioned responses, and therefore by the same token might equally easily respond to a de-conditioning technique. For this reason, the following case was treated by behaviour therapy by a psychiatrist and clinical psychologist in collaboration, and is reported in support of Raymond's (1956) advocacy of this technique of treatment in similar cases.

scholarly journals Familial Progressive Hyperpigmentation: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Monica Yadav ◽  
Sugandha Ghonasgi ◽  
Rohit Shah ◽  
S. M. Meghana
Keyword(s):  
Case Report ◽  
Family History ◽  
Oral Cavity ◽  
Male Patient ◽  
Genetic Basis ◽  
Unusual Case ◽  
Early Infancy ◽  
Mucous Membranes

Familial progressive hyperpigmentation (FPH) is a rare genodermatosis characterized by hyperpigmented patches in the skin and mucous membranes, present in early infancy, and increase in size and number with age. The genetic basis for FPH remains unknown. We report an unusual case of familial progressive hypermelanosis in a 17-year-old male patient with family history, who presented with a peculiar progressive oral pigmentation disorder. Diagnosis was confirmed by a series of hematological, biochemical, and histopathological investigations. Our paper stresses the need for the dentist to be aware of the systemic conditions that can also manifest in the oral cavity.

The Treatment of Writer's Cramp with Multimodal Behaviour Therapy and Biofeedback: A Study of 15 Cases

1983 ◽  
Vol 142 (2) ◽  
pp. 180-183 ◽  
Author(s):  
Jean A. Cottraux ◽  
Christian Juenet ◽  
Lionel Collet
Keyword(s):  
Treatment Phase ◽  
Stress Coping ◽  
Biological Factors ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Writer’S Cramp ◽  
Writer's Cramp ◽  
Emg Feedback ◽  
Drop Outs

SummaryOf 15 patients with writer's cramp (4 females, 11 males, mean age 36, range 23–50, mean duration 3.6 years), 13 entered a behavioural treatment. Nine received a multimodal treatment, and four EMG feedback alone. Four patients dropped out during the treatment phase. Nine patients were considered as improved at a follow-up between 1 and 9 months. A stress-coping model is put forward to account for the therapeutic effectiveness, and to explain the drop-outs. Writer's cramp seems to be related to stressful situations at work. The existence of personality and biological factors remains to be demonstrated.

scholarly journals A new therapeutic proposal for writer's cramp: a case report

2010 ◽  
Vol 128 (2) ◽  
pp. 96-98 ◽  
Author(s):  
Flavia Quadros Boisson Waissman ◽  
João Santos Pereira ◽  
Osvaldo José Moreira Nascimento
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Therapeutic Response ◽  
Motor Pattern ◽  
Body Awareness ◽  
Motor Training ◽  
Writer’S Cramp ◽  
Adequate Response ◽  
Writer's Cramp ◽  
Hand Dystonia

CONTEXT: Writer's cramp is a kind of focal hand dystonia that appears when individuals are writing. Since pharmacological treatment has not shown the desired therapeutic response, a study on immobilization of the damaged musculature was performed on two individuals with writer's cramp, using splints with the objective of reducing the handwriting abnormalities. CASE REPORT: Two patients presenting writer's cramp who had previously undergone different therapies, including botulinum toxin, without an adequate response, participated in a body awareness program, followed by immobilization of the hand musculature damaged by dystonia, by means of splints, with handwriting training. At the end of the procedure, objective and subjective improvements in the motor pattern of writing could be observed. The immobilization of the dystonic musculature of the hand by means of splints and the motor training of handwriting helped to improve and consequently to reduce the dystonic component observed in the writer's cramp.

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