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A case reflection on task specificity in a client with Writer’s cramp

1Walton M, 2Mathew T

Abstract:- This is a case reflection on task specificity of a client with Writer’s Cramp (WC). The clients’ condition is compared with the book picture. WC is a task-specific movement disorder that manifests itself as abnormal postures and unwanted muscle spasms that interfere with motor performance while writing. One symptom of WC, typically during the initial stage, is a tight grip on the pen. Slowly, handwriting becomes less legible. About half of the patients with simple cramps progress to having dystonia with other activities. Treatment for WC includes oral medications with anticholenergics; injection botulinum toxin; neurosurgery including neurostimulation, and rehabilitation. The surgical management of WC is Thalamotomy or globus pallidus internus deep brain stimulation (GPi DBS) in patients not responding to medical treatment.

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