Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp

We present a 47-year-old right-handed woman with a 15-year history of writer’s cramp who was provided with six sessions of cathodal transcranial direct current stimulation (tDCS) combined with observation of writing actions performed by a healthy subject and electromyographic (EMG) biofeedback train...

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Main Authors: Yohei Okada, Chiharu Shibamoto, Yukari Osumi, Chihiro Asano, Riho Takeuchi, Sachio Nabeshima, Shu Morioka, Koji Shomoto
Format: Article
Language:English
Published: Korean Movement Disorders Society 2018-05-01
Series:Journal of Movement Disorders
Subjects:
Online Access:http://www.e-jmd.org/upload/jmd-18007.pdf
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spelling doaj-56e850af5ac348ce9d88cad3ac91d7f82020-11-25T00:09:16ZengKorean Movement Disorders SocietyJournal of Movement Disorders2005-940X2093-49392018-05-01112828610.14802/jmd.18007216Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s CrampYohei Okada0Chiharu Shibamoto1Yukari Osumi2Chihiro Asano3Riho Takeuchi4Sachio Nabeshima5Shu Morioka6Koji Shomoto7 Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Nishiyamato Rehabilitation Hospital, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, Japan Department of Physical Therapy, Faculty of Health Science, Kio University, Nara, JapanWe present a 47-year-old right-handed woman with a 15-year history of writer’s cramp who was provided with six sessions of cathodal transcranial direct current stimulation (tDCS) combined with observation of writing actions performed by a healthy subject and electromyographic (EMG) biofeedback training to decrease EMG activities in her right forehand muscles while writing for 30 min for 4 weeks. She showed improvement in dystonic posture and writing speed after the intervention. The writing movement and writing speed scores on a writer’s cramp rating scale decreased, along with writing time. Our findings demonstrated that cathodal tDCS combined with action observation and EMG biofeedback training might improve dystonic writing movements in a patient with writer’s cramp.http://www.e-jmd.org/upload/jmd-18007.pdfDystonic disorderstranscranial direct current stimulationaction observationelectromyographic biofeedback
collection DOAJ
language English
format Article
sources DOAJ
author Yohei Okada
Chiharu Shibamoto
Yukari Osumi
Chihiro Asano
Riho Takeuchi
Sachio Nabeshima
Shu Morioka
Koji Shomoto
spellingShingle Yohei Okada
Chiharu Shibamoto
Yukari Osumi
Chihiro Asano
Riho Takeuchi
Sachio Nabeshima
Shu Morioka
Koji Shomoto
Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
Journal of Movement Disorders
Dystonic disorders
transcranial direct current stimulation
action observation
electromyographic biofeedback
author_facet Yohei Okada
Chiharu Shibamoto
Yukari Osumi
Chihiro Asano
Riho Takeuchi
Sachio Nabeshima
Shu Morioka
Koji Shomoto
author_sort Yohei Okada
title Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
title_short Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
title_full Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
title_fullStr Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
title_full_unstemmed Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
title_sort transcranial direct current stimulation combined with action observation and electromyographic biofeedback training in a patient with writer’s cramp
publisher Korean Movement Disorders Society
series Journal of Movement Disorders
issn 2005-940X
2093-4939
publishDate 2018-05-01
description We present a 47-year-old right-handed woman with a 15-year history of writer’s cramp who was provided with six sessions of cathodal transcranial direct current stimulation (tDCS) combined with observation of writing actions performed by a healthy subject and electromyographic (EMG) biofeedback training to decrease EMG activities in her right forehand muscles while writing for 30 min for 4 weeks. She showed improvement in dystonic posture and writing speed after the intervention. The writing movement and writing speed scores on a writer’s cramp rating scale decreased, along with writing time. Our findings demonstrated that cathodal tDCS combined with action observation and EMG biofeedback training might improve dystonic writing movements in a patient with writer’s cramp.
topic Dystonic disorders
transcranial direct current stimulation
action observation
electromyographic biofeedback
url http://www.e-jmd.org/upload/jmd-18007.pdf
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