The identification of responsible muscle group for writer's cramp and the therapeutic effectiveness of Botulinum toxin injection
- VernacularTitle:书写痉挛责任肌群的认定及肉毒毒素治疗的疗效观察
- Author:
Jian LIN
- Publication Type:Journal Article
- Keywords:
Botulinum toxin;
Writer's cramp
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2003;0(08):-
- CountryChina
- Language:Chinese
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Abstract:
Objective To identify the muscle group responsible for writer's cramp, and evaluate the therapeutic effectiveness of local injection of botulinum toxin. Methods The muscles responsible for hand dystonia was first recognized by selective movement of different muscle groups in the antebrachial region. Vecuronim bromide was then injected into the candidate muscle group to further ascertain its correlation with hand convulsion. Finally the selected muscle group was given injection of BTX A in multiple points to investigate the efficacy and potential side effects. Results Symptom of writer's cramp became worse after the selective exercises and was improved after the vecuronim bromide injection in the rotatory muscles. All five sick arms showed great improvement in hand writing without finger drop and hand weakness after the BTX A injection. Conclusion Botulinum toxin injections into forearm rotatory muscles caused definite improvement in hand writing, and had no significant side effects.
