Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer's Cramp
- Author:
Yohei OKADA
1
;
Chiharu SHIBAMOTO
;
Yukari OSUMI
;
Chihiro ASANO
;
Riho TAKEUCHI
;
Sachio NABESHIMA
;
Shu MORIOKA
;
Koji SHOMOTO
Author Information
- Publication Type:Case Report
- Keywords: Dystonic disorders; transcranial direct current stimulation; action observation; electromyographic biofeedback
- MeSH: Biofeedback, Psychology; Dystonic Disorders; Female; Healthy Volunteers; Humans; Middle Aged; Muscles; Posture; Transcranial Direct Current Stimulation; Writing
- From:Journal of Movement Disorders 2018;11(2):82-86
- CountryRepublic of Korea
- Language:English
- Abstract: 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.