The Efficacy of Conditioning Physiotherapy Protocol for Focal Arm Dystonia: A Case Report

Authors : Namathota Chandra Akshay kumar; Susan Jose; Urmi Bhatt

Volume/Issue : Volume 8 - 2023, Issue 7 - July

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Focal arm dystonia (FAD) is also called as writer’s cramp (WC), It is a specific task disorder, with wide range of symptoms of insidious onset and progress over month’s and characterised by involuntary spasms of the hand, forearm and upper arm muscles, triggered selectively by writing and also may report tightness in the forearm or stiffness when writing or fatigue with prolonged writing or decreased speed and cramping with prolonged writing. A case report study of 21 year college going student with complaint of difficulty in writing and right hand twitching of index finger, inability and pain. We designed a symptomatic and conditioned based physiotherapy intervention for 4 weeks. Outcomes were Arm dystonia disability scale (ADDS), State trait anxiety inventory (STAI) and pre & post observation analysis of duration and quality of hand writing on day of intervention and after 4 weeks of intervention; there is improvement in all outcomes measures which concluded that , the conditioned based physiotherapy intervention will helps in reduced dystonia movements, pain, duration & quality of handwriting and improves in Activity of daily living.

Keywords : Focal arm dystonia (FAD), Writer’s cramp (WC) , Arm dystonia disability scale (ADDS), State trait anxiety inventory (STAI).


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31 - December - 2023

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