How to assess motor impairment in writer's cramp
Identifieur interne : 001646 ( PascalFrancis/Checkpoint ); précédent : 001645; suivant : 001647How to assess motor impairment in writer's cramp
Auteurs : Kirsten E. Zeuner [Allemagne] ; Martin Peller [Allemagne] ; Arne Knutzen [Allemagne] ; Iris Holler [Allemagne] ; Alexander Münchau [Allemagne] ; Mark Hallett [États-Unis] ; Günther Deuschl [Allemagne] ; Hartwig R. Siebner [Allemagne]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
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Abstract
: Writer's cramp is a task-specific hand dystonia affecting handwriting. Clinical scores such as the Arm Dystonia Disability Scale (ADDS) or Writer's Cramp Rating Scale (WCRS) as well as kinematic analysis of handwriting movements have been used to assess functional impairment in affected patients. In 21 patients with writer's cramp and healthy controls, we analyzed the kinematics of writing and cyclic drawing movements. We rated the severity of dystonia using the ADDS and WCRS and correlated the clinical scores with movement kinematics. Mean stroke frequency was significantly reduced in dystonic patients. Drawing movements showed more frequently a decrease in stroke frequency than handwriting movements. During circle drawing, mean vertical peak velocity was more variable in patients relative to controls, indicating an impaired ability to reproduce the same kinematic pattern over time. An increase in vertical writing pressure was only observed during handwriting but not during circle drawing and may reflect a compensatory effort to stabilize the pencil. Kinematic measures and individual ADDS and WCRS scores did not correlate with each other. The lack of correlation is not surprising as ADDS, WCRS, and kinematic analysis probe different aspects of motor impairment. The ADDS characterizes how dystonia affects a set of fine manual tasks, whereas the WCRS scores the manifestation of dystonia during handwriting. Therefore, the clinical scores and kinematic analysis of handwriting provide complementary insights into motor impairment. Future studies need to address which combination of clinical scores and kinematic measures are most appropriate to quantify impairment in writer's cramp.
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Zeuner</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Peller, Martin" sort="Peller, Martin" uniqKey="Peller M" first="Martin" last="Peller">Martin Peller</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Knutzen, Arne" sort="Knutzen, Arne" uniqKey="Knutzen A" first="Arne" last="Knutzen">Arne Knutzen</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Holler, Iris" sort="Holler, Iris" uniqKey="Holler I" first="Iris" last="Holler">Iris Holler</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Munchau, Alexander" sort="Munchau, Alexander" uniqKey="Munchau A" first="Alexander" last="Münchau">Alexander Münchau</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Neurology, Hamburg University Hospital</s1><s2>Hamburg</s2><s3>DEU</s3><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health</s1><s2>Bethesda, Maryland</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Siebner, Hartwig R" sort="Siebner, Hartwig R" uniqKey="Siebner H" first="Hartwig R." last="Siebner">Hartwig R. Siebner</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>NeurolmageNord Kiel-Hamburg-Liibeck</s1><s3>DEU</s3><sZ>8 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>NeurolmageNord Kiel-Hamburg-Liibeck</wicri:noRegion><wicri:noRegion>NeurolmageNord Kiel-Hamburg-Liibeck</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disability</term><term>Dystonia</term><term>Evaluation scale</term><term>Hand</term><term>Kinematics</term><term>Nervous system diseases</term><term>Writer cramp</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Crampe écrivain</term><term>Dystonie</term><term>Incapacité</term><term>Main</term><term>Echelle d'évaluation</term><term>Cinématique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">: Writer's cramp is a task-specific hand dystonia affecting handwriting. Clinical scores such as the Arm Dystonia Disability Scale (ADDS) or Writer's Cramp Rating Scale (WCRS) as well as kinematic analysis of handwriting movements have been used to assess functional impairment in affected patients. In 21 patients with writer's cramp and healthy controls, we analyzed the kinematics of writing and cyclic drawing movements. We rated the severity of dystonia using the ADDS and WCRS and correlated the clinical scores with movement kinematics. Mean stroke frequency was significantly reduced in dystonic patients. Drawing movements showed more frequently a decrease in stroke frequency than handwriting movements. During circle drawing, mean vertical peak velocity was more variable in patients relative to controls, indicating an impaired ability to reproduce the same kinematic pattern over time. An increase in vertical writing pressure was only observed during handwriting but not during circle drawing and may reflect a compensatory effort to stabilize the pencil. Kinematic measures and individual ADDS and WCRS scores did not correlate with each other. The lack of correlation is not surprising as ADDS, WCRS, and kinematic analysis probe different aspects of motor impairment. The ADDS characterizes how dystonia affects a set of fine manual tasks, whereas the WCRS scores the manifestation of dystonia during handwriting. Therefore, the clinical scores and kinematic analysis of handwriting provide complementary insights into motor impairment. Future studies need to address which combination of clinical scores and kinematic measures are most appropriate to quantify impairment in writer's cramp.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>22</s2></fA05><fA06><s2>8</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>How to assess motor impairment in writer's cramp</s1></fA08><fA11 i1="01" i2="1"><s1>ZEUNER (Kirsten E.)</s1></fA11><fA11 i1="02" i2="1"><s1>PELLER (Martin)</s1></fA11><fA11 i1="03" i2="1"><s1>KNUTZEN (Arne)</s1></fA11><fA11 i1="04" i2="1"><s1>HOLLER (Iris)</s1></fA11><fA11 i1="05" i2="1"><s1>MÜNCHAU (Alexander)</s1></fA11><fA11 i1="06" i2="1"><s1>HALLETT (Mark)</s1></fA11><fA11 i1="07" i2="1"><s1>DEUSCHL (Günther)</s1></fA11><fA11 i1="08" i2="1"><s1>SIEBNER (Hartwig R.)</s1></fA11><fA14 i1="01"><s1>Department of Neurology, Christian Albrechts University Kiel</s1><s2>Kiel</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Neurology, Hamburg University Hospital</s1><s2>Hamburg</s2><s3>DEU</s3><sZ>5 aut.</sZ></fA14><fA14 i1="03"><s1>Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health</s1><s2>Bethesda, Maryland</s2><s3>USA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="04"><s1>NeurolmageNord Kiel-Hamburg-Liibeck</s1><s3>DEU</s3><sZ>8 aut.</sZ></fA14><fA20><s1>1102-1109</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000159429990070</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>29 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>07-0349113</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>: Writer's cramp is a task-specific hand dystonia affecting handwriting. Clinical scores such as the Arm Dystonia Disability Scale (ADDS) or Writer's Cramp Rating Scale (WCRS) as well as kinematic analysis of handwriting movements have been used to assess functional impairment in affected patients. In 21 patients with writer's cramp and healthy controls, we analyzed the kinematics of writing and cyclic drawing movements. We rated the severity of dystonia using the ADDS and WCRS and correlated the clinical scores with movement kinematics. Mean stroke frequency was significantly reduced in dystonic patients. Drawing movements showed more frequently a decrease in stroke frequency than handwriting movements. During circle drawing, mean vertical peak velocity was more variable in patients relative to controls, indicating an impaired ability to reproduce the same kinematic pattern over time. An increase in vertical writing pressure was only observed during handwriting but not during circle drawing and may reflect a compensatory effort to stabilize the pencil. Kinematic measures and individual ADDS and WCRS scores did not correlate with each other. The lack of correlation is not surprising as ADDS, WCRS, and kinematic analysis probe different aspects of motor impairment. The ADDS characterizes how dystonia affects a set of fine manual tasks, whereas the WCRS scores the manifestation of dystonia during handwriting. Therefore, the clinical scores and kinematic analysis of handwriting provide complementary insights into motor impairment. Future studies need to address which combination of clinical scores and kinematic measures are most appropriate to quantify impairment in writer's cramp.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17F</s0></fC02><fC02 i1="03" i2="X"><s0>002B02C</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Crampe écrivain</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Writer cramp</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Calambre escribano</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Dystonie</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Dystonia</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Distonía</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Incapacité</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Disability</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Incapacidad</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Main</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Hand</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Mano</s0><s5>10</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Echelle d'évaluation</s0><s5>11</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Evaluation scale</s0><s5>11</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Escala evaluación</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Cinématique</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Kinematics</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Cinemática</s0><s5>12</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Muscle strié pathologie</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Striated muscle disease</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Músculo estriado patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Mouvement involontaire</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Involuntary movement</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Movimiento involuntario</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Trouble neurologique</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Neurological disorder</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Trastorno neurológico</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Encéphale pathologie</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>41</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0><s5>42</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>42</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>42</s5></fC07><fN21><s1>225</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Allemagne</li><li>États-Unis</li></country><region><li>Hambourg</li><li>Maryland</li><li>Schleswig-Holstein</li></region><settlement><li>Hambourg</li><li>Kiel</li></settlement></list><tree><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Zeuner, Kirsten E" sort="Zeuner, Kirsten E" uniqKey="Zeuner K" first="Kirsten E." last="Zeuner">Kirsten E. Zeuner</name></region><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><name sortKey="Holler, Iris" sort="Holler, Iris" uniqKey="Holler I" first="Iris" last="Holler">Iris Holler</name><name sortKey="Knutzen, Arne" sort="Knutzen, Arne" uniqKey="Knutzen A" first="Arne" last="Knutzen">Arne Knutzen</name><name sortKey="Munchau, Alexander" sort="Munchau, Alexander" uniqKey="Munchau A" first="Alexander" last="Münchau">Alexander Münchau</name><name sortKey="Peller, Martin" sort="Peller, Martin" uniqKey="Peller M" first="Martin" last="Peller">Martin Peller</name><name sortKey="Siebner, Hartwig R" sort="Siebner, Hartwig R" uniqKey="Siebner H" first="Hartwig R." last="Siebner">Hartwig R. Siebner</name><name sortKey="Siebner, Hartwig R" sort="Siebner, Hartwig R" uniqKey="Siebner H" first="Hartwig R." last="Siebner">Hartwig R. Siebner</name></country><country name="États-Unis"><region name="Maryland"><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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