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Video assessment of writer’s cramp

J.E. Park, B. Karp (Bethesda, MD, USA)

Meeting: 2016 International Congress

Abstract Number: 1638

Keywords: Dystonia: Clinical features

Session Information

Date: Thursday, June 23, 2016

Session Title: Dystonia

Session Time: 12:00pm-1:30pm

Location: Exhibit Hall located in Hall B, Level 2

Objective: To propose standardized filming and patient procedures to optimize recordings for assessment of writer’s cramp.

Background: The evaluation of writer’s cramp and effectiveness of various therapies is hampered by the lack of a widely-accepted, validated rating scale. While rating is often done via real-time observation and interaction with patients, video ratings can provide consistency in the examination and aid in determination of intra- and inter-rater reliability. Video rating requires standardizing and optimizing the patient and video procedures.

Methods: We systematically reviewed video recordings of writer’s cramp patients obtained to document the dystonia.

Results: Inconsistencies in filming technique and patient procedures included: a limited field of camera view not showing proximal muscles, wrist or all fingers, a writing task too brief to elicit dystonic posturing, not showing the dominant hand during writing with non-dominant hand intended to reveal mirror movements, allowing the patient to use compensatory positions, and having the patient write on an unsupported surface.

Conclusions: To remedy these conditions, we have developed a standardized filming approach and patient procedures to optimize recordings and assessment of writer’s cramp. This may allow for a more effective and accurate assessment of the degree and characteristics of dystonia in this patient population.

To cite this abstract in AMA style:

J.E. Park, B. Karp. Video assessment of writer’s cramp [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/video-assessment-of-writers-cramp/. Accessed May 15, 2025.
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