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KMID : 1197720180110020082
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대한파킨슨병 및 이상운동질환 학회지
2018 Volume.11 No. 2 p.82 ~ p.86
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Transcranial Direct Current Stimulation Combined with Action Observation and Electromyographic Biofeedback Training in a Patient with Writer’s Cramp
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Okada Yohei
Shibamoto Chiharu
Osumi Yukari
Asano Chihiro
Takeuchi Riho
Nabeshima Sachio
Morioka Shu
Shomoto Koji
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Abstract
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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.
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KEYWORD
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Dystonic disorders, transcranial direct current stimulation, action observation, electromyographic biofeedback
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