Table 1 Patient characteristics.
Patient | Age (years) | Sex | Hand* | Symptom duration (years) | Dx† | Duration since treatment with botulinum toxin‡ | Movement scale severity (arm)§ | Pattern of dystonic posturing during writing¶ |
---|---|---|---|---|---|---|---|---|
D1 | 57 | F | L | 7 | DC | NA | 6 | Wrist, thumb, and F1–2 flex, F2 abd |
D2 | 61 | F | R | 17 | WC | 13 months | 9 | F2–3 flex, wrist UD |
D3 | 63 | F | R | 17 | DC | NA | 9 | Wrist flex and UD, F5 finger abd |
D4 | 24 | F | R | 16 | WC | NA | 4 | Wrist flex and UD, F2 flex |
D5 | 53 | F | R | 41 | DC | NA | 9 | Wrist flex and UD, F2–5 flex |
D6 | 57 | F | L | 6 | WC | NA | 2 | Wrist, thumb and F2 flex |
D7 | 45 | F | R | 2.5 | WC | NA | 2 | Wrist UD, thumb and F2 flex |
D8 | 63 | F | R | 24 | DC | 6 months | 6 | F2 ext |
D9 | 47 | M | R | 10 | WC | NA | 2 | Wrist ext, F2 abd and flex |
D10 | 48 | M | L | 2.5 | DC | 6 months | 4 | Wrist UD, F5 flex |
D11 | 56 | M | L | 5 | WC | NA | 2 | Wrist ext, F2 flex |
D12 | 42 | M | R | 7 | WC | 14 months | 2 | Wrist ext, F2 flex |
D13 | 45 | M | R | 23 | DC | 13 months | 12 | Wrist UD and flex, thumb and F2–3 ext |
D14 | 33 | M | R | 5 | WC | 37 months | 2 | Wrist ext, F1–2 ext, thumb abd |
D15 | 44 | M | R | 5 | WC | NA | 2 | Thumb ext |
D16 | 54 | M | R | 11 | DC | NA | 6 | F2 flex, thumb add |
*Hand dominance: L, left; R, right.
†Diagnosis: DC, dystonic cramp (more than one task involved); WC, writer's cramp (only writing affected).23
‡NA, not applicable, patient never treated with botulinum toxin.
§Arm subscale from the Burke–Fahn–Marsden rating scale,24 with higher scores indicating more severe involvement of the arm (maximum score 16).
¶abd, abduction; add, adduction; ext, extension; flex, flexion; F2–5, fingers 2–5; UD, ulnar deviation.