Table 1.
Patient | Age (yr) | Ht (m) | Wt (kg) | Gender | Handa | Involved side | Symptom duration (yrs) | Dxb | Duration since treatment with botulinum toxin | Movement scale severity (arm)c | Pattern of symptoms during writingd |
---|---|---|---|---|---|---|---|---|---|---|---|
S1 | 57 | 66 | 74.8 | F | R | R | 14 | DC | n/a | 2 | Thumb ext, F2-4 flex |
S2 | 57 | 65.5 | 68.0 | F | L | L | 7 | DC | n/a | 6 | Wrist, thumb, and F1-2 flex, F2 abd |
S3 | 61 | 62 | 56.2 | F | R | B | 17 | WC | 13 months | 9 | F2-3 flex, wrist UD |
S4 | 63 | 65 | 55.8 | F | R | R | 17 | DC | n/a | 9 | Wrist flex and UD, F5 finger abd |
S5 | 24 | 67 | 59.0 | F | R | R | 16 | WC | n/a | 4 | Wrist flex and UD, F2 flex |
S6 | 53 | 64 | 68.0 | F | R | B | 41 | DC | n/a | 9 | Wrist flex and UD, F2-5 flex |
S7 | 57 | 63 | 60.8 | F | L | L | 6 | WC | n/a | 2 | Wrist, thumb and F2 flex |
S8 | 53 | 62.5 | 54.4 | F | R | R | 12 | WC | n/a | 2 | Wrist flex and F2 ext |
S9 | 45 | 62.8 | 68.0 | F | R | R | 2.5 | WC | n/a | 2 | Wrist UD, thumb and F2 flex |
S10 | 51 | 72 | 87.1 | M | R | R | 6 | DC | 4 months | 6 | Wrist flex |
S11 | 47 | 69 | 83.9 | M | R | R | 10 | WC | n/a | 2 | Wrist ext, F2 abd and fle |
S12 | 48 | 70.5 | 77.1 | M | L | L | 2.5 | DC | 6 months | 4 | Wrist UD, F5 flex |
S13 | 56 | 73 | 82.6 | M | L | L | 5 | WC | n/a | 2 | Wrist ext, F2 flex |
S14 | 53 | 70 | 70.3 | M | R | R | 5 | WC | 4 months | 2 | Thumb and F2 ext |
S15 | 42 | 70 | 88.5 | M | R | R | 7 | WC | 14 months | 2 | Wrist ext, F2 flex |
S16 | 45 | 72 | 108.9 | M | R | B | 23 | DC | 13 months | 12 | Wrist UD and flex, thumb and F2-3 ext |
S17 | 33 | 73 | 77.1 | M | R | R | 5 | WC | 37 months | 2 | Wrist ext, F1-2 ext, thumb abd |
S18 | 44 | 72 | 88.5 | M | R | R | 5 | WC | n/a | 2 | Thumb ext |
S19 | 54 | 72 | 88.5 | M | R | L | 11 | DC | n/a | 6 | F2 flex, thumb add |
S20 | 63 | 66 | 81.6 | F | R | R | 24 | DC | 6 months | 6 | F2 ext |
Hand dominance.
Diagnosis of WC = writer’s cramp (only writing affected); DC = dystonic cramp (more than one task involved) [31].
arm sub-scale from the Burke-Fahn-Marsden rating scale [32] with higher scores indicating more severe arm involvement (maximum score = 16).
ext = extension, flex = flexion, UD = ulnar deviation, abd = abduction, add = adduction, F2-5 = fingers 2-5.