The Effect of Electromyogram Biofeedback on Writer's Cramp

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概要

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• The effect of EMG biofeedback treatment of writer's cramp Writer's cramp is considered to be a psychosomatic disorder of the nervous system. It is not infrequently encountered in the clinical setting of psychosomatic internal medicine, but its causes are unclear, and a treatment method has not been established. We have used electromyogram biofeedback method (abbreviated below as EMG-BF) as a method of treating writer's cramp. In this report, we will present the results for patients treated with EMG-BF at this Department. The subjects were 20 patients treated with EMG-BF at this Department from April 1986 to March 1990. 15 of the subjects were men, and 15 of them developed the disorder in their 40s and 50s. The average period of illness was long at 7.2 years, and clinical types were as follows : 11 cases of the stiffness type, 8 of the tremor type, and 1 of dystonia. The subjects with tremortype writer's cramp included 3 subjects with phobic tendencies. BF treatment was carried out once weekly for a total of 10 sessions, with feedback being carried out using the myogenic potential of the forearm muscle. The results showed that 65% of the patients reported improvement in subjective symptoms. Improvement rates according to clinical type were 63.6% for stiffness and 75% for tremor, but excluding the results for the subjects with phobic tendencies, who had a favorable prognosis, the improvement rate for the tremor type was 60%, virtually the same as the rate for the stiffness type. In an objective observation of writing ability after treatment, 85% of the subjects were able to carry out routine writing, and deviation was observed compared to the patients' subjective symptoms. Moreover, the prognosis for the subjects who showed a decrease in myogenic potential due to BF treatment was favorable. Based on these findings, one can conclude that EMG-BF is a method which should be used in treatment of writer's cramp having a mild, chronic course, and it can be considered particularly effective in subjects having phobic tendencies.

• 日本バイオフィードバック学会の論文

著者

• TSUBOI Koji

  Department of Proton Medical Research Center, Graduate School of Comprehensive Human Sciences, Unive

• TAKADA Hiroshi

  Department of Hemodialysis, Toshima Chuo Hospital

• Tsuboi Kouji

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Tsuboi Koji

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• TSUTSUI Sueharu

  Department of Psychosomatic Medicine, School of Medicine, Toho University

• Takada Hiroshi

  Department Of Gastroenterology And Hepatology Koshigaya Hospital Dokkyo Medical University

• Takada Hiroshi

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Nakano Kouichi

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Murabayashi Nobuyuki

  Department of Psychosomatic Medicine, Toho University, School of Medicine

• Takekoshi Itaru

  Department of Psychosomatic Medicine, Toho University, School of Medicine

• Igarashi Mika

  Department of Psychosomatic Medicine, Toho University, School of Medicine

• Nonaka Tatsuhiko

  Department of Psychosomatic Medicine, Toho University, School of Medicine

• Igarashi Mika

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Takekoshi Itaru

  Dept. Of Psychosomatic Medicine Toho University School Of Medicine Tokyo

• Tsutsui Sueharu

  Dept. Of Psychosomatic Medicine Toho University School Of Medicine Tokyo

• Tsutsui Sueharu

  Department Of Psychosomatic Medicine School Of Medicine Toho University

• Nakano Kouichi

  Department Of Laboratory Medicine Osaka University Medical School

• Nakano Kouitchi

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Murabayashi Nobuyuki

  Dept. Of Psychosomatic Medicine Toho University School Of Medicine Tokyo

• Murabayashi Nobuyuki

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Tsuboi Koji

  Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba

• Nonaka Tatsuhiko

  Department Of Psychosomatic Medicine Toho University School Of Medicine

• Nonaka Tatsuhiko

  Department Of Psychosomatic Medicine School Of Medicine Toho University

• Tsuboi Koji

  Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba

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