Immediate and Short-Term Effects of Multimodal Neuromodulatory Rehabilitation Following Thalamotomy for Writer's Cramp: A Case Report.

IF 1.9 Q2 CLINICAL NEUROLOGY

Tremor and Other Hyperkinetic Movements Pub Date : 2026-06-03 eCollection Date: 2026-01-01 DOI:10.5334/tohm.1154

Moritoshi Kitakami, Takashi Hoei, Seiji Etoh, Tomoko Hanada, Kentaro Kawamura, Ryosuke Hanaya, Megumi Shimodozono

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Abstract

Background: Evidence for rehabilitation after thalamotomy for writer's cramp is limited. We report immediate effects of multimodal rehabilitation.

Case report: A woman in her 20s with complex writer's cramp underwent left Vo/Vim thalamotomy. Postoperatively, she completed a 6-day program combining fine motor training, transcutaneous electrical nerve stimulation, and vibration. Thalamotomy reduced dystonia (Writer's Cramp Rating Scale [WCRS]: movement, 12 to 4; speed, 2 to 1), and rehabilitation yielded immediate writing speed gains and progressive functional recovery; although WCRS scores remained stable.

Discussion: Combining bottom-up neuromodulation with task-specific training was associated with immediate gains, suggesting it may facilitate early motor relearning.

Highlights: A young woman with writer's cramp underwent a thalamotomy; followed by early multimodal rehabilitation that combined transcutaneous electrical nerve stimulation, vibratory stimulation, and fine motor training. Video-supported assessments and quantitative measures indicated reproducible within-session gains and short-term improvements in writing time, dexterity, and quality of life.

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颞叶切除治疗作家痉挛后多模式神经调节康复的近期和短期效果：1例报告。

背景：丘脑切开术治疗作家痉挛后康复的证据有限。我们报告多模式康复的即时效果。病例报告：一名20多岁的女性患有复杂的作家痉挛，接受了左Vo/Vim丘脑切开术。术后，患者完成了为期6天的训练，包括精细运动训练、经皮神经电刺激和振动。丘脑切开术减少肌张力障碍（Writer's crs Rating Scale [WCRS]：运动，12至4；速度，2至1），康复产生了立即的书写速度提高和渐进式功能恢复；尽管WCRS评分保持稳定。讨论：将自下而上的神经调节与特定任务的训练相结合与即时收益相关，这表明它可能促进早期运动再学习。亮点：一名患有作家痉挛的年轻女性接受了丘脑切开术；随后进行早期多模式康复，包括经皮神经电刺激、振动刺激和精细运动训练。视频支持的评估和定量测量表明，在写作时间、灵活性和生活质量方面，可重复获得短期改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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