IMPLICATIONS OF HANDWRITING IN MOVEMENT DISORDERS AMONG NEUROLOGICAL PATIENTS IN FAYOUM GOVERNORATE, EGYPT.

M. Mwaheb, Kh. Rashed, M. El-Khatib, E. Morsi
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Abstract

Background: Common cumulative neurological diseases and their effects on motor control in general and handwriting in particular. This research aims to introduce the fundamental aspects of common neurological disease as the basis for understanding why and how handwriting changes in the presence of disease. Methods: This is the prospective research which study changes of handwriting over 30 neurological patients as (Parkinsonism disease, Essential tremor, and Ataxia) Fayoum Governorate. Results: Among the study group, the mean age was (55.4±15.8) years, with 22 (73.3%) were males and 8(26.7%) were females. The present study documents that among all neurological cases included in the study, (10%) of them show the moderate change in neglecting some letters, tendency to small letters, and lack of control to punctuate characters. As regards tremor, 50% had moderate to high change. Not adhering to the line of printed moderate change represents 16.7%, and 6.7% shows the moderate change in pressure of writing. Also, this research illustrated that inbetween parkinsonism cases (30%) of they show the moderate change in neglecting some letters, lack of control to punctuate characters and not to adhere to the line of printed, also 10% moderate change in the tendency to small letters. As regards tremor, 90% had moderate to high change. Conclusion: Rehabilitation programs for handwriting problems in neurology disease patients are likely to be helpful. More extensive randomized studies are needed to confirm these results.
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埃及法尤姆省神经系统患者运动障碍中手写的含义。
背景:常见的累积性神经系统疾病及其对运动控制的影响,特别是对书写的影响。本研究旨在介绍常见神经系统疾病的基本方面,作为理解为什么以及如何在疾病存在时手写变化的基础。方法:对法尤姆省30例神经系统疾病(帕金森病、特发性震颤和共济失调)患者的笔迹变化进行前瞻性研究。结果:研究组患者平均年龄(55.4±15.8)岁,其中男性22例(73.3%),女性8例(26.7%)。目前的研究表明,在所有纳入研究的神经学病例中,(10%)的患者在忽略某些字母、倾向于小写字母和缺乏对标点符号的控制方面表现出中度变化。至于震颤,50%有中度到高度的变化。不紧贴印刷线条适度变化占16.7%,书写压力适度变化占6.7%。此外,这项研究表明,在帕金森症患者中(30%),他们表现出忽略某些字母、缺乏对标点符号的控制和不遵守印刷线条的中度变化,还有10%的人表现出倾向于小写字母的中度变化。至于震颤,90%有中度到高度的变化。结论:康复治疗对神经疾病患者书写障碍有一定的帮助。需要更广泛的随机研究来证实这些结果。
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