Small writing

Small writing syndrome refers to the trembling of fingers when writing, inaccurate movements, and difficult small movements. Writing spasticity is due to occupational factors that have been engaged in fine hand movements for a long time. From two, hand muscle spasm has occurred, and a symptom group mainly due to writing dysfunction appears. Writing spasm, also known as primary writing tremor, is the most common action tremor in adults, especially when writing occurs, making writing difficulties the most common. This disease is more common clinically, which refers to patients with 5-8 Hz hand tremor when writing or doing writing actions. Part of the patient's tremor without other dysfunction is not completely limited to writing movements. When doing other similar work or using similar tools There may also be tremors. Therefore, it has been proposed that writing spasms can be divided into task-induced writing spasms and posture-sensitive writing spasms. Epidemiology: No statistical data on the incidence have been found. The onset of the onset of attack is slow and gradually occurs mainly in people who have been writing for 20 to 50 years. Clinically, it is common in professional personnel who have performed fine operations with their hands for a long time, such as teachers, editors, secretaries, writers, painters, calligraphers, copyists, draftsmen, typists, telegraphers, piano players, etc. The main manifestations are inflexible and uncoordinated fingers; spastic contraction of the muscles of the hands or trembling of the hands or even the muscles of the entire arm, causing dysfunction of the hands and inability to do fine work with the hands; typical and intuitive are found in the difficulty of holding Writing is skewed, and the heavy person cannot hold the pen and write. This condition is often caused by physical exhaustion (especially hand fatigue) or nervousness. And the more nervous you are, the more afraid you can write the wrong words, the more obvious the spasms. If you change to other things that do not require fine manipulation with your hands, you will feel calm, and you will be comfortable with the operation. The degree of spasm is very slight, and even spasms do not occur. Middle-aged and elderly people easily suffer from neurological diseases such as Parkinson's disease or cerebellar ataxia, and symptoms such as finger spasms or tremors can also occur after the illness. Patients with writing cramps have sensitive thinking, no hemiplegia on their face, normal fertility, no muscle atrophy, sensation, normal reflexes, and normal brain CT examinations, so they are easily distinguished from the aforementioned neurological diseases.

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