Abstract
To investigate the effect of acupuncture using neurological and electromyographic evaluations. We reported the effect of acupuncture based on the meridian concept by a writing evaluation test and writing pressure in a patient with writer's cramp. This case is a 67-years-old male, a right-handed retired office worker complained of writer's cramp causing involuntary movement only during handwriting. The patient reported feeling a sense of incongruity during handwriting in 1985. He began to feel increased difficulty during handwriting in 1993. When the department of nerve internal medicine providing at a local hospital was consulted on June in 2001, the problem was diagnosed as writer's cramp. We started acupuncture treatment at our clinic in May, 2003. Acupuncture was performed once a week. Retaining needles were used for scalp acupuncture in the upper limb zone, ST11 and GB20 to relieve dysgraphia. Consequently, although some involuntary movement persisted 10 weeks after the start of treatment, control of handwriting became possible. Moreover, agitation during application of writing pressure before acupuncture therapy was improved after acupuncture therapy. As acupuncture improved the writing motion by remote treatment, it was suggested that acupuncture is effective for writer's cramp patients.
