Evidence map›Paper›PMID 22113948›Full record

ArticleHuman brain mapping2013

Writer's cramp: increased dorsal premotor activity during intended writing.

Cathérine C S Delnooz, Rick C Helmich, W P Medendorp, Bart P C Van de Warrenburg, Ivan Toni

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Deep Phenotyping of Musicians' Upper Limb Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  5. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
  6. Temporal Signature of Task-Specificity in Isolated Focal Laryngeal Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Task-specific interhemispheric hypoconnectivity in writer's cramp - An EEG study.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2020
    Article
  12. Functional and structural neural bases of task specificity in isolated focal dystonia.Movement disorders : official journal of the Movement Disorder Society · 2019
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Abnormal dorsal premotor-motor inhibition in writer's cramp.Movement disorders : official journal of the Movement Disorder Society · 2014
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Cathérine C S DelnoozDepartment of Neurology, Radboud University Nijmegen Medical Centre, Donders Institute for Brian, Cognition and Behaviour, Centre for Neuroscience, Nijmegen, The Netherlands.
Rick C Helmich
W P Medendorp
Bart P C Van de Warrenburg
Ivan Toni
Radboud University Nijmegen · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Simple writer's cramp (WC) is a task-specific form of dystonia, characterized by abnormal movements and postures of the hand during writing. It is extremely task-specific, since dystonic symptoms can occur when a patient uses a pencil for writing, but not when it is used for sharpening. Maladaptive plasticity, loss of inhibition, and abnormal sensory processing are important pathophysiological elements of WC. However, it remains unclear how those elements can account for its task-specificity. We used fMRI to isolate cerebral alterations associated with the task-specificity of simple WC. Subjects (13 simple WC patients, 20 matched controls) imagined grasping a pencil to either write with it or sharpen it. On each trial, we manipulated the pencil's position and the number of imagined movements, while monitoring variations in motor output with electromyography. We show that simple WC is characterized by abnormally increased activity in the dorsal premotor cortex (PMd) when imagined actions are specifically related to writing. This cerebral effect was independent from the known deficits in dystonia in generating focal motor output and in processing somatosensory feedback. This abnormal activity of the PMd suggests that the task-specific element of simple WC is primarily due to alterations at the planning level, in the computations that transform a desired action outcome into the motor commands leading to that action. These findings open the way for testing the therapeutic value of interventions that take into account the computational substrate of task-specificity in simple WC, e.g. modulations of PMd activity during the planning phase of writing.

Indexed as

WritingAdultBiomechanical PhenomenaBrain MappingCase-Control StudiesDystonic DisordersElectromyographyFemaleFunctional LateralityHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedMotor CortexMovementOxygen

Identifiers

PMID22113948
PMCPMC6870150
OpenAlexW2128602131

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.