Care and mobility considerations

As the condition is typically task specific the functional disability is usually restricted to performing the specific task associated with the condition in the individual.

The person may be able to overcome some of the effects by using alternative methods of carrying out the task. If it is work related then reasonable adjustments by the employer may allow the individual to continue at work. However, in most cases a period away from the occupation may be needed and in some cases a change of job may by necessary.

In general, there should be little adverse effect on day to day activities as other tasks requiring use of the dominant hand should not be disrupted other than in the most severe cases. In a small number of cases the dystonia is precipitated by other activities and may cause difficulty with actions such as fastening buttons.

In some cases the whole upper limb may develop a dystonic posture and this may cause difficulty using implements such as a screwdriver or holding a knife. In such cases medical evidence confirming the severity of the condition would be expected to exist.

It is unusual for actions such as using cutlery, holding a cup or performing toilet functions to be affected by either cramp or tremor and most individuals should be able to develop alternative methods of coping with these functions.