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The Effect of Sensory Stimulation on Postural Tremor at Index Finger of Patients with Essential Tremor (ET)

본태성 진전 환자의 검지에서의 자세성 진전에 대한 감각자극 효과

  • Lee, S.K. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Kim, J.W. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Kwon, Y.R. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Lee, Y.J. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Lee, J.H. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Eom, G.M. (School of Biomedical Engineering, Konkuk Univ.) ;
  • Kwon, D.Y. (Department of Neurology, Korea University Hospital) ;
  • Lee, C.N. (Department of Neurology, Korea University Hospital) ;
  • Seo, Y.M. (Department of Neurology, Korea University Hospital) ;
  • Kim, M.K. (Department of Neurology, Korea University Hospital) ;
  • Park, K.W. (Department of Neurology, Korea University Hospital) ;
  • Jeong, H.C. (Cyber medic) ;
  • Manto, M. (Universite libre de Bruxelles)
  • Received : 2013.05.02
  • Accepted : 2013.09.11
  • Published : 2013.09.30

Abstract

The essential tremor is an involuntary oscillatory movement of body parts. Conventional treatments of essential tremor have little effects in some patients and also leads to significant side effects. Alternative to these treatments, sensory stimulation may have beneficial effects on the essential tremor. The purpose of this study was to analyze an effect of sensory stimulation on essential tremor. Ten patients with essential tremor ($67.4{\pm}8.82$ yrs, 5 men and 5 women) participated in this study. Three-axis gyro sensors were attached on index finger, hand and forearm of patients. Task of 'arms outstretched forward' was performed with and without sensory stimulation. Vectorsum of three dimensional angular velocities (pitch, roll, yaw) was calculated. Outcome measures included root-meansquare (RMS) mean of the vector-sum amplitude, total power, peak power and peak frequency. RMS amplitude, total power and peak power were reduced by sensory stimulation (p < 0.05). Peak frequency was not affected by sensory stimulation. The results indicate that the sensory stimulation is useful to suppress the essential tremor.

Keywords

References

  1. G. Deuschl, P. Bain and M. Brin, "Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee", Movement disorders: official journal of the Movement Disorder Society, vol. 13 no. 3, pp. 2-23, 1998. https://doi.org/10.1002/mds.870130104
  2. K. Busenbark, P. Barnes, K. Lyons, D. Ince, F. Villagra and W. C. Koller, "Accuracy of reported family histories of essential tremor", Neurology, vol. 47, pp. 264-265, 1996. https://doi.org/10.1212/WNL.47.1.264
  3. E.D. Louis, "Essential tremor", Lancet neurology, vol. 4, pp. 100-110, 2005. https://doi.org/10.1016/S1474-4422(05)00991-9
  4. G. Deuschl, R. Wenzelburger, K. Loffler, J. Raethjen and H. Stolze, "Essential tremor and cerebellar dysfunction clinical and kinematic analysis of intention tremor", Brain, vol. 123(8), pp. 1568-1580, 2000. https://doi.org/10.1093/brain/123.8.1568
  5. E.D. Louis and J.J. Ferreira, "How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor", Movement disorders : official journal of the Movement Disorder Society, vol. 25, pp. 534-541, 2010. https://doi.org/10.1002/mds.22838
  6. T.A. Zesiewicz, R. Elble, E.D. Louis, R.A. Hauser, K.L. Sullivan, R.B. Dewey, Jr., et al., "Practice parameter: therapies for essential tremor: report of the Quality Standards Subcommittee of the American Academy of Neurology", Neurology, vol. 64, pp. 2008-2020, 2005. https://doi.org/10.1212/01.WNL.0000163769.28552.CD
  7. R.L. Hewer, R. Cooper and M.H. Morgan, "An investigation into the value of treating intention tremor by weighting the affected limb", Brain: a journal of neurology, vol. 95, pp. 579-590, 1972. https://doi.org/10.1093/brain/95.3.579
  8. M.E. Heroux, G. Pari and K.E. Norman, "The effect of inertial loading on wrist kinetic tremor and rhythmic muscle activity in individuals with essential tremor", Clin Neurophysiol. vol. 122, pp. 1794-1801, 2011. https://doi.org/10.1016/j.clinph.2010.10.050
  9. J. Kotovsky and M.J. Rosen, "A wearable tremor-suppression orthosis", Journal of rehabilitation research and development, vol. 35, pp. 373-387, 1998.
  10. E. Rocon, J.M. Belda-Lois, A.F. Ruiz, M. Manto, J.C. Moreno and J.L. Pons, "Design and validation of a rehabilitation robotic exoskeleton for tremor assessment and suppression", IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society, vol. 15, pp. 367-378, 2007. https://doi.org/10.1109/TNSRE.2007.903917
  11. A. Gironell, J. Kulisevsky, J. Lorenzo, M. Barbanoj, B. Pascual-Sedano and P. Otermin, "Transcranial magnetic stimulation of the cerebellum in essential tremor: a controlled study", Archives of neurology, vol. 59, pp. 413-417, 2002. https://doi.org/10.1001/archneur.59.3.413
  12. A. Prochazka, J. Elek and M. Javidan, "Attenuation of pathological tremors by functional electrical stimulation. I: Method", Annals of biomedical engineering, vol. 20, pp. 205-224, 1992. https://doi.org/10.1007/BF02368521
  13. M. Javidan, J. Elek and A. Prochazka, "Attenuation of pathological tremors by functional electrical stimulation. II: Clinical evaluation", Annals of biomedical engineering, vol. 20, pp. 225-236, 1992. https://doi.org/10.1007/BF02368522
  14. L.P. Maneski, N. Jorgovanovic, V. Ilic, S. Dosen, T. Keller, M. B. Popovic, et al., "Electrical stimulation for the suppression of pathological tremor", Med Biol Eng Comput, vol. 49, pp. 1187-1193, 2011. https://doi.org/10.1007/s11517-011-0803-6
  15. S.E. Fahn, E. Tolosa and C. Marin, "Clinical rating scale for tremor", Parkinson's Disease and Movement Disorders, vol. 2, pp 271-280. 1993.
  16. P.H. Mansur, L.K. Cury, A.O. Andrade, A.A. Pereira, G.A. Miotto, A.B. Soares, et al., "A review on techniques for tremor recording and quantification", Critical reviews in biomedical engineering vol. 35, pp. 343-362, 2007. https://doi.org/10.1615/CritRevBiomedEng.v35.i5.10

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