• Title/Summary/Keyword: Essential tremor

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Clinical Study of twenty four patients complained of the tremor (진전환자 24례에 대한 증례 보고)

  • Park, Hye-Sun;Bae, Young-Chun;Joo, Jong-Cheon
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.153-159
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    • 2002
  • To study clinical characteristics of patients complained of the tremor, I analyzed a database of twenty four patients managed at the Sasang Constitutional Department in Wonkwang University Oriental Medical Hospiyal from June 1999 to October 2000. 54% of patients who had adequate follow-up were improved with herb medication, electric acupuncture, physical therapy, aromatherapy. 46% of them were not improved in spite of above mentioned treatment. None of patients was aggravated. 71 % of them have male sex and 42% in 7th decade. The distribution ratio was 46% Soyang Constitution, 42% Taeumin Constitution, 13% Soum Constitution. I diagnosed 75% of them as essential tremor or physiological tremor or neurosis. Most of them had the tremor in upper extremities. The period of history were various distribution. Herb medicines were used in the Sasang Constitutional Theory. The Sasang Constitutional Medicine has the significant effects of treating patients complained of the tremor..

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A Meta-analysis of the Effectiveness of Acupuncture for the Treatment of Essential Tremors (본태성 떨림의 침치료 효과에 대한 메타분석)

  • Sohn, Yu-jin;Jung, Seo-yoon;Kang, Ki-wan;Jeong, Min-jeong;Jang, In-soo
    • The Journal of Internal Korean Medicine
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    • v.38 no.4
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    • pp.419-432
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    • 2017
  • Objectives: This study provides an evaluation of the effectiveness of acupuncture for the treatment of essential tremors (ETs) using randomized controlled trials (RCTs). Methods: Nine databases (PubMed, CINAHL, EMBASE, OASIS, NDSL, CNKI, Wanfang, J-STAGE, and CiNii) and the keywords "Essential tremor", "Benign tremor", "Familial tremor", and "Acupuncture" were used to compile RCTs that used acupuncture to treat ETs. Studies that were not RCTs, such as case studies, reviews, and essays, were excluded. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool, and where appropriate, meta-analyses were performed. Results: Initially, 819 studies were found, but 773 were excluded after title and abstract screening. After further screening of the resulting 46 papers, eight RCTs were selected that had been published between 2003 and 2016, and the total effective rate (TER) was used as the primary evaluation method for all eight studies. It was found that the TER was significantly higher in treatment groups (83.33-96.7%) than in control groups (56.5-80.0%), and seven studies included in the meta-analysis showed positive results for acupuncture for ETs (Risk Ratio: 1.43, 95% Confidence Interval: 1.21-1.69, P<0.0001) Confidence Interval. Conclusions: This meta-analysis of clinical trials suggests that acupuncture is effective for treating ET patients; however, further studies are needed or larger populations to prove its effectiveness.

One case treated Tremor(mouth, chin and hand) (수(手), 구순(口脣), 신 진전증(振顫症) 환자(患者)의 치험(治驗) 1례(例))

  • Seong, Gang-Gyeong;Lee, Sang-Gwan;Lee, So-Young;Cheong, Sang-Su;Cheon, Young-Sae;Lee, Si-Woo;Kim, Yo-Han
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.477-482
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    • 2001
  • Tremor refers to rhythmic shaking of a body part. Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor type. Because Dansambohyul-tang has been used to treat patients differentiated with an insufficiency of the heart and the spleen(心脾兩虛) in oriental medicine, we treated a 78 year-old female patient who suffered from tremor in mouth, chin and hand and insomnia, with improvement of general condition, who was differentiated with an insufficiency of the heart and the spleen(心脾兩虛) with Dansambohyul-tang, herb complex. After 78 days of treatment with Dansambohyul-tang and some other herb complex, we observed improvement of tremor, insomnia and general condition So Dansambohyul-tang shows therapeutic effects on tremor.

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Sa-am Five-element Acupuncture and Hwangyeon-haedoktang Pharmacopuncture Treatment for an Essential Tremor: Three Case Reports

  • Jeong, Jong-Jin;Sun, Seung-Ho
    • Journal of Pharmacopuncture
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    • v.16 no.4
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    • pp.49-53
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    • 2013
  • The purpose of this study was to report the effect of a combination of Sa-am five-element acupuncture and eight-principle pharmacopuncture (EPP) for the treatment of an essential tremor (ET). This study reviewed the medical records treated at OO Korean medical hospital for ET by using diverse types of acupuncture without herbal medicine, other types of physical therapy, and western medication related ET or Parkinson's disease and was performed after the approval of the institutional review board (IRB). The three cases that were finally selected were then extracted and reviewed. The three cases that were finally selected involved three women in their 70s to 80s. The evaluation of the progress was made by using the numeric rating scale. A combined treatment, the method of liver excess (肝乘格), from among Sa-am five-element acupuncture, and Hwangyeonhaedoktang EPP at CV23 and CV17, was applied to all cases. In all three cases, the ET was improved, and recurred ETs improved with the same treatment. The results suggest that the combined treatment of Sa-am five-element acupuncture and Hwangyeon-haedoktang EPP may be effective for treating an ET, even though this conclusion is based on only three cases.

The Analysis of Mitochondrial DNA in the Patients with Essential Tremor and Parkinson's Disease (본태성 수전증과 파킨슨병 환자에서 미토콘드리아 DNA 비교 분석)

  • Kim, Rae Sang;Yoo, Chan Jong;Lee, Sang-Gu;Kim, Woo-Kyung;Han, Ki-Soo;Kim, Young-Bo;Park, Cheol-Wan;Lee, Uhn
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1415-1420
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    • 2000
  • Essential tremor(ET) is the most common movement disorder however there has been little agreement in the neurologic literature regarding diagnostic criteria for ET. Familial ET is an autosomal dominant disorder presenting as an isolated postural tremor. The main feature of ET is postural tremor of the arms with later involvement of the head, voice, or legs. In previous studies, it was reported that ET susceptibility was inherited in an autosomal dominant inheritance. As with previous results, it would suggest that ET might be associated with defect of mitochondrial or nuclear DNA. Recent studies are focusing molecular genetic detection of movement disorders, such as essential tremor and restless legs syndrome. Parkinson's disease(PD) is a neurodegenerative disease involving mainly the loss of dopaminergic neurons in substantia nigra by several factors. The cause of dopaminergic cell death is unknown. Recently, it has been suggested that Parkinson's disease many result from mitochondrial dysfunction. The authors have analysed mitochondrial DNA(mtDNA) from the blood cell of PD and ET patients via long and accurate polymerase chain reaction(LA PCR). Blood samples were collected from 9 PD and 9 ET patients. Total DNA was extracted twice with phenol followed by chloroform : isoamylalcohol. For the analysis of mtDNA, LA PCR was performed by mitochondrial specific primers. With LA PCR, 1/3 16s rRNA~1/3 ATPase 6/8 and COI~3/4 ND5 regions were observed in different patterns. But, in the COI~1/3 ATPase 6/8 region, the data of PCR were observed in same pattern. This study supports the data that ET and PD are genentic disorders with deficiency of mitochondrial DNA multicomplexes.

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Three Cases of Tremor in Stroke Sequela Patients (뇌졸중 후유증으로 나타난 진전 증상 치험 3례)

  • Ryu Hyun-Hee;Yoon Hyo-Jin;Yoon Ji-Won;Lee Seoung-Geun;Lee Gi-Sang;Son Ji-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1450-1455
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    • 2005
  • Tremor is an most common abnormal movements disease which is to-and-fro shaking. It is caused by problems -with the nerves supplying certain muscles. It can affect the whole body or just certain areas. Parkinson's disease, Brain disease like injury of Frontal lobe, Cerebellum and Brainstem, drug and alcohol caused this symptom. It could be occured by physiological and Essential cause. In this paper, authors report three cases who showed tremor after Cerebral infarction. And we suggest that 'Ssanghwa-Tang' should be helpful for tremor patients.

Measurement by Essential Tremor through Interaction between the Image Projector, Camera and Laser Pointer (프로젝터 영상과 레이저 포인터의 상호작용을 통한 손 떨림 정도 측정 기법)

  • Park, Jung-Joo;Lee, Jae-Ha;Park, Jong-Il
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2016.06a
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    • pp.347-348
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    • 2016
  • 프로젝터와 레이저 포인터를 이용한 상호작용은 널리 알려져 있다. 상호작용을 통해 레이저가 쓰기 동작을 하는 것처럼 보이게 함으로써 프레젠테이션에 활용하거나 마우스 기능을 대신하여 사용자와 영상간의 상호작용을 수행하였다. 본 논문은 위의 연구를 확장하여 스크린 영상에서 레이저를 실시간 검출하여 떨림 정도를 측정하는 방안을 제안한다. 제안된 방법은 레이저 광점이 찍힌 스크린 영상을 카메라로 다시 입력 받는 과정에서 레이저를 정확하게 검출하고 이를 통해 기준점 대비 실험자의 손 떨림의 정도를 수치화 하여, 손 떨림을 검출하고자 할 때 사용되었던 기존 방법인 자세 떨림(postural tremor)이나 운동 떨림(kinetic tremor)과 같은 직관적 관찰에 비해 떨림의 정도를 효과적으로 나타낼 수 있다.

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Quantitative EEG in de novo Parkinson's Disease: Comparison with Normal Controls and Essential Tremor Patients with Nonlinear Analysis (파킨슨병 환자의 정량적 뇌파분석 -비선형분석을 이용한 정상인 및 본태성 진전 환자와의 비교)

  • Cho, Eun-Kyoung;Choi, Byung-Ok;Kim, Yong-Jae;Park, Ki-Duck;Kim, Eung-Su;Choi, Kyoung-Gyu
    • Annals of Clinical Neurophysiology
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    • v.8 no.2
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    • pp.135-145
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    • 2006
  • Background: Parkinson's disease is movement disorder due to dopaminergic deficiency. It has been noted that cognitive dysfunction also presented on Parkinson's disease patients. But, it is not clear whether such a cognitive dysfunction was a dopaminergic dysfunction or cholinergic dysfunction. Using linear and non-linear analyses, we analysed the effect of cognitive and motor symptom on EEG change. Methods: EEGs were recorded from patients with Parkinson's disease and essential tremor, and normal controls during rest. We calculated the power spectrum, correlation dimension and Lyapunov exponent by using 'Complexity'program. The power spectrum, correlation dimension, and Lyapunov exponent were compared between Parkinson's disease patients and essential tremor patients. Results: Theta power was increased in Parkinson's disease patient group. Correlation dimension was increased in Parkinson's disease patients. Positive correlation was noted between MMSE and correlation dimension, and negative correlation was noted between MMSE and Lyapunov exponent. Lyapunov exponent was decreased in Parkinson's disease patient. Conclusions: We conclude that the state of Parkinson's disease patient is characterized by increased correlation dimension and decreased Lyapunov exponent.

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