Tremor is attenuated during walking in essential tremor with resting tremor but not parkinsonian tremor
Abstract
We used accelerometry and visual examination by a neurologist to measure the intensity and frequency of hand tremor under resting, postural, writing, and walking conditions among patients with essential tremor with resting tremor (n=11) and Parkinson's disease (n=38). The intensity of essential tremor was markedly attenuated during walking relative to resting. The intensity and frequency of parkinsonian tremors were higher while walking than while resting. We suggest that assessment of the intensity and frequency of tremor during walking is clinically useful for differentiating between essential tremor with resting tremor and parkinsonian tremor, especially in the early stages, when the two conditions are often difficult to distinguish. Parkinsonian tremors are known to be enhanced during walking. Our clinical experience, as well as that of others, suggests that the intensity of essential tremor with resting tremor is markedly attenuated during walking.
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Uchida et al. (2011) demonstrated a significant effect of postural context over basic tremor properties.
“Uchida et al. (2011) compared the 4 most common postural contexts (stretching arm, resting, writing and walking) and demonstrated the significant effect of postural context over basic tremor properties (Uchida et al., 2011).”
From A Novel Posture for Better Differentiation Between Parkinson's Tremor and Essential Tremor (2018) · cites this paper as Uchida et al., 2011
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- Authors
- Uchida, K., Hirayama, M., Yamashita, F., Hori, N., Nakamura, T., & Sobue, G.
- Affiliations
- Nagoya University (JP)
- Corresponding author
- Sobue, Gen
- Venue
- Journal of Clinical Neuroscience
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 18
- Issue
- 9
- Pages
- 1224-1228
- ISSN
- 0967-5868 (ISSN-L)
- OpenAlex
- W1979544949
- Cited by
- 32
- References
- 31
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2013: 4 · 2012: 2
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Keywords
- essential tremor, Parkinson's disease, resting tremor, parkinsonian tremor, walking, tremor frequency, differential diagnosis, accelerometry
- MeSH terms
- Adult, Aged, Aged, 80 and over, Disability Evaluation, Female, Humans, Kinetocardiography, Male, Middle Aged, Rest, Severity of Illness Index, Tremor, Walking, Statistics, Nonparametric, Essential Tremor, Parkinsonian Disorders
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