Cited by 107Deep Brain Stimulation and Movement DisordersMotor Control and AdaptationMuscle activation and electromyography studies

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Electromyographic differentiation of tremors

Milanov, Ivan·2001·Clinical Neurophysiology

DOI 10.1016/s1388-2457(01)00629-0

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Abstract

Objective The aim of this study was to explore the opportunity for differentiation of tremors on the basis of the electromyographic examination. Methods We report data from 525 patients with different types of tremor included in this study. Two hundred and twenty patients with essential tremor, 110 patients with Parkinson's disease, 24 patients with midbrain tremor, 22 patients with cerebellar tremor, 120 patients with enhanced physiological tremor due to anxiety, and 29 patients with psychogenic tremor participated in the study. A detailed neurological and electromyographic examination was performed. The tremor was studied in all limbs positions. Surface electromyographic recordings of the most involved body part were performed to all patients. Results According to the electromyographic examination all patients were divided to two groups: Patients with synchronous tremor and patients with alternating tremor in the antagonist muscles. The comparisons were performed only between the patients with tremor caused by different etiology within the group of synchronous or alternating tremor. The group of tremors with synchronous pattern included the patients with essential tremor type A (with synchronous activity), cerebellar, and enhanced physiological tremor. The group of tremors with alternating pattern included patients with Parkinsonian tremor, essential tremor type B (with alternating activity), rubral, and psychogenic tremors. Our results revealed that electromyographic examination of tremor pattern, frequency, amplitude, and burst duration is useful for tremor differentiation. Conclusion The electromyographic examination may serve as a tool for differentiation of tremors.

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Authors: Milanov, I.
Corresponding author: Milanov, Ivan
ORCID: Milanov, Ivan
Venue: Clinical Neurophysiology
Publisher: Elsevier BV
Published: 2001-09
Volume: 112
Issue: 9
Pages: 1626-1632
ISSN: 1388-2457 (ISSN-L)
DOI: 10.1016/s1388-2457(01)00629-0
OpenAlex: W2079788729
Cited by: 107
References: 18
Citations by year: 2026: 1 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 9 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 6 · 2012: 7
FWCI: 1.87
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Neurophysiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
Keywords: tremor, tremor classification, surface electromyography, essential tremor, Parkinson's disease, parkinsonian tremor, cerebellar tremor, psychogenic tremor, antagonist muscles
MeSH terms: Adult, Aged, Anxiety, Mental Disorders, Brain Diseases, Cerebellar Diseases, Diagnosis, Differential, Electromyography, Female, Humans, Male, Mesencephalon, Middle Aged, Parkinson Disease, Tremor

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