Application of an objective method of assessing intention tremor - a further study on the use of weights to reduce intention tremor.
Open accessAbstract
Thirty-one patients with intention tremor due to a variety of causes were subjected to measurements of their intention tremor. The effect of varying amounts of lead weights on the amount of limb tremor recorded was noted. It is concluded that simple methods of treatment may be of benefit, and that an objective method of measuring intention tremor overcomes many of the difficulties of a clinical trial of this type. The method described yields quantifiable data which can be subjected to statistical analysis to help overcome the problem of variability. Bias in the results due to practice or fatigue effects has proved negligible. An optimum amount of lead, which was usually between 600 and 840 g, has been noted.
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Limb weighting is often recommended as a non-invasive tremor management approach, yet it lacks strong supporting evidence.
“Weighting the limb is a commonly recommended non-invasive way to manage limb tremor7, but has little evidence to support it8, 9.”
From A noninvasive handheld assistive device to accommodate essential tremor: A pilot study (2014) · cites this paper as [9]
The Results report a significant reduction in intention tremor in 20 of 31 patients, supporting limb weighting as a potential management approach. But the paper does not say weighting is commonly recommended or assess whether the overall evidence base is weak; its Discussion describes its own findings as confirming a significant reduction. No page numbers are available in our copy. (LLM, conf=0.82)
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Cites
Statistical Analysis in Psychology and Education.
Smith, H., & Ferguson, G. A. (1967) · Journal of the American Statistical Association · doi:10.2307/2283699 · Cited by 2,219 · see citing works
HOLMES, G. (1939) · Brain · doi:10.1093/brain/62.1.1 · Cited by 1,071 · see citing works
AN INVESTIGATION INTO THE VALUE OF TREATING INTENTION TREMOR BY WEIGHTING THE AFFECTED LIMB
HEWER, R. L., COOPER, R., & MORGAN, M. H. (1972) · Brain · doi:10.1093/brain/95.3.579 · Cited by 112 · see citing works
Self-citationModification of Intention Tremor in Man
Chase, R. A., Cullen, J. K., Sullivan, S. A., et al. (1965) · Nature · doi:10.1038/206485a0 · Cited by 44 · see citing works
Relief of intention tremor by thalamic surgery.
Samra, K., Waltz, J. M., Riklan, M., Koslow, M., & Cooper, I. S. (1970) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.33.1.7 · Cited by 29 · see citing works
Normal Tremor: A Comparative Study.
Duvoisin, R. C. (1971) · Archives of Neurology · doi:10.1001/archneur.1971.00490010105021 · Cited by 29 · see citing works
Intention tremor--a method of measurement.
MORGAN, M. H., Hewer, R. L., & Cooper, R. (1975) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.38.3.253 · Cited by 18 · see citing works
Self-citationArm Weight, Adaptation, and Weight Discrimination
Gregory, R. L., & Ross, H. E. (1967) · Perceptual and Motor Skills · doi:10.2466/pms.1967.24.3c.1127 · Cited by 16 · see citing works
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A noninvasive handheld assistive device to accommodate essential tremor: A pilot study
Pathak, A., Redmond, J. A., Allen, M., & Chou, K. L. (2014) · Movement Disorders · doi:10.1002/mds.25796 · Cited by 54 · see citing works
“Weighting the limb is a commonly recommended noninvasive way to manage limb tremor,(7) but has little evidence to support it.(8,9) Also investigated have been tremor suppression orthoses,(10-12) which function by physically forcing a person’s tremor to cease.”
BackgroundAdapted Feeding Utensils for People With Parkinson's-Related or Essential Tremor
Sabari, J., Stefanov, D. G., Chan, J., Goed, L., & Starr, J. (2019) · American Journal of Occupational Therapy · doi:10.5014/ajot.2019.030759 · Cited by 35 · see citing works
Repetitive control of functional electrical stimulation for induced tremor suppression
Freeman, C. T., Sampson, P., Burridge, J. H., & Hughes, A.-M. (2015) · Mechatronics · doi:10.1016/j.mechatronics.2015.10.008 · Cited by 31 · see citing works
- Authors
- Morgan, M. H., Hewer, R. L., & Cooper, R.
- Affiliations
- Frenchay Hospital (GB)
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1975-03-01
- Volume
- 38
- Issue
- 3
- Pages
- 259-264
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC491906
- OpenAlex
- W2135154607
- Cited by
- 38
- References
- 8
- Citations by year
- 2026: 1 · 2023: 2 · 2020: 3 · 2019: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- intention tremor, lead weights, tremor suppression, tremor assessment, tremor treatment, practice effects
- MeSH terms
- Adolescent, Adult, Aged, Child, Fatigue, Female, Humans, Male, Middle Aged, Movement, Tremor, Physical Therapy Modalities
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