A noninvasive handheld assistive device to accommodate essential tremor: A pilot study
dc.contributor.author | Pathak, Anupam | en_US |
dc.contributor.author | Redmond, John A. | en_US |
dc.contributor.author | Allen, Michael | en_US |
dc.contributor.author | Chou, Kelvin L. | en_US |
dc.date.accessioned | 2014-05-23T15:59:35Z | |
dc.date.available | WITHHELD_13_MONTHS | en_US |
dc.date.available | 2014-05-23T15:59:35Z | |
dc.date.issued | 2014-05 | en_US |
dc.identifier.citation | Pathak, Anupam; Redmond, John A.; Allen, Michael; Chou, Kelvin L. (2014). "A noninvasive handheld assistive device to accommodate essential tremor: A pilot study." Movement Disorders 29(6): 838-842. | en_US |
dc.identifier.issn | 0885-3185 | en_US |
dc.identifier.issn | 1531-8257 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/106922 | |
dc.description.abstract | Background We explored whether a noninvasive handheld device using Active Cancellation of Tremor (ACT) technology could stabilize tremor‐induced motion of a spoon in individuals with essential tremor (ET). Methods Fifteen ET subjects (9 men, 6 women) performed 3 tasks with the ACT device turned on and off. Tremor severity was rated with the Fahn‐Tolosa‐Marin Tremor Rating Scale (TRS). Subjective improvement was rated by subjects with the Clinical Global Impression Scale (CGI‐S). Tremor amplitude was measured using device‐embedded accelerometers in 11 subjects. Results TRS scores improved with ACT on (versus off) in all 3 tasks: holding (1.00 ± 0.76 vs. 0.27 ± 0.70; P = 0.016), eating (1.47 ± 1.06 vs. 0.13 ± 0.64; P = 0.001), and transferring (1.33 ± 0.82 vs. 0.27 ± 0.59; P = 0.001). CGI‐S improved with eating and transferring, but not the holding task. Accelerometer measurements demonstrated 71% to 76% reduction in tremor with the ACT device on. Conclusions This noninvasive handheld ACT device can reduce tremor amplitude and severity for eating and transferring tasks in individuals with ET. © 2013 International Parkinson and Movement Disorder Society | en_US |
dc.publisher | Wiley Periodicals, Inc. | en_US |
dc.publisher | Williams & Wilkins | en_US |
dc.subject.other | Noninvasive Device | en_US |
dc.subject.other | Essential Tremor | en_US |
dc.subject.other | Treatment | en_US |
dc.title | A noninvasive handheld assistive device to accommodate essential tremor: A pilot study | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/106922/1/mds25796.pdf | |
dc.identifier.doi | 10.1002/mds.25796 | en_US |
dc.identifier.source | Movement Disorders | en_US |
dc.identifier.citedreference | Louis ED. Essential tremor. Handb Clin Neurol. 2011; 100: 433 ‐ 448. | en_US |
dc.identifier.citedreference | Deuschl G, Raethjen J, Hellriegel H, Elble R. Treatment of patients with essential tremor. Lancet Neurol. 2011; 10: 148 ‐ 161. | en_US |
dc.identifier.citedreference | Calzetti S, Baratti M, Gresty M, Findley L. Frequency/amplitude characteristics of postural tremor of the hands in a population of patients with bilateral essential tremor: implications for the classification and mechanism of essential tremor. J Neurol Neurosurg Psychiatry. 1987; 50: 561 ‐ 567. | en_US |
dc.identifier.citedreference | Fahn S, Tolosa E, Marin C. Clinical Rating Scale for Tremor. In: Jankovic J, Tolosa E, eds. Parkinson's Disease and Movement Disorders. 2nd ed. Baltimore, MD: Williams & Wilkins; 1993: 271 ‐ 280. | en_US |
dc.identifier.citedreference | Deuschl G, Bain P, Brin M. Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee. Mov Disord. 1998; 13 (Suppl 3 ): 2 ‐ 23. | en_US |
dc.identifier.citedreference | Umemura A, Jaggi JL, Hurtig HI, et al. Deep brain stimulation for movement disorders: morbidity and mortality in 109 patients. J Neurosurg. 2003; 98: 779 ‐ 784. | en_US |
dc.identifier.citedreference | Rocon E, Bueno L, Ceres R, Calderon L, Pons JL. Theoretical control discussion on tremor supression via biomechanical loading. In: Craddock GM, McCormack LP, Reilly RB, Knops HTP, eds. Assistive Technology—Shaping the Future. Amsterdam, The Netherlands: IOS Press; 2003: 827 ‐ 831. | en_US |
dc.identifier.citedreference | Rocon E, Ruiz AF, Pons JL, Belda‐Lois JM, Sánchez‐Lacuesta JJ. Rehabilitation robotics: a wearable exo‐skeleton for tremor assessment and suppression. In: 2005 IEEE International Conference on Robotics and Automation. Barcelona, Spain; 2005: 2271 ‐ 2276. | en_US |
dc.identifier.citedreference | Rocon E, Manto M, Pons J, Camut S, Belda JM. Mechanical suppression of essential tremor. Cerebellum. 2007; 6: 73 ‐ 78. | en_US |
dc.identifier.citedreference | Rocon E, Belda‐Lois JM, Ruiz AF, Manto M, Moreno JC, Pons JL. Design and validation of a rehabilitation robotic exoskeleton for tremor assessment and suppression. IEEE Trans Neural Syst Rehabil Eng. 2007; 15: 367 ‐ 378. | en_US |
dc.identifier.citedreference | Morgan MH, Hewer RL, Cooper R. Application of an objective method of assessing intention tremor—a further study on the use of weights to reduce intention tremor. J Neurol Neurosurg Psychiatry. 1975; 38: 259 ‐ 264. | en_US |
dc.identifier.citedreference | Hewer RL, Cooper R, Morgan MH. An investigation into the value of treating intention tremor by weighting the affected limb. Brain. 1972; 95: 579 ‐ 590. | en_US |
dc.identifier.citedreference | O'Connor RJ, Kini MU. Non‐pharmacological and non‐surgical interventions for tremor: a systematic review. Parkinsonism Relat Disord. 2011; 17: 509 ‐ 515. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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