Tremor

All About Parkinson's Disease

Parkinson Diseases Guide By Lianna Marie

Get Instant Access

CHARACTERISTICS OF PATHOLOGICAL TREMOR Tremor at rest

'Pill-rolling' tremor, decreasing with movement. Rate: 3-7 per second. Amplitude: coarse. Distribution: distal limbs. Usually associated with bradykinesia and rigidity.

PARKINSON'S DISEASE OR DRUG INDUCED PARKINSONISM

POSTURAI. TREMOR.

Tremor on maintaining posture and throughout range of movement

Tremor absent at rest, when the limb is relaxed, but present on maintaining a fixed posture and during movement. Rate: 6-12 Hz amplitude: fine Slow insidious onset Distribution:

Upper limbs involved, lower limbs rarely. Titubation (tremor of the head on the trunk) often present.

Specific types of postural tremor are recognised

FAMILIAL TREMOR - often Mendelian dominant. ESSENTIAL TREMOR - no family history. SENILE TREMOR - develops in old age.

The tremor may progress until handwriting becomes impossible and feeding difficult. Alcohol may temporarily abort the tremor; beta blockers may produce an improvement.

Tremor during and maximal at the end of movement

Tremor absent at rest; present during movement and maximal on approaching target, e.g. finger-nose test. Rate: 4-6 per second. Amplitude: coarse. Distribution: Proximal and distal.

Titubation may occur. Usually associated with other cerebellar signs

CEREBELLAR TREMOR ('intention tremor')

Extremely severe tremor - sufficient to interrupt movement and throw patient off balance.

MIDBRAIN TREMOR due to disease involving the cerebellar/ red nucleus connections, e.g. multiple sclerosis.

Was this article helpful?

0 0
Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment