Skip to main content
Log in

Twenty-four-hour tremor recordings in the evaluation of the treatment of Parkinson's disease

  • Original Investigations
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Summary

A new method of prolonged recording of EMG provides a good estimate of spontaneous and induced diurnal variations in resting tremor in Parkinson's disease. It provides a record and a measure of the effects of treatment. Tremor intensity shows considerable variations even over short periods of time. Therefore short-term measurements of tremor are unhelpful. Long-term recordings agree better with the patient's assessment than with the clinical rating score. Repeated recordings over a similar 10-h period on 3 consecutive days in one patient showed fairly constant measures of occurrence and intensity of tremor. In contrast to accelerometer measurements of tremor, artefacts caused by movements and general activity of the patient do not materially interfere with tremor evaluation using surface EMG.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ackmann JJ, Sances A, Larson SJ, Baker JB (1977) Quantitative evaluation of long-term Parkinson tremor. IEEE Trans Biomed Eng BME-24:49–56

    Google Scholar 

  2. Bacher M, Scholz E, Diener HC (1988) 24 hours continuous tremor quantification based on EMG-recordings. Electroencephalogr Clin Neurophysiol 65 (in press)

  3. Calzetti S, Baratti M, Gresty M, Findley L (1987) 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 50:561–567

    Google Scholar 

  4. Cleeves L, Findley LJ (1987) Variability in amplitude of untreated essential tremor. J Neurol Neurosurg Psychiatry 50:704–708

    Google Scholar 

  5. Cleeves L, Findley LJ, Gresty M (1986) Assessment of rest tremor in Parkinson's disease. In: Yahr MD, Bergmann KJ (eds) Advances in neurology, vol 45. Raven, New York, pp 349–352

    Google Scholar 

  6. Dietrichson P, Engebretsen Ø, Fønstelien E, Hovland J (1978) Quantitation of tremor in man. In: Desmedt JE (ed) Physiological tremor, pathological tremors and clonus. Progress in clinical neurophysiology, vol 5. Karger, Basel, pp 90–95

    Google Scholar 

  7. Findley LJ, Gresty MA, Halmagyi GM (1981) Tremor, the cogwheel phenomenon and clonus in Parkinson's disease. J Neurol Neurosurg Psychiatry 44:534–546

    Google Scholar 

  8. Freund H-J, Hefter H, Hömberg V, Reiners K (1984) Differential diagnosis of motor disorders by tremor analysis. In: Findley LJ, Capildeo R (eds) Movement disorders: tremor. MacMillan, London, pp 27–35

    Google Scholar 

  9. Gresty MA, McCarthy R, Findley LJ (1984) Assessment of resting tremor in Parkinson's disease. In: Findley LJ, Capildeo R (eds) Movement disorders: tremor. MacMillan, London, pp 321–329

    Google Scholar 

  10. Halliday AM, Redfearn JWT (1956) An analysis of the frequencies of finger tremor in healthy subjects. J Physiol (Lond) 134:600–611

    Google Scholar 

  11. Hefter H, Hömberg V, Reiners K, Freund K-J (1987) Stability of frequency during long-term recordings of hand tremor. Electroencephalogr Clin Neurophysiol 67:439–446

    Google Scholar 

  12. Hömberg V, Reiners K, Hefter H, Freund HJ (1986) The muscle activity spectrum: spectral analysis of muscle force as an estimator of overall motor unit activity. Electroencephalogr Clin Neurophysiol 63:209–222

    Google Scholar 

  13. Hömberg V, Hefter H, Reiners K, Freund H-J (1987) Differential effects of changes in mechanical limb properties on physiological and pathological tremor. J Neurol Neurosurg Psychiatry 50:568–579

    Google Scholar 

  14. Jung R (1941) Physiologische Untersuchungen über den Parkinsontremor und andere Zitterformen beim Menschen. Z Ges Neurol Psychiatr 173:263–330

    Google Scholar 

  15. Koller WC (1986) Pharmacological treatment of parkinsonian tremor. Arch Neurol 43:126–127

    Google Scholar 

  16. Rack PMH, Ross HF (1986) The role of reflexes in the resting tremor of Parkinson's disease. Brain 109:115–141

    Google Scholar 

  17. Rondot P, Jedynak CP, Ferrey G (1978) Pathological tremors: nosological correlates. In: Desmedt JE (ed) Physiological tremor, pathological tremors and clonus. Progress in clinical neurophysiology, vol 5. Karger, Basel, pp 95–113

    Google Scholar 

  18. Struppler A, Erbel F, Velho F (1978) An overview on the pathophysiology of parkinsonian and other pathological tremors. In: Desmedt JE (ed) Physiological tremor, pathological tremors and clonus. Progress in Clinical Neurophysiology, vol 5. Karger, Basel, pp 14–128

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scholz, E., Bacher, M., Diener, H.C. et al. Twenty-four-hour tremor recordings in the evaluation of the treatment of Parkinson's disease. J Neurol 235, 475–484 (1988). https://doi.org/10.1007/BF00314251

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00314251

Key words

Navigation