Abstract

Objective: The aim of this study was to evaluate Essential tremors on clinical and functional performance test. Methods: A total of 60 patients, having Essential tremor were prospectively analyzed. A detailed neurological examination along with 9-Hole Peg test and Box and Block test was performed. Effect of tremor on daily living activities (ADL) was scored using specific questionnaires on the ADL-T24 scale. Results: Sixty patients with essential tremor had the mean ± SD age of 48.32 ± 19.04 years. The mean (± SD) number of seconds taken during 9-Hole Peg test was 17.26 (± 4.32) seconds. The mean (± SD) number of blocks transferred within one minute with box and block test was 46.21 (± 8.64). There was a positive correlation between ADL-T24 score and 9-Hole Peg score (R2=0.56) but a negative correlation between ADL-T24 and box and block score (R2=-0.68). Conclusion: The severity of tremor can be measured with the help of quality-of-life questionnaires as well as with functional performance tests, for example, the 9-Hole Peg test, box and block test. The functional performance tests correlate well with the tremor severity.

Highlights

  • Tremor is the most common movement disorder, defined as “a rhythmic, involuntary oscillatory movement of a body part.” It is repetitive and stereotyped that distinguishes it from other involuntary movements like chorea, athetosis, ballism, tics, and myoclonus [1]

  • A particular tremor rating scale activities of daily living (ADL) – T24 was used for clinical scoring of the Essential tremor

  • The functional performance tests like 9-Hole Peg Test and box and block test were used because they had good test-retest and inter-rater reliability

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Summary

Introduction

Tremor is the most common movement disorder, defined as “a rhythmic, involuntary oscillatory movement of a body part.” It is repetitive and stereotyped that distinguishes it from other involuntary movements like chorea, athetosis, ballism, tics, and myoclonus [1]. The severity of tremor can be measured with a variety of clinical and electrophysiological techniques, including clinical rating scales, quality-of-life questionnaires, spirography (Archimedes’ spirals), functional performance tests, for example, the nineHole Peg test, box and block test, and, by accelerometery and surface electromyography. The purpose of the study is to quantify the disability due to tremor with the functional performance test scores. The Spearman rank correlation coefficient (r) was used to analyze the relationship between tremor severity and the functional performance tests score.

Results
Conclusion
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