Abstract
Two adult men, aged 86 and 63, with essential tremor and Parkinson's-disease-related tremor, respectively, were provided Behavioral Relaxation Training in reclined and upright seated positions. Multiple measures were recorded, including the Behavioral Relaxation Scale (BRS), clinical and self-rated tremor severity, informant ratings, ratings of disability in activities of daily living (ADL), and forearm EMG. Results showed increased relaxation skills on the BRS, with reductions in EMG, tremor ratings, and some ADL disabilities. Upright BRS scores did not change during reclined training, but improved rapidly during upright training. The second man was found to suffer from dyskinesia when he relaxed during baseline, which declined markedly during training. A two-week follow-up indicated that most improvements were maintained by both men. Statistical analyses of data for each man showed significant changes. These results suggest that relaxation may be useful in the treatment of idiopathic and pathologic tremor disorders in older adults.
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Ahlskog, J. E., & Wilkinson, J. M. (1990). New concepts in the treatment of Parkinson's disease.American Family Practice, 41 574–584.
Bacon, M., & Poppen, R. (1985). A behavioral analysis of diaphramatic breathing and its effects on peripheral temperature.Journal of Behavior Therapy and Experimental Psychiatry, 16 15–21.
Baine, P. (1993). A combined clinical and neurophysiological approach to the study of patients with essential tremor.Journal of Neurology, Neurosurgery, and Psychiatry, 56 839–844.
Barcroft, H., Peterson, E., & Schwab, R. S. (1952). Action of adrenaline and noradrenaline on the tremor of Parkinson's disease.Neurology, 2 154–160.
Barlow, D. H., & Hersen, M. (1984).Single case experimental designs. New York: Pergamon.
Borkovec, T. D., Johnson, M. C., & Block, D. L. (1984). Evaluating experimental designs in relaxation research. In R. L. Woolfolk & P. M. Lehrer (Eds.),Principles and practice of stress management (pp. 368–403). New York: Guilford.
Busenbark, K. L., Nash, J., Nash, S., Hubble, J. P., & Koller, W. C. (1991). Is essential tremor benign?Neurology, 41 1982–1983.
Cleeland, C. S. (1983). Biofeedback and other behavioral techniques in the treatment of disorders of voluntary movement. In J. V. Basmajian (Ed.),Biofeedback: Principles and practice for clinicians (2nd ed., pp. 135–148). Baltimore: Williams & Wilkins.
Dewaide, P. J., & Gonce, M. (1988). Pathophysiology of Parkinson's signs. In J. Jankovic & E. Tolosa (Eds.),Parkinson's disease and movement disorders (pp. 59–73). Baltimore-Munich: Urban & Schwarzenberg.
Duvoisin, R. C. (1984).Parkinson's disease: A guide for patient and family. New York: Raven Press.
Elbe, R. J., Higgins, C., & Hughes, L. (1992). Longitudinal study of essential tremor.Neurology, 42 441–443.
Fahn, S., & members of the UPDRS development committee (1987). Unified Parkinson's disease rating scale. In S. Fahn, C. D Marsden, M. Goldstein, & D. B. Calne (Eds.),Recent developments in Parkinson's disease (pp. 153–163). New York: MacMillan.
Findley, L. J. (1987). The pharmacology of essential tremor. In C. D. Marsden & S. Fahn (Eds.),Movement disorders (2nd ed., pp. 438–458). London: Butterworth.
Findley, L. J., & Capideo, R. (1984).Movement disorders: Tremor. London: MacMillan.
Giovannini, P., Piccolo, I., Gentrini, P., et al. (1991). Early-onset Parkinson's disease.Movement Disorders, 6 36–42.
Glass, G. V., & Hopkins, K. D. (1970).Statistical methods in education and psychology (2nd ed.). Needham Heights, MA: Allyn & Bacon.
Hershey, L. A., Feldman, B. J., Kim, K. Y., Commichou, C., & Lichter, D. G. (1991). Tremor at onset. Predictor of cognitive and motor outcome in Parkinson's disease.Archives of Neurology, 48 1049–1051.
Howell, D. C. (1988).Statistical methods for psychology. Boston, MA: Duxbury.
Huitema, B. E. (1985). Autocorrelation in applied behavior analysis: A myth.Behavioral Assessment, 7 107–118.
Jankovic, J., McDermott, M., Carter, J., et al. (1990). Variable expression of Parkinson's disease: A baseline analysis of the DATATOP cohort.Neurology, 40 1529–1534.
Julien, R. A., & Blind, M. (1977). Sequential treatment of a Parkinsonian hysterico-phobic by systematic desensitization, relaxation, and negative practice.Psychology Abstracts, 58, #3845.
Kazdin, A. E. (1984). Statistical analyses for single case designs. In D. H. Barlow & M. Hersen (Eds.),Single case experimental designs (2nd ed., pp. 285–324). New York: Pergamon.
Koller, W. C. (1984). Diagnosis and treatment of tremors.Neurologic Clinics, 2 499–514.
Koller, W. C., & Biary, N. (1984). Effect of alcohol on tremor: Comparison to propranolol.Neurology, 34 280–282.
Koller, W. C., Biary, N., & Cone, S. (1986). Disability in essential tremor.Neurology, 36 1001–1004.
Koller, W. C., & Huber, S. J. (1989). Tremor disorders of aging: Diagnosis and management.Geriatrics, 44 33–41.
Lewin, L. M., Lundervold, D. A., Saslow, M., & Thompson, S. (1989). Decreasing eating dependency in nursing home patients: Effects of prompting, reinforcement, food preference, and environmental design.Journal of Clinical and Experimental Gerontology, 11 47–63.
Nobrega, F. T., Glattre, E., Kurland, L. T., & Okazaki, H. (1967). Genetics and epidemiology of Parkinson's disease. In A. Barbeau & J. R. Brunette (Eds.),Progress in neurogenetics (pp. 474–485). Amsterdam: Excerpta Medica.
Nusselt, L., & Legewie, H. (1975). Biofeedback and systematic desensitization therapy with Parkinsonian patients.Psychology Abstracts, 65, #6022.
Parker, L. H, & Baer, G. R. (1986). Neurological and neuromuscular disorders. In K. A. Holroyd & T. L. Creer (Eds.),Self-management of chronic disease (pp. 415–440).
Poppen, R. (1988).Behavioral relaxation training and assessment. New York: Pergamon.
Poppen, R., Hanson, H., & Ip, S. V. (1988). Generalization of EMG biofeedback training.Biofeedback and Self-Regulation, 13 235–243.
Quinn, N., Critchley, R., & Marsden, C. D. (1987). Young onset Parkinson's disease.Movement Disorders, 2 73–91.
Rajput, A. H., Beard, K. P., & Kurland, L. T. (1982). Epidemiologic survey of essential tremor in Rochester, MN.Neurology, 32 128.
Rautakorpi, I., Martilla, R. J., & Rinne, U. K. (1984). Epidemiology of essential tremor. In L. J. Findley & R. Capideo (Eds.),Movement disorders: Tremor (pp. 211–218). London: MacMillan.
Schilling, D. J., & Poppen, R. (1983). Behavioral relaxation training and assessment.Journal of Behavior Therapy and Experimental Psychiatry, 14 99–107.
Shumaker, R. G. (1980). The response of manual motor functioning in parkinsonians to frontal EMG biofeedback and progressive relaxation.Biofeedback and Self-Regulation, 7 443–447.
Wake, A., Takahashi, Y., Onishi, T., Nadashima, T., & Yasumoto, I. (1974). Treatment of essential tremor by behavior therapy—Use of Jacobson's progressive relaxation method.Psychiatry and Neurology in Japan, 76 509–517.
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Chung, W., Poppen, R. & Lundervold, D.A. Behavioral Relaxation Training for tremor disorders in older adults. Biofeedback and Self-Regulation 20, 123–135 (1995). https://doi.org/10.1007/BF01720969
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DOI: https://doi.org/10.1007/BF01720969