Skip to main content

Quantification of Tremor

  • Chapter
Tremor

Part of the book series: Synthesis Lectures on Biomedical Engineering ((SLBE))

  • 47 Accesses

Abstract

Several techniques for monitoring and analysis of tremor have been developed (Table 6.1). A quantification of tremor can be achieved with kinematic tools using various miniaturized sensors applied in robotic, industrial, and aerospace fields such as accelerometers or gyroscopes, using videos or force sensors. Wireless techniques offer new perspectives for remote tracking of tremor and become part of the emerging field of body sensor networks (BSN). The choice of relevant sensors, sensor packaging, type of communication, power consumption, autonomy, integration, and ergonomic aspects are important factors.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 29.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 37.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Alusi SH, Worthington J, Glickman S, Findley LJ, Bain PG. Evaluation of three different ways of assessing tremor in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2000;68(6):756–760. doi:https://doi.org/10.1136/jnnp.68.6.756

    Article  Google Scholar 

  • Bain P. Are neurophysiological techniques useful? In: Handbook of Tremor Disorders. Findley LJ, Koller WC (eds). New York: Marcel Dekker, 1995.

    Google Scholar 

  • Bové M, Daamen N, Rosen C, Wang CC, Sulica L, Gartner-Schmidt J. Development and validation of the vocal tremor scoring system. Laryngoscope. 2006;116(9):1662–1667. doi:https://doi.org/10.1007/s00415-008-0712-2

    Article  Google Scholar 

  • Breit S, Spieker S, Schulz JB, Gasser T. Long-term EMG recordings differentiate between parkinsonian and essential tremor. J Neurol. 2008;255(1):103–111.

    Article  Google Scholar 

  • Brunetti FJ, Rocon E, Pons JL, Manto M. The tremor coherence analyzer (TCA): a portable tool to assess instantaneous inter-muscle coupling in tremor. Conf Proc IEEE Eng Med Biol Soc. 2004;1:61–64. doi:https://doi.org/10.1109/IEMBS.2004.1403090

    Article  Google Scholar 

  • Brunetti F, Moreno JC, Ruiz AF, Rocon E, Pons JL. A new platform based on IEEE802.15.4 wireless inertial sensors for motion caption and assessment. Conf Proc IEEE Eng Med Biol Soc. 2006 ;1 Suppl:6497–6500.

    Google Scholar 

  • Calder KM, Stashuk DW, McLean L. Physiological characteristics of motor units in the brachioradialis muscle across fatiguing low-level isometric contractions. J Electromyogr Kines. 2008;18:2–15. doi:https://doi.org/10.1016/j.jelekin.2006.08.012

    Article  Google Scholar 

  • Elble RJ, Pullman SL, Matsumoto JY, Raethjen J, Deuschl G, Tintner R; Tremor Research Group. Tremor amplitude is logarithmically related to 4- and 5-point tremor rating scales. Brain. 2006;129(Pt 10):2660–2666.

    Google Scholar 

  • Farkas Z, Csillik A, Szirmai I, Kamondi A. Asymmetry of tremor intensity and frequency in Parkinson’s disease and essential tremor. Parkinsonism Relat Disord. 2006;12:49–55. doi:https://doi.org/10.1016/j.parkreldis.2005.07.008

    Article  Google Scholar 

  • Gescheider GA. Psychophysics: The Fundamentals. Mahwah, NJ: Lawrence Erlbaum Associates, 1997.

    Google Scholar 

  • Grimaldi G, Lammertse P, Manto M. Effects of wrist oscillations on contralateral neurological postural tremor using a new myohaptic device (‘wristalyzer’). Proceedings of the 4th IEEE-EMBS, Cambridge, UK, 2007, pp. 44–48.

    Google Scholar 

  • Grimaldi G, Lammertse P, Van Den Braber N, Meuleman J, Manto M. Effects of inertia and wrist oscillations on contralateral neurological postural tremor using the Wristalyzer, a new myohaptic device. IEEE Trans Biomed Circuits Syst. 2008 (in press).

    Google Scholar 

  • Journee HL, Postma AA, Staal MJ. Intraoperative neurophysiological assessment of disabling symptoms in DBS surgery. Neurophysiol Clin. 2007;37(6):467–475. doi:https://doi.org/10.1016/j.neucli.2007.10.006

    Article  Google Scholar 

  • Louis ED, Ford B, Bismuth B. Reliability between two observers using a protocol for diagnosing essential tremor. Mov Disord. 1998;13(2):287–293. doi:https://doi.org/10.1002/mds.870130215

    Article  Google Scholar 

  • Louis ED, Barnes LF, Wendt KJ, Albert SM, Pullman SL, Yu Q , Schneier FR. Validity and test– retest reliability of a disability questionnaire for essential tremor. Mov Disord. 2000;15(3): 516–523. doi:https://doi.org/10.1002/1531-8257(200005)15:3<516::AID-MDS1015>3.0.CO;2-J

    Article  Google Scholar 

  • Louis ED, Barnes L, Wendt KJ, Ford B, Sangiorgio M, Tabbal S, Lewis L, Kaufmann P, Moskowitz C, Comella CL, Goetz CC, Lang AE. A teaching videotape for the assessment of essential tremor. Mov Disord. 2001;16(1):89–93. doi:https://doi.org/10.1002/1531-8257(200101)16:1<89::AID-MDS1001>3.0.CO;2-L

    Article  Google Scholar 

  • Louis ED, Levy G, Côte LJ, Mejia H, Fahn S, Marder K. Clinical correlates of action tremor in Parkinson disease. Arch Neurol. 2001;58(10):1630–1634. doi:https://doi.org/10.1001/archneur.58.10.1630

    Article  Google Scholar 

  • Louis ED, Levy G, Côte LJ, Mejia H, Fahn S, Marder K. Diagnosing Parkinson’s disease using videotaped neurological examinations: validity and factors that contribute to incorrect diagnoses. Mov Disord. 2002;17(3):513–517. doi:https://doi.org/10.1002/mds.10119

    Article  Google Scholar 

  • Machowska-Majchrzak A, Pierzchała K, Pietraszek S. Analysis of selected parameters of tremor recorded by a biaxial accelerometer in patients with parkinsonian tremor, essential tremor and cerebellar tremor. Neurol Neurochir Pol. 2007;41(3):241–250.

    Google Scholar 

  • Manto M. Clinical signs of cerebellar disorders. In: The Cerebellum and Its Disorders. Manto MU and Pandolfo M (eds). Cambridge, UK: Cambridge University Press, 2002.

    Google Scholar 

  • Manto M, Sauvage C, Roark RM. Unifying hypothesis for the motoneuronal code in neurological disorders. Biosci Hypoth. 2008;2:93–99. doi:https://doi.org/10.1016/j.bihy.2008.02.011

    Article  Google Scholar 

  • Masur H, Papke K. Scale and Scores in Neurology. Quantification of Neurological deficits In Research and Practice. Stuttgart: Thieme, 2004.

    Google Scholar 

  • Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for the Nine Hole Peg Test of finger dexterity. Occup Ther J Res. 1985;5:1:24–37.

    Google Scholar 

  • McAuley J, Rothwell J. Identification of psychogenic, dystonic, and other organic tremors by a coherence entrainment test. Mov Disord. 2004;19(3):253–267.

    Article  Google Scholar 

  • Miralles F, Tarongí S, Espino A. Quantification of the drawing of an Archimedes spiral through the analysis of its digitized picture. J Neurosci Methods. 2006;152(1–2):18–31.

    Google Scholar 

  • Morrison S, Newell KM. Postural and resting tremor in the upper limb. Clin Neurophysiol. 2000; 111(4):651–663. doi:https://doi.org/10.1016/S1388-2457(99)00302-8

    Article  Google Scholar 

  • Raethjen J, Austermann K, Witt K, Zeuner KE, Papengut F, Deuschl G. Provocation of Parkinsonian tremor. Mov Disord. 2008;15:1019–1023. doi:https://doi.org/10.1002/mds.22014

    Article  Google Scholar 

  • Rocon E, Pons JL, Andrade AO, Nasuto SJ. Application of EMD as a novel technique for the study of tremor time series. Conf Proc IEEE Eng Med Biol Soc. 2006;(Suppl):6533–6536.

    Google Scholar 

  • Stacy MA, Elble RJ, Ondo WG, Wu SC, Hulihan J; TRS study group. Assessment of interrater and intrarater reliability of the Fahn–Tolosa–Marin Tremor Rating Scale in essential tremor. Mov Disord. 2007;22(6):833–838.

    Article  Google Scholar 

  • Swider M. The application of video image processing to quantitative analysis of extremity tremor in humans. J Neurosci Methods. 1998;84(1–2):167–172. doi:https://doi.org/10.1016/S0165-0270(98)00111-3

  • Teodorescu HL, Kandel A, Hall LO. Report of research activities in fuzzy AI and medicine at USF CSE. Artif Intell Med. 2001;21(1–3):177–183. doi:https://doi.org/10.1016/S0933-3657(00)00083-X

  • Timmer J, Lauk M, Köster B, Hellwig B, Häußler S, Guschlbauer B, Radt V, Eichler M, Deuschl G, Lücking CH. Cross spectral analysis of tremor time series. Int J Bifurc Chaos. 2000;10: 2595–2610.

    Google Scholar 

  • Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH, Wessel K, Bryer A, Diener HC, Massaquoi S, Gomez CM, Coutinho P, Ben Hamida M, Campanella G, Filla A, Schut L, Timann D, Honnorat J, Nighoghossian N, Manyam B. International Cooperative Ataxia Rating Scale for pharmacological assessment of the cerebellar syndrome. The Ataxia Neuropharmacology Committee of the World Federation of Neurology. J Neurol Sci. 1997;145(2):205–211. doi:https://doi.org/10.1016/S0022-510X(96)00231-6

    Article  Google Scholar 

  • van Rootselaar AF, Maurits NM, Renken R, Koelman JH, Hoogduin JM, Leenders KL, Tijssen MA. Simultaneous EMG-functional MRI recordings can directly relate hyperkinetic movements to brain activity. Hum Brain Mapp. 2007. doi:https://doi.org/10.1002/hbm.20477

  • Wong WY, Wong MS, Lo KH. Clinical applications of sensors for human posture and movement analysis: a review. Prosthet Orthot Int. 2007;31(1):62–75. doi:https://doi.org/10.1080/03093640600983949

    Article  Google Scholar 

  • Zhang T, Wei G, Yan Z, Ding M, Li C, Ding H, Xu S. Quantitative assessment of Parkinson’s disease deficits. Chin Med J (Engl). 1999;112(9):812–815.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Nature Switzerland AG

About this chapter

Cite this chapter

Grimaldi, G., Manto, M. (2008). Quantification of Tremor. In: Tremor. Synthesis Lectures on Biomedical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-031-01627-1_6

Download citation

Publish with us

Policies and ethics