MOVEMENT DISORDERS-TREMORS

SUMMARY

ESSENTIAL TREMORS
1. Affects 5% of patients over 60yrs; early life-onset or senile-onset; benign; familial (AD inheritance) or sporadic.
2. Posture-maintaining tremor assoc. with sustained muscle contractions or stress.
3. Tremor attenuates with small mount of alcohol. Treatment: propanolol, anti-cholinergics, DBS insertion or surgical thalamotomy.

INTENTION TREMOR
4. Occurs with movement from point to point, often at the end of a purposeful movement.
5. Cerebellar tremor is a common example, minimally treatable, wrist-weights can help.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.