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2015 ; 5
(3
): 471-4
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The Clinical Evaluation of Parkinson s Tremor
#MMPMID26406126
Zach H
; Dirkx M
; Bloem BR
; Helmich RC
J Parkinsons Dis
2015[]; 5
(3
): 471-4
PMID26406126
show ga
Parkinson's disease harbours many different tremors that differ in distribution,
frequency, and context in which they occur. A good clinical tremor assessment is
important for weighing up possible differential diagnoses of Parkinson's disease,
but also to measure the severity of the tremor as a basis for further tailored
treatment. This can be challenging, because Parkinson's tremor amplitude is
typically very variable and context-dependent. Here, we outline how we
investigate Parkinson's tremor in the clinic. We describe a simple set of
clinical tasks that can be used to constrain tremor variability (cognitive and
motor co-activation, several specific limb postures). This may help to adequately
characterize the tremor(s) occurring in a patient with Parkinson's disease.