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Underlying Tremor Improvement with Consistent Use of Transcutaneous Afferent Patterned Stimulation in Patients with Essential Tremor Cover

Underlying Tremor Improvement with Consistent Use of Transcutaneous Afferent Patterned Stimulation in Patients with Essential Tremor

Open Access
|Jan 2026

Figures & Tables

tohm-16-1-1091-g1.png
Figure 1

(A) Average BF-ADL dominant hand score (left, scale range 8 to 32) and TETRAS dominant hand score (right, scale range 0–24) are shown pre- and post-stimulation conducted at each in-clinic visit. Analysis of underlying tremor response (changes in BF-ADL and TETRAS scores) demonstrated that TAPS significantly improved underlying tremor severity, as measured by the pre-stimulation assessment, as well as providing tremor improvement post-stimulation as previously reported [5]. The origin of 16 (BF-ADL) and 12 (TETRAS) reflects an average score of 2 (i.e., ‘mild’) per task. Error bars represent ±1 SE and * indicates p < 0.001. (B) The percentage of patients who improved from pre-stimulation at enrollment are shown for both 1-month and 3-month visits. Analysis of the responder rate demonstrated that over 80% of patients demonstrated underlying tremor improvement as measured pre-stimulation and at least 90% improved post-stimulation.

Table 1

Pre-Stimulation Tremor Improvement by TAPS Usage at 1-Month and 3-Month Visits.

FOLLOW-UP TIMEUSAGEaNAVERAGE DAILY USAGETOTAL SCORE IMPROVEMENT (PRE-STIM)RESPONDER RATE
BF-ADLTETRASBF-ADLTETRAS
1-MonthHigh1541.8 ± 0.02.2 ± 0.30.8 ± 0.285.1%80.5%
Low381.0 ± 0.11.4 ± 0.60.8 ± 0.481.6%84.2%
3-MonthHigh1401.8 ± 0.02.7 ± 0.31.0 ± 0.286.4%83.6%
Low521.1 ± 0.02.7 ± 0.60.3 ± 0.482.7%78.9%

[i] Note: Descriptive statistics are reported in mean ± SE or percentages.

aHigh usage defined as use above the average number of daily sessions (i.e., 1.4 sessions per day) before the visit; low usage defined as below-average daily session use before the visit.

DOI: https://doi.org/10.5334/tohm.1091 | Journal eISSN: 2160-8288
Language: English
Submitted on: Sep 13, 2025
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Accepted on: Dec 23, 2025
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Published on: Jan 9, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Stuart H. Isaacson, Elizabeth Peckham, Winona Tse, Melita T. Petrossian, Michael J. Soileau, Mark Lew, Cameron Dietiker, Nijee Luthra, Pinky Agarwal, Rohit Dhall, John Morgan, Ejaz A. Shamim, Holly A. Shill, Fernando L. Pagan, Pravin Khemani, Jessica Tate, Lan Luo, William Ondo, Mark Hallett, Chiahao Lu, Kathryn H. Rosenbluth, Scott L. Delp, Rajesh Pahwa, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.