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Intention Tremor Severity Trajectory: Results from a Prospective Longitudinal Study of Essential Tremor Cover

Intention Tremor Severity Trajectory: Results from a Prospective Longitudinal Study of Essential Tremor

Open Access
|Feb 2026

Figures & Tables

Table 1

Baseline Demographic and Clinical Features of 90 ET Cases.

VARIABLEDATA
Age (years)77.5 ± 9.1 (range = 58–95)
Female sex51 (56.7)
Education (years)16.0 ± 2.5
Family history of ET43 (47.8)
Duration of tremor (years)38.7 ± 21.2 (range = 2–86)
Has been prescribed medication for ET75 (83.3)
IT score0.89 ± 0.60 (range = 0–2)
Spiral score4.12 ± 1.27 (1.5–6)
Postural tremor score2.60 ± 1.34 (0–6)
Total Tremor Score23.7 ± 5.6 (range = 10.5–35)

[i] Values represent mean ± standard deviation unless specified otherwise.

ET = essential tremor, IT = intention tremor.

Table 2

MANOVA Models Assessing Time Effects.

CONDITIONT1T2T3T4MANOVA (TIME EFFECT)
IT score0.89 ± 0.600.86 ± 0.750.99 ± 0.521.16 ± 0.63
> T3
> T2
> T1
0.001
Spiral score4.10 ± 1.284.34 ± 1.524.15 ± 1.124.08 ± 1.200.088
Postural tremor score2.62 ± 1.342.98 ± 1.40
>T1
2.26 ± 1.47
<T2
<T1
2.53 ± 1.60
<T2
< 0.001

[i] IT = Intention tremor, T = time.

>T3 = value significantly greater than the T3 value at p < 0.05 (paired sample-t test).

>T2 = value significantly greater than the T2 value at p < 0.05 (paired sample-t test).

>T1 = value significantly greater than the T1 value at p < 0.05 (paired sample-t test).

<T2 = value significantly less than the T2 value at p < 0.05 (paired sample-t test).

<T1 = value significantly less than the T1 value at p < 0.05 (paired sample-t test).

Table 3

Baseline Demographic and Clinical Features of ET Cases Stratified into Three Groups Values represent mean ± standard deviation unless specified otherwise.

VARIABLET1 > T4aT1 = T4aT1 < T4aSIGNIFICANCE
n202446
Age (years)77.0 ± 10.478.4 ± 8.777.3 ± 9.0p = 0.86b
Female sex10 (50.0)13 (54.2)28 (60.9)p = 0.69c
Family history of ET8 (40.0)11 (45.8)24 (52.2)p = 0.65c
Duration of tremor (years)34.2 ± 23.538.7 ± 20.240.6 ± 20.9p = 0.54b
Has been prescribed medication for ET15 (75.0)21 (87.5)39 (84.8)p = 0.50c
Total Tremor Score24.3 ± 6.023.9 ± 5.823.4 ± 5.4p = 0.84b

[i] ET = essential tremor.

a T1 >T4 (IT score at T1 > IT score at T4), T1 = T4 (IT score at T1 = IT score at T4), T1 < T4 (IT score at T1 < IT score at T4).

b One-way ANOVA.

c Chi square test.

DOI: https://doi.org/10.5334/tohm.1141 | Journal eISSN: 2160-8288
Language: English
Submitted on: Nov 24, 2025
|
Accepted on: Jan 21, 2026
|
Published on: Feb 4, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Elan D. Louis, Diane S. Berry, Nora C. Hernandez, Ethan Wainman, Ericka D. Carter, Vibhash D. Sharma, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.