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Figures & Tables

Table 1

Summary of Tremor Activity as Observed Visually and with EMG in Forearm Muscles

Visual Observation of Left HandLeft EDC EMGLeft EIP EMGLeft FDP EMGLeft FCR EMG
Sitting at rest, hands resting on lap
Finger to nose maneuverTT (1)
Standing with arms at rest at side
Standing with arms at side and making a loose fist with left hand++
Standing with arms at side and making a tight fist with left hand++
Standing with arms outstretched, hands open
Standing with arm outstretched, making a tight fist with left hand+++
Standing and holding a light object (1-lb weight) in left hand+
Standing and holding a heavy object (5-lb weight) in left hand++++
Standing and holding a heavy object (10-lb weight) in left hand++++

[i] EDC, Extensor Digitorum Communis; EIP, Extensor Indicis Proprius; EMG, Electromyography; FCR, Flexor Carpi Radialis; FDP, Flexor Digitorum Profundus; TT, Terminal Tremor; (1), Seen Intermittently; –, No Tremor Seen; +, Tremor Activity Present.

Video 1.

Subject sitting with left arm at rest, no tremor noted.

Video 2.

Subject standing with left arm at rest, no tremor noted.

Video 3.

Subject is instructed to make a first with his left hand while standing, and low amplitude tremor noted.

Video 4.

Subject with arms outstretched, no tremor noted in either hand.

Video 5.

When making a first with arms outstretched, tremor noted in left hand only.

Video 6.

Subject holds a 1 lb (0.45 kg) weight in left hand while sitting, and low amplitude tremor is noted.

Video 7.

Subject notes a 10 lb (4.54 kg) weight while sitting, producing higher amplitude tremor.

Video 8.

Subject holds a 1 lb (0.45 kg) weight in left hand while standing, and tremor is noted.

Video 9.

Subject holds a 10 lb (4.54 kg) weight while standing, producing the highest amplitude tremor, leading the physician to positively correlate weight of the held object with tremor amplitude.

DOI: https://doi.org/10.5334/tohm.213 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jul 9, 2013
Accepted on: Nov 14, 2013
Published on: Jan 8, 2014
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2014 Theresa Zesiewicz, Tuan Vu, Michael A. Carranza, Rachel Appelbaum, Madeline Snyder, Joseph S. Staffetti, Kevin G. Allison, William R. Shimberg, Elan D. Louis, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.