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Using Portable Transducers to Measure Tremor Severity Cover

Using Portable Transducers to Measure Tremor Severity

Open Access
|May 2016

Figures & Tables

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Figure 1

Cartoon of a Motion Sensor (Green) Mounted on the Dorsum of the Hand. In general, tremor in a body part will consist of rotation and translation in three-dimensional space. Many modern motion sensors contain a triaxial accelerometer and gyroscope for capturing this motion.

Table 1

Examples of Motion Transducers and their Technical Specifications

SensorAxesRangeMassResolutionAccuracySampling Rate (samples/s)Recording Duration
Kinesia One
 Accelerometer3±5 g8.5 grams12 bit±2%648 hr
 Gyroscope3±2000 deg/s±4%648 hr
ADPM Opal
 Accelerometer3±6 g or ±2 g22 grams14 bit2%20-12812-24 hr**
 Gyroscope3±2000 deg/s*2%
ActiGraph GT9X
 Accelerometer3±16 g14 grams16 bit3%100>24 hr
 Gyroscope3±2000 deg/s4%100
Wacom Intuos tablets2≥10 cm***≥700 grams***0.005 mm±0.25 mm≥100As long as the pen is on the tablet

* ±2000 deg/s for axes X and Y, and ±1500 deg/s for axis Z

** Depends on sampling rate: 12 hr when data are sampled at 128/s

*** Depends on the size of the tablet

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Figure 2

Amplitude Spectra (Degrees/Second) of Hand Tremor Recorded with a Gyroscope Transducer. Tremor was recorded from the dorsum of the hand while the upper limb was at rest, extended horizontally and anteriorly, and while performing finger-to-nose movements (graphs left to right). The patient has a Holmes tremor due to a previous midbrain hemorrhage. The tremor spectral peaks are very sharp during rest and posture. During movement, the tremor peak is superimposed on spectral activity produced by the voluntary movement. The mean tremor amplitude in degrees is the peak amplitude divided by 2πf, where f is the tremor frequency (3.8 Hz).

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Figure 3

Tremor in an Archimedes Spiral Recorded with a Digitizing Tablet. In the left column, the X component of an Archimedes spiral (displacement) is shown with its first and second derivatives (velocity and acceleration), computed with a frequency impulse response differentiator in MATLAB. The power spectrum of displacement, velocity, and acceleration are shown on the right. Note how differentiation accentuates the 4.3 Hz tremor relative to the lower-frequency voluntary movement.

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Figure 4

The Time-frequency Power Spectrum of Tremor Recorded with a Triaxial Gyroscope on the Wrist of a Patient with Parkinson Disease. This recording was made during normal uncontrolled activities. The resultant power spectrum is the sum of the power spectra of the X, Y, and Z channels. The image color intensity shows how the signal power (radians2/second2; 2π radians = 360 degrees) is distributed over time and frequency. Note how the presence and amplitude of tremor fluctuate with time. The 5 Hz tremor nearly stops at 21 minutes, when there is an abrupt increase in normal voluntary movement.

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Figure 5

Tremor from 19 Patients with Essential Tremor Recorded with a Digitizing Tablet while Each Patient drew the Large and Small Archimedes Spirals of the Fahn–Tolosa–Marín (FTM) Scale. The average tremor amplitude (T) and average tremor rating (FTM) of the four spirals (two with each hand) are plotted on a log base 10 scale. The regression line and equation are shown. A logarithmic relationship between transducer measure and tremor rating has been found for all transducers used in tremor studies.

DOI: https://doi.org/10.5334/tohm.320 | Journal eISSN: 2160-8288
Language: English
Submitted on: Feb 29, 2016
Accepted on: Mar 23, 2016
Published on: May 17, 2016
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2016 Rodger J. Elble, James McNames, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.