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Three Days of Measurement Provide Reliable Estimates of Daily Tremor Characteristics: A Pilot Study in Organic and Functional Tremor Patients Cover

Three Days of Measurement Provide Reliable Estimates of Daily Tremor Characteristics: A Pilot Study in Organic and Functional Tremor Patients

Open Access
|Apr 2021

Figures & Tables

tohm-11-1-603-g1.png
Figure 1

Number of days with usable data per patient. Each row represents a patient and each column the number of usable hours from one to twenty. The numbers inside each cell, represent the usable number of days for that patient and number of hours.

Table 1

General characteristics of the patients. Patient characteristics of the functional and organic tremor groups for analyzed patients. SD: standard deviation, IQR: interquartile range.

FUNCTIONAL TREMORORGANIC TREMOR
Number of patients1521
Age (years), mean (SD)61.5 (12.9)65.6 (11.1)
Sex (male/female)9/615/6
Disease duration (years), median (IQR)3.00 (5.25)10.00 (36.00)
Tremor presence across usable days (%), min-max6.9–47.33.7–85.8
Tremor frequency variability across usable days (IQR in Hz), min-max1.2–3.80.4–2.8
Tremor intensity across usable days (MAV), min-max0.2–21.20.1–15.3
tohm-11-1-603-g2.png
Figure 2

Cumulative median of the three tremor characteristics. Mean subtracted plots for tremor percentage (upper) and tremor frequency variability (middle) and tremor intensity (lower). Each line represents a patient.

Table 2

Results of the three tremor characteristics. Summary of the results obtained for tremor percentage, tremor frequency variability and tremor intensity for the three groups (whole group, FT: functional tremor and OT: organic tremor). Results are reported as median (iqr), for non-normally distributed tremor percentage and tremor intensity data and as mean (SD) for normally distributed tremor frequency variability data.

TREMOR PERCENTAGETREMOR FREQUENCY VARIABILITYTREMOR INTENSITY
WHOLE GROUPOTFTWHOLE GROUPOTFTWHOLE GROUPOTFT
Day122.8 (19.1)24.5 (18.3)18.6 (18.8)1.6 (0.6)1.4 (0.5)1.9 (0.6)0.9 (2.6)0.9 (2.7)0.9 (2.6)
Day223.7 (18.6)32.5 (18.7)19.7 (16.7)1.7 (0.6)1.4 (0.5)2.1 (0.5)1.2 (2.3)1.3 (2.8)1.2 (2.1)
Day324.0 (15.9)24.6 (17.6)17.5 (13.7)1.7 (0.5)1.4 (0.4)2.1 (0.3)0.9 (2.1)0.9 (2.1)1.6 (2.8)
Day425.1 (19.3)29.6 (22.4)22.5 (10.8)1.6 (0.6)1.3 (0.5)2.0 (0.5)0.7 (1.1)0.9 (1.5)0.6 (0.9)
Day523.9 (22.5)25.1 (22.2)23.4 (13.9)1.7 (0.6)1.5 (0.5)2.0 (0.6)0.6 (2.0)0.6 (3.3)0.6 (0.7)
Day623.9 (21.1)28.3 (24.0)17.8 (11.7)1.8 (0.7)1.6 (0.7)2.2 (0.7)0.7 (1.7)1.1 (3.5)0.6 (0.6)
Day722.8 (16.7)27.7 (17.5)20.3 (11.1)1.7 (0.6)1.4 (0.5)2.1 (0.5)1.2 (2.4)1.0 (2.4)1.4 (2.3)
Day821.6 (15.4)28.4 (22.3)18.5 (11.4)1.7 (0.6)1.3 (0.4)2.1 (0.6)0.8 (2.7)0.6 (1.9)1.4 (3.0)
Day922.3 (19.8)24.9 (22.2)15.2 (13.8)1.7 (0.7)1.3 (0.5)2.1 (0.6)0.7 (2.5)0.7 (2.6)0.7 (2.1)
Day1025.4 (18.6)27.5 (19.8)18.6 (12.9)1.7 (0.6)1.5 (0.6)2.1 (0.5)0.7 (1.9)0.7 (1.9)0.7 (1.9)
Day1123.9 (17.4)25.6 (16.2)16.9 (12.4)1.7 (0.7)1.4 (0.5)2.2 (0.6)0.7 (1.9)0.9 (1.8)0.7 (1.8)
Day1224.3 (17.4)26.6 (18.3)18.3 (14.2)1.7 (0.6)1.5 (0.5)2.1 (0.7)0.7 (1.5)0.5 (0.9)0.9 (2.6)
Table 3

ICC values for the three tremor characteristics. ICC values for all groups and different time frames from 1 to 10 hrs. Cells with (*) indicate an ICC value higher than 0.75.

TIME PER DAY (HRS)
12345678910
Tremor percentageCombined0.720.78*0.80*0.82*0.83*0.84*0.85*0.86*0.87*0.87*
OT0.720.79*0.82*0.84*0.84*0.85*0.86*0.87*0.87*0.88*
FT0.660.740.740.740.76*0.78*0.80*0.82*0.84*0.82*
Tremor frequencyCombined0.560.640.720.750.76*0.78*0.81*0.81*0.82*0.83*
OT0.420.450.510.590.600.630.660.660.670.71
FT0.530.630.750.740.77*0.78*0.82*0.82*0.83*0.83*
Tremor intensityCombined0.520.600.640.690.710.710.700.720.740.77*
OT0.460.590.650.720.750.730.700.700.720.72
FT0.600.620.650.650.670.690.710.740.77*0.83*
Table 4

Results from the reliability analysis using Spearman-Brown formula. Reliability analysis using the Spearman-Brown formula, each number in the cell represents the new ICC value and the number between brackets is the number of days needed to obtain such reliability value. Here, NA stands for Non-Applicable since the ICC value for a single day is already higher that 0.75 (Table 3).

TIME PER DAY (HRS)
12345678910
Tremor percentageCombined0.83 (2)NANANANANANANANANA
OT0.83 (2)NANANANANANANANANA
FT0.79 (2)0.85 (2)0.85 (2)0.85 (2)NANANANANANA
Tremor frequencyCombined0.79 (3)0.78 (2)0.83 (2)0.85 (2)NANANANANANA
OT0.78 (5)0.77 (4)0.76 (3)0.81 (3)0.81 (3)0.81 (3)0.79 (2)0.80 (2)0.80 (2)0.83 (2)
FT0.77 (3)0.77 (2)0.85 (2)0.85 (2)NANANANANANA
Tremor intensityCombined0.76 (3)0.81 (3)0.78 (2)0.81 (2)0.83 (2)0.83 (2)0.79 (4)0.82 (2)0.84 (2)NA
OT0.77 (4)0.81 (3)0.79 (2)0.83 (2)0.84 (2)0.84 (2)0.80 (3)0.82 (2)0.83 (2)0.83 (2)
FT0.76 (2)0.81 (3)0.77 (2)0.78 (2)0.80 (2)0.81 (2)0.78 (5)0.83 (2)0.86 (2)NA
DOI: https://doi.org/10.5334/tohm.603 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 19, 2021
Accepted on: Apr 1, 2021
Published on: Apr 21, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Zeus T. Dominguez-Vega, Gerrit Gerrit, Jan Willem J. Elting, Marina A. J. Tijssen, Natasha M. Maurits, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.