Evidence map›Paper›PMID 31712728›Full record

ArticleScientific reports2019

Mechanical vibration does not systematically reduce the tremor in essential tremor patients.

Julio Salvador Lora-Millán, Roberto López-Blanco, Juan Álvaro Gallego, Antonio Méndez-Guerrero, Jesús González de la Aleja, Eduardo Rocon

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Peripheral electrical stimulation to reduce pathological tremor: a review.Journal of neuroengineering and rehabilitation · 2021
    Review
  7. Review
  8. The Validation of Tremor-Cancelling Technologies Needs a Multidisciplinary Consensus Statement.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Julio Salvador Lora-MillánCentre for Automation and Robotics (CAR), CSIC-UPM, Madrid, Spain.ORCID http://orcid.org/0000-0001-5968-5786
Roberto López-BlancoHealthcare Research Institute, Hospital Universitario 12 de Octubre, Madrid, Spain.
Juan Álvaro GallegoCentre for Automation and Robotics (CAR), CSIC-UPM, Madrid, Spain.ORCID http://orcid.org/0000-0003-2146-0703
Antonio Méndez-GuerreroNeurology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Jesús González de la AlejaNeurology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Eduardo RoconCentre for Automation and Robotics (CAR), CSIC-UPM, Madrid, Spain. e.rocon@csic.es.ORCID http://orcid.org/0000-0001-9618-2176
Centre for Automation and Robotics · ESHospital Universitario 12 De Octubre · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Essential tremor (ET) is a major cause of disability and is not effectively managed in half of the patients. We investigated whether mechanical vibration could reduce tremor in ET by selectively recruiting afferent pathways. We used piezoelectric actuators to deliver vibratory stimuli to the hand and forearm during long trials (4 min), while we monitored the tremor using inertial sensors. We analyzed the effect of four stimulation strategies, including different constant and variable vibration frequencies, in 18 ET patients. Although there was not a clear homogeneous response to vibration across patients and strategies, in most cases (50-72%) mechanical vibration was associated with an increase in the amplitude of their tremor. In contrast, the tremor was reduced in 5-22% of the patients, depending on the strategy. However, these results are hard to interpret given the intrinsic variability of the tremor: during equally long trials without vibration, the tremor changed significantly in 67% of the patients (increased in 45%; decreased in 22%). We conclude that mechanical vibration of the limb does not have a systematic effect on tremor in ET. Moreover, the observed intrinsic variability of the tremor should be taken into account when designing future experiments to assess tremor in ET and how it responds to any intervention.

Indexed as

Muscle ContractionVibrationAgedAged, 80 and overEssential TremorFemaleHumansMaleMiddle AgedMusclesSpainTremor

Identifiers

PMID31712728
PMCPMC6848159
OpenAlexW2986318758

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.