Evidence map›Paper›PMID 33010725›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2020

Distribution of tremor among the major degrees of freedom of the upper limb in subjects with Essential Tremor.

Adam C Pigg, Johanna Thompson-Westra, Karin Mente, Carine W Maurer, Dietrich Haubenberger, Mark Hallett, Steven K Charles

Open access · greenAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Essential Tremor Suppression with a Novel Anti-Tremor Orthosis: A Randomized Crossover Trial.Movement disorders : official journal of the Movement Disorder Society · 2025
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Distribution of tremorogenic activity among the major superficial muscles of the upper limb in persons with Essential tremor.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2022
    Article
  12. Article
  13. 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

7 authors at 2 institutions in 1 country.

Adam C PiggMechanical Engineering, Brigham Young University, Provo, UT 84602, USA.
Johanna Thompson-WestraClinical Trials Unit, Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892, USA.
Karin MenteHuman Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892, USA.
Carine W MaurerHuman Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892, USA.
Dietrich HaubenbergerClinical Trials Unit, Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892, USA.
Mark HallettHuman Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892, USA.
Steven K CharlesMechanical Engineering, Brigham Young University, Provo, UT 84602, USA; Neuroscience, Brigham Young University, Provo, UT 84602, USA. Electronic address: skcharles@byu.edu.
National Institute of Neurological Disorders and Stroke · USBrigham Young University · US

Funding

Quantitative Characterization of Essential Tremor for Future Tremor SuppressionR15NS087447 · NINDS · BRIGHAM YOUNG UNIVERSITY · PI CHARLES, STEVEN KNIGHT · 2015 to 2021
$868k
NINDS NIH HHS R15 NS087447
6 · The paper itself

Abstract

objectiveAlthough Essential Tremor is one of the most common movement disorders, we do not currently know which muscles are most responsible for tremor. Determining this requires multiple steps, one of which is characterizing the distribution of tremor among the degrees of freedom (DOF) of the upper limb.

methodsUpper-limb motion was recorded while 22 subjects with ET performed postural and kinetic tasks involving a variety of limb configurations. We calculated the mean distribution of tremor among the seven DOF from the shoulder to the wrist, as well as the effect of limb configuration, repetition, and subject characteristics (sex, tremor onset, duration, and severity) on the distribution.

resultsOn average, kinetic tremor was greatest in forearm pronation-supination and wrist flexion-extension, intermediate in shoulder internal-external rotation and wrist radial-ulnar deviation and then shoulder flexion-extension and elbow flexion-extension, and least in shoulder abduction-adduction. The average distribution of postural tremor was similar except for forearm pronation-supination, which played a smaller role than in kinetic tremor. Limb configuration and subject characteristics did significantly affect tremor, but practically only in forearm pronation-supination and wrist flexion-extension. There were no significant differences between repetitions, indicating that the distribution was consistent over the duration of the experiment.

conclusionsThis paper presents a thorough characterization of tremor distribution from the shoulder to the wrist. SIGNIFICANCE: Understanding which DOF exhibit the most tremor may lead to more targeted peripheral tremor suppression.

Indexed as

AgedAged, 80 and overBiomechanical PhenomenaEssential TremorFemaleHumansMaleMiddle AgedMovementPosturePronationRange of Motion, ArticularSupinationTremorUpper ExtremityYoung AdultDegrees of freedomEssential tremorInverse kinematicsMotion capturePower spectral densityTremor distributionUpper limb

Identifiers

PMID33010725
PMCPMC7606740
OpenAlexW3081973058

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.