Evidence map›Paper›PMID 38386479›Full record

ArticleMovement disorders clinical practice2024

Essential Tremor and Essential Tremor Plus Are Essentially Similar Electrophysiologically.

Roopa Rajan, Reghu Anandapadmanabhan, Aayushi Vishnoi, Anna Latorre, Nivethida Thirugnanasambandam, Alish Dipani, Deblina Biswas, Divya M Radhakrishnan, Achal Srivastava, Kailash P Bhatia

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Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Phenotypical Differentiation of Tremor Using Time Series Feature Extraction and Machine Learning.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  3. Defining the Rhythm: Developing a New Method to Describe Tremor and Myoclonus.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  4. Article
  5. Pathophysiological Role of Primary Motor Cortex in Essential Tremor.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  6. Article
  7. Medication Adherence in Chinese Patients with Essential Tremor: A Real World Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Six Myths and Misconceptions about Essential Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
  12. 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

10 authors at 4 institutions in 2 countries.

Roopa RajanAll India Institute of Medical Sciences (AIIMS), New Delhi, India.
Reghu AnandapadmanabhanAll India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID 0000-0003-0061-2800
Aayushi VishnoiAll India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID 0000-0002-3555-3428
Anna LatorreUniversity College London Hospitals (UCL), London, United Kingdom.ORCID 0000-0001-7103-5209
Nivethida ThirugnanasambandamIndian Institute of Technology (IIT), Bombay, India.ORCID 0000-0002-4834-3016
Alish DipaniNational Brain Research Centre (NBRC), Manesar, India.
Deblina BiswasAll India Institute of Medical Sciences (AIIMS), New Delhi, India.
Divya M RadhakrishnanAll India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID 0000-0002-0641-7398
Achal SrivastavaAll India Institute of Medical Sciences (AIIMS), New Delhi, India.ORCID 0000-0002-4590-7947
Kailash P BhatiaUniversity College London Hospitals (UCL), London, United Kingdom.ORCID 0000-0001-8185-286X
All India Institute of Medical Sciences · INUniversity College Hospital · GBIndian Institute of Technology Bombay · INNational Brain Research Centre · IN

Funding

AIIMS-University College London Collaborative Research Project F.8.UCL-6/2020/RS
6 · The paper itself

Abstract

backgroundThe merits of classifying the heterogeneous group of essential tremors into essential tremor (ET) and essential tremor plus (ETP) are debated.

objectivesWe studied the electrophysiological and spiral characteristics of tremor in ET and ETP.

methodsWe reviewed standardized videos from a tremor database and clinically classified patients into ET, ETP, or dystonic tremor (DT). The following variables were derived from combined tri-axial accelerometry-surface electromyography (EMG)-peak frequency, total power, peak power, full width half maximum, tremor stability index and EMG-coherence. We analyzed hand-drawn spirals to derive mean deviation, tremor variability, inter-, and intra-loop widths. We compared these variables among the groups.

resultsWe recruited 72 participants (81.9% male) with mean age 47.7 ± 16.1 years and Fahn-Tolosa-Marin Tremor Rating Scale total score 31.1 ± 14.1. Patients with ET were younger (P = 0.014) and had less severe tremor (P = 0.020) compared to ETP and DT. In ETP group, 48.6% had subtle dystonia. Peak frequency was greater in ETP (7.3 ± 0.3 Hz) compared to DT (6.1 ± 0.4 Hz; P = 0.024). Peak power was greater in ETP and DT for postural tremor. Rest tremor was recordable on accelerometry in 26.7% of ET. Other variables were similar among the groups.

conclusionElectrophysiological evaluation revealed postural tremor of frequency 6 to 7 Hz in ET, ETP, and DT with subtle differences more severe tremor in ETP and DT, and higher frequency in ETP compared to DT. Our findings suggest a similar tremor oscillator in these conditions, supporting the view that these entities are part of a spectrum of tremor disorders, rather than distinct etiological entities.

Indexed as

DystoniaDystonic DisordersEssential TremorAdultElectromyographyFemaleHumansMaleMiddle Agedelectrophysiologyessential tremoressential tremor plus

Identifiers

PMID38386479
PMCPMC10883406
OpenAlexW4389038673

What OpenQuestion holds

Textmetadata
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.