Evidence map›Paper›PMID 38748348›Full record

ArticleCerebellum (London, England)2024

Insight into the Relationship Between Motor and Cognitive Symptoms in Essential Tremor.

Giulia Paparella, Luca Angelini, Roberta Margiotta, Massimiliano Passaretti, Daniele Birreci, Davide Costa, Antonio Cannavacciuolo, Martina De Riggi, Danilo Alunni Fegatelli, Matteo Bologna

Abstract read
In one paragraph

Article in Cerebellum (London, England), 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The spectrum of square wave jerks in essential tremor: an exploratory study.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  6. Neuropsychiatric, stress-related symptoms and essential tremor clinical variability.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  7. Analyzing the 'Bradykinesia Complex' in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  8. Article
  9. Pathophysiological Role of Primary Motor Cortex in Essential Tremor.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  10. Aging, frailty, and their effects on motor performance: evidence from kinematic analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    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.

Giulia PaparellaDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Luca AngeliniIRCCS Neuromed, Pozzilli, IS, Italy.
Roberta MargiottaDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Massimiliano PassarettiDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Daniele BirreciDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Davide CostaIRCCS Neuromed, Pozzilli, IS, Italy.
Antonio CannavacciuoloIRCCS Neuromed, Pozzilli, IS, Italy.
Martina De RiggiDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Danilo Alunni FegatelliDepartment of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy.
Matteo BolognaDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy. matteo.bologna@uniroma1.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Essential tremor (ET) is a heterogeneous disorder characterized by bilateral upper limbs action tremor and, possibly, neurological signs of uncertain significance, including voluntary movement abnormalities and cognitive disturbances, i.e., the so-called 'soft' signs configuring the ET-plus definition. While motor and cognitive disturbances often coexist in ET, their interrelationship remains largely unexplored. Here we aim to further investigate the relationship between motor symptoms, objectively assessed through kinematic analysis, and cognitive dysfunctions in ET. Seventy ET patients underwent clinical examination, as well as kinematic recordings of tremor and finger tapping and a thorough cognitive assessment. We then tested clinic-demographic and kinematic differences between patients with and without cognitive abnormalities, i.e., with mild cognitive impairment (MCI). Correlation analysis served to explore potential associations between kinematic and cognitive data. Forty-three ET patients (61.42%) had MCI. ET-MCI patients exhibited reduced movement velocity during finger tapping compared to those with normal cognition (p < 0.001). Lower movement velocity during finger tapping was associated with poorer cognitive performance. Namely, we observed a correlation between movement velocity and performance on the Babcock Story Immediate and Delayed Recall Test (r = 0.52 and r = 0.45, both p < 0.001), as well as the interference memory task at 10 and 30 s (r = 0.3, p = 0.008 and r = 0.2, p = 0.03). In this study, we have provided data for a better pathophysiological interpretation of motor and cognitive signs in ET, including the role played by the cerebellum or extra-cerebellar areas, which possibly underpin both signs.

Indexed as

Cognitive DysfunctionEssential TremorAgedAged, 80 and overBiomechanical PhenomenaCognitionFemaleHumansMaleMiddle AgedNeuropsychological TestsPsychomotor PerformanceBradykinesiaCognitive impairmentEssential tremorEssential tremor-plusNeuropsychology

Identifiers

PMID38748348
PMCPMC11489240

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.