Upper-Extremity Disability in Essential Tremor

Abstract 

Héroux ME, Parisi SL, Larocerie-Salgado J, Norman KE. Upper-extremity disability in essential tremor.

Objective

To determine the extent of disability in subjects with essential tremor (ET) using time-based, standardized measures of upper-extremity function.

Design

Descriptive case series.

Setting

Motor performance research laboratory.

Participants

Thirty subjects with ET (mean age, 58.3±13.7y) and 28 healthy controls (mean age, 58.4±12.4y).

Interventions

Not applicable.

Main Outcome Measures

We assessed upper-extremity function using the Box and Block Test, Purdue Pegboard Test (PPT), and Test Évaluant la performance des Membres supérieurs des Personnes Âgées (TEMPA). We measured tremor severity with laser displacement sensors.

Results

Subjects with ET-type tremor in 1 or both hands performed significantly worse than controls on all unilateral and bilateral tasks (P range, .038–.001) except on the PPT for the dominant side. ET subjects without ET-type tremor in the dominant hand also performed significantly worse than controls on the TEMPA unilateral tasks (P=.043). Performance on the 3 functional measures correlated moderately with tremor severity for the nondominant hand.

Conclusions

Subjects with ET show measurable disability on time-based measures of upper-extremity function. However, our findings are consistent with other reports that tremor severity does not correlate well with disability, especially with regard to the dominant upper extremity.

Key Words:  Disability evaluation , Essential tremor , Hand , Rehabilitation , Upper extremity