Physical Therapy for a Patient with Essential Tremor and Prolonged Deep Brain Stimulation: A Case Report

Tremor Other Hyperkinet Mov (N Y). 2017 Mar 15:7:448. doi: 10.7916/D8X92H0G. eCollection 2017.

Abstract

Background: There is a lack of evidence examining the role of physical therapy (PT) to address movement dysfunction for individuals with essential tremor (ET).

Case report: A 61-year-old male with ET and prolonged bilateral deep brain stimulation (DBS) completed 14 sessions of outpatient PT that emphasized balance, functional movements, and proximal stability training with an integration of principles of body awareness training and visual motor coordination. Improvements were noted in all outcome measures.

Discussion: This report describes a novel PT approach that offers a promising means of improving functional mobility and balance while decreasing falls risk in patients with ET.

Keywords: Essential tremor; body awareness training; deep brain stimulation; physical therapy; visual motor coordination.