Effect of eccentric-based rehabilitation on hand tremor intensity in Parkinson disease

Neurol Sci. 2020 Mar;41(3):637-643. doi: 10.1007/s10072-019-04106-9. Epub 2019 Nov 18.

Abstract

Background and purpose: Hand tremor is a disturbing yet sometimes resistant symptom in persons with Parkinson disease (PD). Although many exercise regimens for these people have gained attention in recent years, the effect of resistance training and especially eccentric training on parkinsonian tremor is still uncertain. This study was conducted to investigate the precise effect of upper limb eccentric training on hand tremor in PD.

Methods: In this randomized controlled trial, a consecutive sample of 21 persons with PD recruited from general hospitals went through 6 weeks of upper limb pure eccentric training as the intervention group (n = 11) or no additional exercise during this period as the control group (n = 10). Resting and postural tremor amplitudes were measured with the cellphone-based accelerometer.

Results: Comparing hand tremor amplitudes before and after the trial showed a significant reduction in resting tremor amplitude in the intervention group after exercise sessions (p < 0.05) while detecting no changes in the control group during 6 weeks of study. Meanwhile, postural tremor amplitude remained unchanged in both groups.

Keywords: Neurorehabilitation; Parkinson disease; Resistance training; Resting tremor.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Female
  • Hand / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Parkinson Disease / complications
  • Parkinson Disease / rehabilitation*
  • Resistance Training* / methods
  • Tremor / etiology
  • Tremor / rehabilitation*
  • Upper Extremity* / physiopathology