Shaking Up Essential Tremor: Peripheral Devices and Mechanical Strategies to Reduce Tremor

Kian Adabi, William G. Ondo

Research output: Contribution to journalReview articlepeer-review

Abstract

This review discusses non-pharmacological, non-surgical interventions for action tremor, including essential tremor (ET). We review transcutaneous peripheral nerve stimulation (PNS), a variety of orthotic/mechanical devices, cooling and vibration strategies, and adaptive utensils, most of which are currently available. The PNS section discusses open loop (CALA-Trio) and closed loop systems (Felix™, NeuroAI™ and Motimove® systems). Orthotic devices which physically dampen tremor include Tremulo™, GyroGlove™, WOTAS exoskeleton, Magnetorheological Fluid-Based Exoskeleton System, Steadi-One® and Steadi-Two®, and Readi-Steady®. Adaptive devices include weighted spoons, deep cavity spoons, counter-balance utensils, and electrical actuator devices. Despite availability, most of these devices have limited to no published clinical trial data.

Original languageEnglish (US)
Article number55
JournalTremor and Other Hyperkinetic Movements
Volume14
Issue number1
DOIs
StatePublished - 2024

Keywords

  • Action tremor
  • adaptive device
  • cala trio
  • clinical trials
  • cooling therapy
  • device based interventions
  • essential tremor
  • mechanical device
  • neurostimulation
  • non-invasive
  • transcutaneous afferent patterned stimulation
  • tremor management
  • tremor research
  • vibration therapy
  • wearable device

ASJC Scopus subject areas

  • Clinical Neurology
  • General Medicine

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