Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG

We investigate the differential diagnostic value of tremor analysis of EMG on Parkinson’s disease (PD), essential tremor (ET), and enhanced physiological tremor (EPT). Clinical data from 25 patients with PD, 20 patients with ET, and 20 patients with EPT were collected. The tremor frequency and muscl...

Full description

Saved in:
Bibliographic Details
Main Authors: Jie Zhang, Yan Xing, Xiuli Ma, Liqun Feng
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2017/1597907
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562858761650176
author Jie Zhang
Yan Xing
Xiuli Ma
Liqun Feng
author_facet Jie Zhang
Yan Xing
Xiuli Ma
Liqun Feng
author_sort Jie Zhang
collection DOAJ
description We investigate the differential diagnostic value of tremor analysis of EMG on Parkinson’s disease (PD), essential tremor (ET), and enhanced physiological tremor (EPT). Clinical data from 25 patients with PD, 20 patients with ET, and 20 patients with EPT were collected. The tremor frequency and muscle contraction pattern of the resting, posture, and 500 g and 1000 g overload were recorded. The frequency of PD tremor was 4–6 Hz, and the frequency of ET was also in this range; the frequency of EPT is 6–12 hz having some overlap with PD. The muscle contraction patterns of the ET and EPT group were mainly synchronous contraction, and the muscle contraction mode of the PD group was mainly alternating contraction. Having tremor latency from rest to postural position and having changes in tremor amplitude after mental concentration in PD might distinguish ET. Tremor analysis of EMG was able to distinguish PD from ET and EPT by varying the tremor frequency and muscle contraction pattern. It can also differentiate between PD and ET by the latency and concentration effect and ET and EPT by weight load effect.
format Article
id doaj-art-222af7964f7f41ec82781767b1225342
institution Kabale University
issn 2090-8083
2042-0080
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Parkinson's Disease
spelling doaj-art-222af7964f7f41ec82781767b12253422025-02-03T01:21:37ZengWileyParkinson's Disease2090-80832042-00802017-01-01201710.1155/2017/15979071597907Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMGJie Zhang0Yan Xing1Xiuli Ma2Liqun Feng3Aviation General Hospital, China Medical University, Beijing 10023, ChinaAviation General Hospital, China Medical University, Beijing 10023, ChinaAviation General Hospital, China Medical University, Beijing 10023, ChinaAnzhen Hospital, Capital Medical University, Beijing 10029, ChinaWe investigate the differential diagnostic value of tremor analysis of EMG on Parkinson’s disease (PD), essential tremor (ET), and enhanced physiological tremor (EPT). Clinical data from 25 patients with PD, 20 patients with ET, and 20 patients with EPT were collected. The tremor frequency and muscle contraction pattern of the resting, posture, and 500 g and 1000 g overload were recorded. The frequency of PD tremor was 4–6 Hz, and the frequency of ET was also in this range; the frequency of EPT is 6–12 hz having some overlap with PD. The muscle contraction patterns of the ET and EPT group were mainly synchronous contraction, and the muscle contraction mode of the PD group was mainly alternating contraction. Having tremor latency from rest to postural position and having changes in tremor amplitude after mental concentration in PD might distinguish ET. Tremor analysis of EMG was able to distinguish PD from ET and EPT by varying the tremor frequency and muscle contraction pattern. It can also differentiate between PD and ET by the latency and concentration effect and ET and EPT by weight load effect.http://dx.doi.org/10.1155/2017/1597907
spellingShingle Jie Zhang
Yan Xing
Xiuli Ma
Liqun Feng
Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
Parkinson's Disease
title Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
title_full Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
title_fullStr Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
title_full_unstemmed Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
title_short Differential Diagnosis of Parkinson Disease, Essential Tremor, and Enhanced Physiological Tremor with the Tremor Analysis of EMG
title_sort differential diagnosis of parkinson disease essential tremor and enhanced physiological tremor with the tremor analysis of emg
url http://dx.doi.org/10.1155/2017/1597907
work_keys_str_mv AT jiezhang differentialdiagnosisofparkinsondiseaseessentialtremorandenhancedphysiologicaltremorwiththetremoranalysisofemg
AT yanxing differentialdiagnosisofparkinsondiseaseessentialtremorandenhancedphysiologicaltremorwiththetremoranalysisofemg
AT xiulima differentialdiagnosisofparkinsondiseaseessentialtremorandenhancedphysiologicaltremorwiththetremoranalysisofemg
AT liqunfeng differentialdiagnosisofparkinsondiseaseessentialtremorandenhancedphysiologicaltremorwiththetremoranalysisofemg