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A tremor is an involuntary, [1] somewhat rhythmic muscle contraction and relaxation involving oscillations or twitching movements of one or more body parts. It is the most common of all involuntary movements and can affect the hands, arms, eyes, face, head, vocal folds, trunk, and legs. Most tremors occur in the hands.
The tremors linked with essential tremor are generally action tremors, which means they occur during intentional movements rather than when the body is at rest. [ 12 ] In mild cases, ET can manifest as the inability to stop the tongue or hands from shaking, the ability to sing only in vibrato , and difficulty doing small, precise tasks such as ...
Tremor is the most apparent and well-known sign. [1] It is also the most common; though around 30% of individuals with PD do not have tremor at disease onset, most develop it as the disease progresses. [1] It is usually a rest tremor, maximal when the limb is at rest and disappearing with voluntary movement and sleep. [1]
A diagnosis of solely intention tremor can only be made if the tremor is of low frequency (below 5 Hz) and without the presence of any resting tremors. [1] Electrophysiological studies can be useful in determining frequency of the tremor, and accelerometric studies quantify tremor amplitude.
Benign fasciculation syndrome (BFS) is characterized by fasciculation (twitching) of voluntary muscles in the body. [1] The twitching can occur in any voluntary muscle group but is most common in the eyelids, arms, hands, fingers, legs, and feet.
Evidence points away from other conditions such as Parkinson's disease, writer's cramp and dystonic tremor. [1] [4] The tremor also shows signs of rapid improvement, possibly due to a combination of rest and the consumption of alcoholic beverages, and this response is consistent with essential tremor. [1] [4]
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