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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.
Essential tremor is either an action (intention) tremor—it intensifies when one tries to use the affected muscles during voluntary movements such as eating and writing—or it is a postural tremor, which occurs when holding arms outstretched and against gravity.
Intention tremors that are caused by normal, everyday activities, such as stress, anxiety, fear, anger, caffeine, and fatigue, do not seem to result from damage to any part of the brain. These tremors, instead, seem to be a temporary worsening of a small tremor that is present in every human being. These tremors generally go away with time. [5]
The arm moves up and down at the elbow. If more emphasis is needed both hands will make the gesture simultaneously with the palms facing one another. [26] Roman salute is a salute made by a small group of people holding their arms outward with fingertips
Four motor signs are considered cardinal in PD: tremor, rigidity, bradykinesia, and postural instability (also referred to as parkinsonism). [1] 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]
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