OTOtherJournal of neuroengineering and rehabilitation2017

Inhibition of Parkinsonian tremor with cutaneous afferent evoked by transcutaneous electrical nerve stimulation.

Man-Zhao Hao, Shao-Qin Xu, Zi-Xiang Hu and 4 others

PMID 28705167

WHAT IT FOUND

In 8 people with Parkinson's disease, electrical stimulation on the back of the hand reduced resting tremor during stimulation by 61.56% on average, but tremor returned after stimulation and some trials worsened.

This is a small lab finding, not a proven treatment.

Key findings

01Stimulation set at 1.5 to 1.75 times the radiating-sensation threshold reduced tremor and muscle activity.

02Across all subjects, joint tremor amplitude fell by an average of 61.56% during stimulation, and muscle activity fell by 47.97%.

03Tremor reemerged immediately after stimulation ended, and the study could not show a consistent effect on tremor frequency.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study included only 8 people with Parkinson's disease, so it cannot show how most patients would respond. Participants had been asked to take their usual morning medication before testing, so the result is electrical stimulation added to medication, not a replacement for it. Testing was short and laboratory-based, with 5-second stimulation periods, and did not measure whether hand tremor improved in daily tasks such as eating, writing, or walking. Tremor often returned immediately after stimulation, and some muscle or joint movements increased during stimulation in some trials. Only a single tremor-affected arm was tested, so it does not show effects on the other arm, legs, head, or trunk. The paper does not describe randomisation or a sham control group. The paper reports no follow-up beyond the short trials.

Declared interests

The funding section names the National Natural Science Foundation of China and the Ministry of Science and Technology of China. The supplied text does not give an author conflict-of-interest statement.

The easy way to misread this

Do not conclude that electrical stimulation on the hand is a proven treatment for Parkinsonian tremor. The study tested only 8 people in short laboratory trials, participants had been asked to take their usual medication, tremor returned after stimulation, and no daily activity outcomes were measured.

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