title: Essential tremor entrains rapid voluntary movements.
abstract: The effect of essential tremor on the timing of rapid wrist flexion was examined in 10 patients with moderate to severe disability. The mean reaction time and motor time of the patients did not differ from the mean values of 10 healthy age- and sex-matched controls. The latencies of the triphasic agonist and antagonist EMG bursts did not differ between patients and controls. The initiation of movement was time-locked to the tremor cycle in all patients. The initial agonist muscle activation occurred in phase with the rhythmic bursts of EMG, but the onset of rapid wrist flexion occurred when the momentum of essential tremor opposed the volitional movement. Essential tremor has subtle effects on motor control that transcend oscillation per se. These effects probably contribute to the impaired performance of fine motor tasks in patients with advanced disease.
authors.affiliation: Department of Neurology, Southern Illinois University School of Medicine, Springfield 62794-9230.
authors.forename: R J
authors.initials: RJ
authors.lastname: Elble
authors.forename: C
authors.initials: C
authors.lastname: Higgins
authors.forename: L
authors.initials: L
authors.lastname: Hughes
mesh_terms: D000368:Aged; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009068:Movement / Q000502:physiology; D009132:Muscles / Q000502:physiology / Q000503:physiopathology*; D011930:Reaction Time; D012016:Reference Values; D014202:Tremor / Q000503:physiopathology*; D014955:Wrist Joint / Q000502:physiology / Q000503:physiopathology