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dc.contributor.authorCastrillo Fraile, Mª Victoria
dc.contributor.authorCasas Peña, Elena
dc.contributor.authorTrejo Gabriel y Galán, José Mª
dc.contributor.authorDelgado López, Pedro David
dc.contributor.authorCollazo Riobó, Carla 
dc.contributor.authorCubo Delgado, Esther 
dc.date.accessioned2024-03-08T11:45:56Z
dc.date.available2024-03-08T11:45:56Z
dc.date.issued2019-12
dc.identifier.urihttp://hdl.handle.net/10259/8784
dc.descriptionArtículo de revisiónes
dc.description.abstractBackground: There is a growing interest in nonpharmacological approaches for essential tremor (ET), including tremor cancelation devices. However, the true efficacy of such devices in ET remains unclear. Methods: A systematic literature review was conducted using standardized criteria regarding efficacy and comfortability. Devices focused on design or experimental testing in which tremor was simulated in a robot were excluded. Results: Out of 324 articles initially identified, 12 articles were included. Orthoses using biomechanical loading and neuromodulation with electrical stimulation, and external tremor cancelation devices, were the main interventions used to suppress tremor. All devices were designed to control tremor of the upper limbs at different anatomical locations. Overall, an average tremor attenuation of 50–98% was reported (level of evidence III). Interference with voluntary movements and portability was described as the main drawback. Discussion: In conclusion, this review highlights the growing interest in emerging tremor control devices and the importance of assessing comfort without affecting voluntary movements. However, the level of evidence regarding the efficacy of these tremor control devices remains low. An integrated multidisciplinary combination approach of engineering, robotics, physiology, physiotherapy, and clinical assessment is needed to improve the quality of non-pharmacological interventions for ET.en
dc.format.mimetypeapplication/pdf
dc.language.isoenges
dc.publisherUbiquity Pressen
dc.relation.ispartofTremor and Other Hyperkinetic Movements. 2019, V. 9en
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Unported*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/*
dc.subjectEssential tremoren
dc.subjectVoluntary movementen
dc.subjectDevicesen
dc.subjectNeuroprosthesisen
dc.subjectOrthosisen
dc.subjectUpper limben
dc.subject.otherSistema nervioso-Enfermedadeses
dc.subject.otherNervous system-Diseasesen
dc.subject.otherNeurologíaes
dc.subject.otherNeurologyen
dc.subject.otherMedicinaes
dc.subject.otherMedicineen
dc.titleTremor Control Devices for Essential Tremor: A Systematic Literature Reviewen
dc.typeinfo:eu-repo/semantics/articlees
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.relation.publisherversionhttps://tremorjournal.org/articles/10.5334/tohm.511es
dc.identifier.doi10.5334/tohm.511
dc.identifier.essn2160-8288
dc.journal.titleTremor and Other Hyperkinetic Movementsen
dc.volume.number9es
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersiones


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