RT info:eu-repo/semantics/article
T1 Tremor Control Devices for Essential Tremor: A Systematic Literature Review
A1 Castrillo Fraile, Mª Victoria
A1 Casas Peña, Elena
A1 Trejo Gabriel y Galán, José Mª
A1 Delgado López, Pedro David
A1 Collazo Riobó, Carla
A1 Cubo Delgado, Esther
K1 Essential tremor
K1 Voluntary movement
K1 Devices
K1 Neuroprosthesis
K1 Orthosis
K1 Upper limb
K1 Sistema nervioso-Enfermedades
K1 Nervous system-Diseases
K1 Neurología
K1 Neurology
K1 Medicina
K1 Medicine
AB Background: 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.
PB Ubiquity Press
YR 2019
FD 2019-12
LK http://hdl.handle.net/10259/8784
UL http://hdl.handle.net/10259/8784
LA eng
NO Artículo de revisión
DS Repositorio Institucional de la Universidad de Burgos
RD 09-may-2024