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How to use pen and paper tasks to aid tremor diagnosis in the clinic
Citation
Alty, J and Cosgrove, J and Thorpe, D and Kempster, P, How to use pen and paper tasks to aid tremor diagnosis in the clinic, Practical Neurology, 17, (6) pp. 456-463. ISSN 1474-7758 (2017) [Refereed Article]
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Copyright Statement
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) http://creativecommons.org/licenses/by/4.0/
DOI: doi:10.1136/practneurol-2017-001719
Abstract
When a patient presents with tremor, it can be useful to perform a few simple pen and paper tests. In this article, we explain how to maximise the value of handwriting and of drawing Archimedes spirals and straight lines as clinical assessments. These tasks take a matter of seconds to complete but provide a wealth of information that supplements the standard physical examination. They aid the diagnosis of a tremor disorder and can contribute to its longitudinal monitoring. Watching the patient’s upper limb while they write and draw may reveal abnormalities such as bradykinesia, dystonic posturing and distractibility. The finished script and drawings can then be evaluated for frequency, amplitude, direction and symmetry of oscillatory pen movements and for overall scale of penmanship. Essential, dystonic, functional and parkinsonian tremor each has a characteristic pattern of abnormality on these pen and paper tests.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | Archimedes spiral, dystonia, handwriting, Parkinson's disease, tremor |
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Clinical sciences |
| Research Field: | Geriatrics and gerontology |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Clinical health not elsewhere classified |
| UTAS Author: | Alty, J (Dr Jane Alty) |
| ID Code: | 133239 |
| Year Published: | 2017 |
| Deposited By: | Wicking Dementia Research and Education Centre |
| Deposited On: | 2019-06-19 |
| Last Modified: | 2019-08-23 |
| Downloads: | 7 View Download Statistics |
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