Controllable mechanical tremor reduction. Assessment of two orthoses
Titel:
Controllable mechanical tremor reduction. Assessment of two orthoses
Auteur:
Belda-Lois, J.M. Martinez-Reyero, A.I. Castillo, A. Rocon, E. Pons, J.L. Loureiro, R. Manto, M. Normie, L. Soede, M.
Verschenen in:
Technology & disability
Paginering:
Jaargang 19 (2008) nr. 4 pagina's 169-178
Jaar:
2008-01-07
Inhoud:
This paper presents the results of clinical trials performed using two upper-limb orthotic devices for tremor suppression, developed under the Fifth Framework Project DRIFTS (Contract QLK6-CT-2002-00536). The orthoses were tested on six subjects presenting various aetiological forms of tremor. Two different strategies of tremor reduction were investigated: viscous friction and notch filtering. The results obtained from the trials suggest that ambulatory and controllable mechanical suppression of tremor by orthotic means is a feasible intervention. The degree of tremor reduction is dependent upon the power associated with tremor. Expected reduction of tremor can be as high as 98% in severe cases. There are hints that for many persons suffering with tremor active mechanical suppression of tremor can produce a reinforcing feedback: when participants perceived and initial reduction of tremor due to the orthosis, they exhibited a further spontaneous reduction of the tremor. There are also indications in some participants that tremor can migrate from a controlled joint to other free joints.