Movement Disorders (revue)

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Parkinson's disease tremor is diminished with relaxation guided imagery

Identifieur interne : 002F92 ( Istex/Corpus ); précédent : 002F91; suivant : 002F93

Parkinson's disease tremor is diminished with relaxation guided imagery

Auteurs : Ilana Schlesinger ; Orna Benyakov ; Ilana Erikh ; Suheir Suraiya ; Yitzhak Schiller

Source :

RBID : ISTEX:B0CBE91CCD60FCAA650AFCB30437FEC26AA47727

English descriptors

Abstract

Patients with Parkinson's disease (PD) may have pronounced tremor that exacerbates during stress. To determine whether PD tremor improves with relaxation guided imagery (RGI) and relaxing music. Twenty patients with PD with moderate to severe tremor participated in sessions where relaxation techniques were implemented. Tremor was objectively monitored using an accelerometer. RGI dramatically decreased tremor in all 20 patients (baseline 270.38 ± 85.82 vs. RGI 35.57 ± 43.90 movements per minute P < 0.0001). In 15 patients, RGI completely abolished tremor for 1–13 min. Average tremor activity remained significantly bellow baseline both 15 min and 30 min after RGI was discontinued (P < 0.001). Patients reported improvement lasting 2–14 hours (mean 6.8 ± 3.8). Relaxing music significantly reduced tremor but to a lesser degree than RGI (220.04 ± 106.53 movements per minute P = 0.01). Self‐relaxation had no significant effect on tremor. RGI can supplement conventional medical treatments for tremor in patients with PD on best medical treatment. © 2009 Movement Disorder Society

Url:
DOI: 10.1002/mds.22671

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ISTEX:B0CBE91CCD60FCAA650AFCB30437FEC26AA47727

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<keyword xml:id="kwd2">tremor</keyword>
<keyword xml:id="kwd3">relaxation</keyword>
<keyword xml:id="kwd4">music</keyword>
<keyword xml:id="kwd5">complementary therapies</keyword>
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<p>Patients with Parkinson's disease (PD) may have pronounced tremor that exacerbates during stress. To determine whether PD tremor improves with relaxation guided imagery (RGI) and relaxing music. Twenty patients with PD with moderate to severe tremor participated in sessions where relaxation techniques were implemented. Tremor was objectively monitored using an accelerometer. RGI dramatically decreased tremor in all 20 patients (baseline 270.38 ± 85.82 vs. RGI 35.57 ± 43.90 movements per minute
<i>P</i>
< 0.0001). In 15 patients, RGI completely abolished tremor for 1–13 min. Average tremor activity remained significantly bellow baseline both 15 min and 30 min after RGI was discontinued (
<i>P</i>
< 0.001). Patients reported improvement lasting 2–14 hours (mean 6.8 ± 3.8). Relaxing music significantly reduced tremor but to a lesser degree than RGI (220.04 ± 106.53 movements per minute
<i>P</i>
= 0.01). Self‐relaxation had no significant effect on tremor. RGI can supplement conventional medical treatments for tremor in patients with PD on best medical treatment. © 2009 Movement Disorder Society</p>
</abstract>
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<p>Potential conflict of interest: None of the authors have any financial interest nor do they have any conflict of interest.</p>
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<p>The first two authors contributed equally to the manuscript.</p>
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<title>Parkinson's disease tremor is diminished with relaxation guided imagery</title>
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<name type="personal">
<namePart type="given">Ilana</namePart>
<namePart type="family">Schlesinger</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Rambam Health Care Campus, Haifa, Israel</affiliation>
<description>The first two authors contributed equally to the manuscript.</description>
<description>Correspondence: Department of Neurology, Rambam Health Care Campus, P.O. Box 9602, Haifa 31096, Israel</description>
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<namePart type="family">Benyakov</namePart>
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<affiliation>Division of Internal Medicine, Rambam Health Care Campus, Haifa, Israel</affiliation>
<description>The first two authors contributed equally to the manuscript.</description>
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<name type="personal">
<namePart type="given">Ilana</namePart>
<namePart type="family">Erikh</namePart>
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<affiliation>Department of Neurology, Rambam Health Care Campus, Haifa, Israel</affiliation>
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<name type="personal">
<namePart type="given">Suheir</namePart>
<namePart type="family">Suraiya</namePart>
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<affiliation>Technion Faculty of Medicine, Sleep Laboratory, Haifa, Israel</affiliation>
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<name type="personal">
<namePart type="given">Yitzhak</namePart>
<namePart type="family">Schiller</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Technion Faculty of Medicine, Department of Neurology, Rambam Health Care Campus, Haifa, Israel</affiliation>
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<abstract lang="en">Patients with Parkinson's disease (PD) may have pronounced tremor that exacerbates during stress. To determine whether PD tremor improves with relaxation guided imagery (RGI) and relaxing music. Twenty patients with PD with moderate to severe tremor participated in sessions where relaxation techniques were implemented. Tremor was objectively monitored using an accelerometer. RGI dramatically decreased tremor in all 20 patients (baseline 270.38 ± 85.82 vs. RGI 35.57 ± 43.90 movements per minute P < 0.0001). In 15 patients, RGI completely abolished tremor for 1–13 min. Average tremor activity remained significantly bellow baseline both 15 min and 30 min after RGI was discontinued (P < 0.001). Patients reported improvement lasting 2–14 hours (mean 6.8 ± 3.8). Relaxing music significantly reduced tremor but to a lesser degree than RGI (220.04 ± 106.53 movements per minute P = 0.01). Self‐relaxation had no significant effect on tremor. RGI can supplement conventional medical treatments for tremor in patients with PD on best medical treatment. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: None of the authors have any financial interest nor do they have any conflict of interest.</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>tremor</topic>
<topic>relaxation</topic>
<topic>music</topic>
<topic>complementary therapies</topic>
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<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<title>Mov. Disord.</title>
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<genre>article category</genre>
<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
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<detail type="issue">
<caption>no.</caption>
<number>14</number>
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<identifier type="DOI">10.1002/mds.22671</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Movement Disorder Society</accessCondition>
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