Francesco Budini, PhD, Madeleine M

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Dexterity Training Improves Manual Precision in Patients Affected by Essential Tremor Francesco Budini, PhD, Madeleine M. Lowery, PhD, Michael Hutchinson, PhD, MD, David Bradley, PhD, MD, Luke Conroy, MSc, Giuseppe De Vito, PhD, MD Archives of Physical Medicine and Rehabilitation Volume 95, Issue 4, Pages 705-710 (April 2014) DOI: 10.1016/j.apmr.2013.11.002 Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Each dot represents the group average score (±SE) for each of the 11 training sessions: errors are scored as contact time (ms) between the wand the volunteers were moving and the buzz wire circuit (A); water refers to the amount of water (mL) successfully poured in the graded pipes minus the water spilled out in 5 minutes (B). Archives of Physical Medicine and Rehabilitation 2014 95, 705-710DOI: (10.1016/j.apmr.2013.11.002) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Group average tremor amplitudes (+SE), expressed as SD of the acceleration signal, are plotted for postural and kinetic tremor. The values of the 3 axes are averaged for graphic simplicity. No differences were found between baseline (black bars), control (grey bars), and posttraining (white bars) measurements. Archives of Physical Medicine and Rehabilitation 2014 95, 705-710DOI: (10.1016/j.apmr.2013.11.002) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Magnitude of the fast Fourier transform processed on the z axis during a sustained 20-second postural contraction (A) and a segment of 1 second extracted from the raw acceleration data used for the fast Fourier transform calculation (B). The first measurement corresponds to the white area in panel A and to the continue line in panel B; it was recorded at 10:57 am. The second measurement was recorded at 10:58 am of the same day on the same subject and corresponds to the nearly invisible black area in panel A and to the dotted line in panel B. Archives of Physical Medicine and Rehabilitation 2014 95, 705-710DOI: (10.1016/j.apmr.2013.11.002) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions