Rigidity & Tremors

[physiosanskrati]

I have a patient 35/M , having chief complaints of tremors in hands [voluntary] , freezing spells in any unexpected hour of day , rigidity which has fleeting pattern. His strength is reduced Rt>Lt. Please give me some idea about the treatment of tremors & rigidity.

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[fateema]

hi.first of all you have to make sure what does diagnosis he has?you wrote voluntry.what does it mean how it start?.if it involuntry it means parkinson,s disease or might be some progressive lession of brain ..well just keep the rigid limbs in rset dont apply any pressure OR ELECTRICAL EQUIPMENT............
do the active and passive exs,s................

[physiosanskrati]

He has all suggestive signs of Parkinsons except tremmors. It has an idiopathic origin. I am able to solve most of his problems except episodes of stiffness and tremmors. I have talked to his Neurologist as well but the diagnosis is hazy according to him.

[fateema]

hi
how about your pt who has chronic stiffness and rigidity ,Hope u r not folowing any stimulation well active exercises should be help full.........

[physiosanskrati]

My pt has improved considrably over the period of time but i am not able to help him much for his tremmors. I was not giving any stimulation to him , prior also. Can you please give me any logics or litreature behind your idea of refraining spastic pt's from stimulation.

[fateema]

hI,PHYSIOSANS KARTI,
WEL THERE IS NOT ANY SPECEFIC TREATMENT FOR TREMORS EXCEPT MEDICENES,WELL U CAN TRY ULTRA SONIC THERAPY UNDER WATER TREATMENT WITH INTENSITY 0.5 FOR 16 MINTS.(FOR HANDS)
I HOPE U MUST KNOW THE CORRECT PROCEDURE DONT USE IF U DONT HAVE ANY IDEA ....BUT I THINK IT WILL BE VERY HELP FULL FOR DECREESING TREMMORS...............BYE

[sjsrikanth]

Dear friends
In my 10 years in this field I have never come accross ultrasonic therapy given for tremors. Hope whoverever has given this statement has got some rationale for it. An I would be delighted to get an explanation.

Though it is true that it is not possible to cure voluntary tremors by Physical therapy. It is possible to overcome the hindrance caused by these tremors during voluntary motion. Cognitive movement execution techniques have found to reduce the effect of tremors on voluntary movement.

[physiosanskrati]

Thanks for the valuable suggestions. I know how to use U.S under water but am doubtful about its application in tremmors. Are you practcing it ? From where did you get this information? Plz let me know so that i can start working soon. Also tell me why you are against applying electrical stimulation to spastic patients? Thanks a lot.

[fateema]

HI fred,
well if the pt has tremmor due some lession in the Brain then you can give him U.S .Its rare .but once i had for 2 days ,there wer obviously no ,tremomors after treat ment. well mostly we start the EMS, for those pt who have lack of power or flaccidity due to some injurries or other reasons ,well EMS may increase there spasticity.........(i never had experiance to US with parkinson,s)

bye

[SURESH BABU BODDU]

hI,PHYSIOSANS KARTI,
WEL THERE IS NOT ANY SPECEFIC TREATMENT FOR TREMORS EXCEPT MEDICENES,WELL U CAN TRY ULTRA SONIC THERAPY UNDER WATER TREATMENT WITH INTENSITY 0.5 FOR 16 MINTS.(FOR HANDS)
I HOPE U MUST KNOW THE CORRECT PROCEDURE DONT USE IF U DONT HAVE ANY IDEA ....BUT I THINK IT WILL BE VERY HELP FULL FOR DECREESING TREMMORS...............BYE

HI FATEEMA,
R U SURE THAT ULTRASONIC THERAPY FOR DURATION OF 16 MIN.
IS THERE ANY EVIDENCE,
PLEASE GIVE ME REGARDING THAT.

[sdkashif]

Can you calrify whether it is rigidity or spasticity? For rigidity, Is the increase in tone is cogs wheel type or lead pipe type? Tremors may also occur in a patient suffering from Stroke.