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Table 1: Review of training studies with a focus on tremor<br />

Study Design Sample Resistance based training group Result<br />

Bilodeau et al.<br />

(2000)<br />

Ranganathan et al.<br />

(2001)<br />

Kornatz et al.<br />

(2005)<br />

RCT<br />

RCT<br />

Keogh et al. (2007) RCT<br />

Keogh, et al (2010) RCT<br />

� 13 ET (6M |7F)<br />

� 8 training<br />

� 5 control<br />

� 28 OA<br />

� 14 training<br />

� 14 control<br />

Crossover � 10 OA (5M | 5F)<br />

� 11 OA (M)<br />

� 7 training<br />

� 4 control<br />

� 19 OA (M)<br />

� 7 Strength<br />

� 7 co-ordination<br />

� 5 control<br />

� Index finger abduction/adduction<br />

� 3 d/w x 4 wks<br />

� 6 sets x 10 reps<br />

� Load - 80% 1RM vs 20% 1RM (C)<br />

� ‘Weighted ball’ hand rolling task<br />

� 6 d/w x 8 wks<br />

� 2 x 10 min/d<br />

� Load – 150g<br />

� Index finger abduction<br />

� 3 d/w x 6 wks<br />

� 6 sets x 10 reps<br />

� Load – 10% 1RM (2 wks)<br />

� 70% 1RM (4 wks)<br />

� D/B Elbow flexion, wrist flexion & wrist<br />

extension<br />

� 2 d/w x 6wks<br />

� 3 sets x 8-10 reps<br />

� D/B Elbow flexion, wrist flexion & wrist<br />

extension<br />

� 2 d/w x 6 wks<br />

� 3 sets x 8-10 reps<br />

Chapter 2 – Literature Review<br />

� ↓ Force fluctuations<br />

� ↑ Strength<br />

� ↔ Peak tremor power/amplitude<br />

� ↔ Functional tasks<br />

� ↔ Control<br />

� ↑Finger pinch force<br />

� ↓Force fluctuations<br />

� ↑ Dexterity<br />

� ↔ Hand grip strength<br />

� ↔ Control<br />

� ↑ Strength<br />

� ↑ Dexterity<br />

� ↓Force fluctuations<br />

� ↓ Motor unit firing rate variability<br />

� ↑ Strength<br />

� ↓Finger pinch force variability<br />

� ↓Targeting error<br />

� ↑ Strength in untrained limb (crossover)<br />

� ↔ Control<br />

� ↓ Tremor amplitude<br />

� ↓ Tremor peak<br />

� ↓ Tremor power<br />

� ↑ Strength<br />

� ↓Muscle co-activation<br />

� Similar effects for co-ordination<br />

� ↔Control<br />

RCT = randomised controlled trial, ET = Essential tremor, OA = older adult, d/w = days per week, wks = weeks, reps = repetition, RM = repetition max, min/d = minutes per<br />

day, D/B = dumb bells, ↑ = increase, ↓ = decrease, ↔ = no change.<br />

29

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