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Hand and finger dexterity ............................................................... 39 Purdue Pegboard ......................................................................... 39 Quality of life ................................................................................... 41 SF-36 ............................................................................................ 41 QUEST .......................................................................................... 42 Adherence and Injury ...................................................................... 43 Statistics .......................................................................................... 43 Chapter 4 - Results ................................................................................. 45 Strength - 5RM Assessment ............................................................ 48 Elbow flexion ............................................................................... 49 Wrist flexion ................................................................................ 50 Wrist extension ............................................................................ 51 Hand and finger dexterity - Purdue Pegboard Assessment.............. 52 Single handed tasks ..................................................................... 52 Quality of Life (general) - SF-36 ....................................................... 55 Physical Health and Mental Health .............................................. 55 Quality of Life (ET Specific) - QUEST ................................................ 57 Physical and Psychosocial ............................................................ 58 Communication and Hobbies and Leisure .................................... 59 Work and Finance ........................................................................ 60 Chapter 5 - Discussion ............................................................................ 61 Strength ....................................................................................... 61 Hand and finger manual dexterity ............................................... 63 Quality of life ............................................................................... 66 Practical Significance.................................................................... 68 Chapter 6 - Study limitations & future studies ....................................... 69 Chapter 7 - Conclusion ........................................................................... 71 References ............................................................................................. 72 Appendices ............................................................................................ 90 Appendix A - Abbreviations ................................................................ 90 Appendix B - Ethics Approval .............................................................. 91 Appendix C - Mean and Standard deviation data ................................ 93 vii
Figures Figure 1: Rationale for RT as a rehabilitative tool for ET ........................ 28 Figure 2: Study protocol schematic ........................................................ 34 Figure 3: Dumbbell elbow flexion .......................................................... 36 Figure 4: Dumbbell wrist flexion ............................................................ 36 Figure 5: Dumbbell wrist extension ....................................................... 36 Figure 6: PPT in an unilateral handed task, bilateral handed task and assembly task configuration .................................................................. 40 Figure 7: Performance in the 5 Repetition Maximum (5RM) Elbow Flexion Strength Assessment ................................................................. 49 Figure 8: Performance in the 5 Repetition Maximum (5RM) Wrist Flexion Strength Assessment ............................................................................. 50 Figure 9: Performance in the 5 Repetition Maximum (5RM) Wrist Extension Strength Assessment ............................................................. 51 Figure 10: Performance in the Purdue Pegboard Test (PPT) when using only the hand of the most affected limb and only the hand of the least affected limb .......................................................................................... 53 Figure 11: Performance in the Purdue Pegboard Test (PPT) when performing bilateral tasks ...................................................................... 54 Figure 12: Performance in the Short Form 36 (SF-36) quality of life (QoL) questionnaire for Physical Health and Mental Health domains ............. 56 Figure 13: Performance in the Quality of Life in Essential Tremor (QUEST) questionnaire for Physical and Psychosocial domains. ........................... 58 Figure 14: Performance in the Quality of Life in Essential Tremor (QUEST) questionnaire for Communication and Hobbies and Leisure domains ... 59 Figure 15: Performance in the Quality of Life in Essential Tremor (QUEST) questionnaire for Work and Finance domain ......................................... 60 Figure 16: 5RM Strength Test –Mean (Kg) & SD for elbow flexion of the most affected limb. ................................................................................ 93 Figure 17: 5RM Strength Test –Mean (Kg) & SD for elbow flexion of the least affected limb ................................................................................. 93 Figure 18: 5RM Strength Test –Mean (Kg) & SD for wrist flexion of the most affected limb. ................................................................................ 94 Figure 19: 5RM Strength Test –Mean (Kg) & SD for wrist flexion of the least affected limb ................................................................................. 94 Figure 20: Strength Test –Mean (Kg) & SD for wrist extension of the most affected limb .......................................................................................... 95 viii
Page 1 and 2: Can resistance training improve han
Page 3 and 4: unrelated hospitalisation. Each par
Page 5 and 6: Statement of Originality I hereby d
Page 7: Table of Contents Abstract ........
Page 11 and 12: Tables Table 1: Review of training
Page 13 and 14: Chapter 1 - Introduction ET is typi
Page 15 and 16: Chapter 1 - Introduction number of
Page 17 and 18: Chapter 2 - Literature Review Chapt
Page 19 and 20: Chapter 2 - Literature Review 2010)
Page 21 and 22: Chapter 2 - Literature Review diffi
Page 23 and 24: Chapter 2 - Literature Review Gait
Page 25 and 26: Chapter 2 - Literature Review inste
Page 27 and 28: Chapter 2 - Literature Review entra
Page 29 and 30: Chapter 2 - Literature Review With
Page 31 and 32: Chapter 2 - Literature Review Louis
Page 33 and 34: Chapter 2 - Literature Review teach
Page 35 and 36: Chapter 2 - Literature Review RT co
Page 37 and 38: Chapter 2 - Literature Review inclu
Page 39 and 40: Condition/Tool Symptoms/Adaptations
Page 41 and 42: Chapter 2 - Literature Review Korna
Page 43 and 44: Chapter 3 - Methods Participants Ch
Page 45 and 46: Study Protocol 1 Week Figure 2: Stu
Page 47 and 48: Figure 3: Dumbbell elbow flexion Fi
Page 49 and 50: Chapter 3 - Methods correlation coe
Page 51 and 52: Chapter 3 - Methods Figure 6: PPT i
Page 53 and 54: Chapter 3 - Methods Takata, et al.,
Page 55 and 56: Chapter 3 - Methods Additionally, t
Page 57 and 58: Table 2: Participant demographics P
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Strength - 5RM Assessment Chapter 4
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Wrist flexion Chapter 4 - Results F
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Hand and finger dexterity - Purdue
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Chapter 4 - Results Following the s
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SF-36 (change score percentage) 80
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Physical and Psychosocial Chapter 4
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Work and Finance Chapter 4 - Result
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Chapter 5 - Discussion Often decrea
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Chapter 5 - Discussion reduce postu
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Chapter 5 - Discussion Significant
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Chapter 5 - Discussion than that us
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Chapter 6 - Study Limitations & Fut
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References References Adam, A., de
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References Cochrane, T., Munro, J.,
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References Elble, R. J., Pullman, S
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References Hirsch, M. A., Toole, T.
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References Lafayette Instrument Com
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References Lundervold, D. A., Belwo
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References International Journal of
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References tremor. Parkinsonism & R
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References Traub, R. E., Gerbin, M.
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Appendices Appendix A - Abbreviatio
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Appendix B 92
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5RM - Wrist Flexion Most Affected L
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Hand and Finger dexterity PPT - Mos
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Quality of life - SF-36 SF36 - Gene
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SF36 - Role Emotional (%) Figure 30
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Quality of Life - QUEST Figure 34:
Page 115:
QUEST - Work/Finance (%) 100.00 90.
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