alexa Measuring Tremor – Does Recording Time Matter?
ISSN: 2155-9562

Journal of Neurology & Neurophysiology
Open Access

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Research Article

Measuring Tremor – Does Recording Time Matter?

Gunilla Wastensson1*, Eva M Andersson1and Rita Bast-Pettersen2

1Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, Box 414, SE-405 30 Gothenburg, Sweden

2National Institute of Occupational Health, P.O. Box 8149 Depot, N-0033 Oslo, Norway

*Corresponding Author:
Gunilla Wastensson
Department of Occupational and Environmental Medicine
Sahlgrenska University Hospital and University of Gothenburg
Box 414, SE-405 30 Gothenburg, Sweden
Tel: +46 31 786 2894
Fax: +46 31 82 5004
E-mail: [email protected]

Received date July 30, 2016; Accepted date October 20, 2016; Published date October 27, 2016

Citation: Wastensson G, Andersson EM, Bast-Pettersen R (2016) Measuring Tremor – Does Recording Time Matter? J Neurol Neurophysiol 7:398. doi:10.4172/2155-9562.1000398

Copyright: © 2016 Wastensson G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Objective: The CATSYS Tremor Pen has been used in several studies for measurement of tremor among workers with occupational exposure to neurotoxins like mercury and manganese. The main purpose of this study was to investigate whether recording time has an impact on the measured tremor characteristics. Other aims were to investigate whether there are interactions between recording time and age, and between recording time and (selfreported) nicotine use, respectively; to assess the test-retest repeatability of the instrument; to investigate a possible practice effect when performing the test repeatedly; and to evaluate agreement with another tremor test.
Methods: The participants (n=44) consisted of former shipyard workers (mean age 67 years, range 59–76 years). Postural hand tremor was evaluated using the CATSYS Tremor Pen. Five tremor recordings were made; the first lasted 16.4 s, the next three lasted 8.2 s each and the fifth lasted 65.6 s.
Results: There was a significant association between recording time and harmonic index; longer recording time produced higher harmonic index. There was no effect of nicotine use or age that was consistent over all recording times, and no practice effect was seen. The agreement with another tremor test was moderate to good, as was the test-retest reliability.
Conclusion: Some of the tremor characteristics are affected by length of recording time and hence care should be taken when comparing results across studies or with follow-up. The results indicate that the use of a recording time longer than 16.4 s seems to be of doubtful value.


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