Tremors: assessment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tremors: assessment. Family history of genetic disease, Family history of tremor, Drugs, Caffeine use, Alcohol use. Fully referenced neurology checklist.

History of tremor

  • Family history of genetic disease
  • Family history of tremor
  • Drugs
  • Caffeine use
  • Alcohol use

History of exacerbating and relieving factors

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Observation of body parts affected

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Observation of symmetry

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Observation of tremor during activities

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Assessment of tremor frequency

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Assessment of tremor amplitude: assessment tools

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Assessment of tremor severity: rating tools

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Assessment of associated neurological features

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Investigation of tremors

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Tremor differential diagnosis

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References

  1. Crawford P, Zimmerman EE. Differentiation and diagnosis of tremor. Am Fam Physician 2011; 83:697-702.
  2. Hess CW, Pullman SL. Tremor: clinical phenomenology and assessment techniques. Tremor Other Hyperkinet Mov (N Y) 2012; 2: tre-02-65-356-1.
  3. Nahab FB, Peckham E, Hallett M. Essential tremor, deceptively simple...Pract Neurol 2007; 7:222-233.
  4. Ondo W, Hashem V, LeWitt PA, et al. Comparison of the Fahn-Tolosa-Marin Clinical Rating Scale and the Essential Tremor Rating Assessment Scale. Mov Disord Clin Pract 2017; 5:60-65. 
  5. Robottom BJ, Weiner WJ. Teaching neuroimages: rest tremor mimicking ventricular tachycardia. Neurology 2010; 75:2134.
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