Botulinum toxin injections for upper limb tremor
- Conditions
- TremorUpper limb proximal dystonic tremorParkinson's disease tremorlesional tremorNeurological - Parkinson's diseaseNeurological - Other neurological disorders
- Registration Number
- ACTRN12619000157178
- Lead Sponsor
- health western sydney local health district
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 20
Patients will be selected on the basis of upper limb tremor at the shoulder and/or elbow joint either during action, determined by finger-to-nose task and/or posturing with arms outstretch or in the targeting-nose position.
1.Patient treated with BoNTA within 6 months before evaluation
2.Changes in any medications that might affect the severity of tremor within 3 months before enrolling or during the 6 months of evaluation.
3.Inability to comply with the study requirements and follow-up period.
4.Patients with cognitive impairment who is unable to complete the assessment
5.Patients in whom consent is unable to be obtained from themselves or next of kin.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Goal Attainment Rating Scale[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. The primary timepoint will be either week 4 or 8 (4-8 weeks post-injection 1), or week 20 or 24 (4-8 weeks post-injection 2), whichever shows the greater improvement in GAS ]
- Secondary Outcome Measures
Name Time Method 1. Canadian Occupational Performance score<br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];2. Bain and Findley Tremor ADL Scale total score <br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];3. Quality of Life in Essential Tremor Questionnaire (QUEST scoring)<br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];4. Fahn, Tolosa, Martin Tremor Rating Scale <br><br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];5. The Essential Tremor Rating Assessment Scale <br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];6 Global rating scale <br>[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ];7 Amplitude of the accelerometry and surface EMG[4, 8, 12. 16, 20, 24, 28 and 32 weeks after the Baseline visit. ]