Tranquilizers, anti- seizures, Beta-blockers (should be taken as prescribed by the doctor)
Physiotherapy treatment for Tremors
Physiotherapy helps to bring people from a state of disability to a good functional status. It helps to strengthen your muscles and improve the coordination. It improves balance, gait, flexibility and grip strength
Physiotherapy uses the following techniques:
Gentle rocking, rotational exercises combined with deep breathing can be used to produce generalized relaxation. Range of motion exercises should be emphasized for restoring range of motion of neck and trunk and can be performed in combination with rotational exercises to promote relaxation.
Exercises should initially be performed in fully supported positions like supine - slow side to side head rotations, hook lying - lower trunk rotations, side-lying - upper and lower trunk rotations.
Proprioceptive neuromuscular facilitation progressive movements from passive to active assisted to slightly resisted or active movement, which is designed to overcome the crippling effects of mobility. Techniques like hold relax, contract-relax techniques are used as a treatment technique.
Both active and passive ROM exercises are used to improve flexibility. Exercises emphasize active motions that are performed two or three times a day. Exercise should be focused on strengthening the patient’s weak, elongated extensor muscles and tight flexor muscles.
This technique can be used to elongate the muscles. The patient or caregiver should be instructed on appropriate stretching exercises and the importance of maintaining the stretch force for at least 15 – 30 seconds. Stretches are repeated at least 3 -5 times. Ballistic stretches (high-intensity bouncing stretches) should be avoided.
The overall focus is on improving mobility and function with specific emphasize on improving segmental mobility of the head, trunk and proximal segments hips and shoulders the movements should be rhythmic and should progress towards increasing ROM. Bed mobility , sitting and standing activities are essential skills to be taught.
A number of positions can be used to improve balance. Training should begin with weight shifts in both sitting and standing positions. The complexity of the activities can be altered by increasing the range of the weight shift or adding upper extremity tasks like reaching, picking up objects off the floor, tying shoelaces etc. Use of Swiss ball can be incorporated also.
Early morning warm-up exercises are helpful in the morning reduces morning stiffness. HOM exercises can often be assisted by the use of adaptive equipments like wall pulleys, which can be used to improve upper extremities ROM. Hanging from an overhead bar, maintain the stretch to upper extremities, wands or canes can used in promoting overhead movements. In standing countertop or sturdy chair can be used to assist in stabilization during balance activities.
Patient and family education
Patients, family members and caregivers need to be educated about the patient’s condition. They should be taught to understand the preventive measures taken to minimize the secondary complications and impairments that typically result. The patient cannot be hurried because performance will suffer. Caregivers should be encouraged not to provide too much assistance because this will foster dependence.