Tremor: a simple four-step approach to clinical assessment

Andre Loiselle
Med J Aust 2018; 208 (9): . || doi: 10.5694/mja18.00115
Published online: 21 May 2018

Tremor is the most common movement disorder encountered in clinical practice.1-3 It is defined as an involuntary, rhythmic and oscillatory movement of a body part. Tremors tend to be relatively constant in frequency but variable in amplitude,1 which may happen due to exaggeration of the physiological tremor or due to a tremor disorder. If significant enough, it may lead to medical presentation.

  • John Hunter Hospital, Newcastle, NSW

Series Editors

Balakrishnan (Kichu) R Nair

Simon O'Connor

Competing interests:

No relevant disclosures.

  • 1. Jankovic J, Fahn S. Physiologic and pathologic tremors. Diagnosis, mechanism, and management. Ann Intern Med 1980; 93: 460-465.
  • 2. Sirisena D, Williams D. My hands shake — classification and treatment of tremor. Aust Fam Physician 2009; 38: 678-683.
  • 3. Crawford P, Zimmerman E. Differentiation and diagnosis of tremor. Am Fam Physician 2011; 83; 697-702.
  • 4. Thenganatt MA, Louis ED. Distinguishing essential tremor from Parkinson’s disease: bedside tests and laboratory evaluations. Expert Rev Neurother 2012; 12: 687-696.
  • 5. Cohen O, Pullman S, Jurewicz E, et al. Rest tremor in patients with essential tremor: prevalence, clinical correlates, and electrophysiologic characteristics. Arch Neurol 2003; 60: 405-410.


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