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Progressive muscle relaxation, meditation, and mental practice-based interventions for the treatment of tremor after traumatic brain injury.

Ashley Hall Campbell, Kristen Barta, Michelle Sawtelle, Amy Walters

Physiotherapy Theory and Practice October 2024 DOI: 10.1080/09593985.2023.2243504 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case report Peer reviewed
Sample size 1
Population 47-year-old male with chronic right upper extremity tremor following traumatic brain injury
Interventions Progressive muscle relaxation breath-focused meditation mental practice-based intervention active range of motion activities
Measures surface electromyography, spirograph
Topics Meditation
Keywords Tremor Mental practice Physical therapy Progressive muscle relaxation
Key findings The authors report that progressive muscle relaxation, breath-focused meditation, and mental practice-based intervention appeared to improve tremor-related outcomes in a single patient with chronic post-TBI tremor, including quality of life, self-rated tremor severity, tremor impact on activities of daily living, gross motor object manipulation, surface electromyography tremor frequency, and spirograph visual inspection. They state that further investigation is needed to verify these findings.

Abstract

Individuals post traumatic brain injury (TBI) are likely to experience cognitive, sensory, and motor impairments. Tremor is a common movement disorder that can affect this patient population. The purpose of this case report was to describe the effects that progressive muscle relaxation, meditation, and mental practice-based interventions have on the treatment of chronic right upper extremity tremor in a patient post-TBI. A 47-year-old male with a traumatic brain injury presented with a resting and postural tremor of the right wrist flexors and deficits in cognition, sensation, proprioception, balance, and motor function. The patient's primary goal for therapy was to decrease the tremor to improve his quality of life and ability to perform activities of daily living. Progressive muscle relaxation, breath-focused meditation, and mental practice-based intervention were administered to the patient. Active range of motion activities occurred during weekly in-person sessions and daily practice occurred at home. The patient demonstrated improvements in quality of life, self-ratings of tremor severity, ratings of tremor impact on ADL's, gross motor object manipulation, frequency of tremor via surface electromyography, and visual inspection of a spirograph. A combination of progressive muscle relaxation, meditation, and mental practice-based interventions appeared to positively impact tremor across physical and psychosocial domains in a patient with a chronic tremor. Further investigation is needed to verify these findings.

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