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Investigation of an unusual,high‐frequency jaw tremor with coherence analysis
Authors:Paul F. Sowman BPhty  PGDipHSc  Philip D. Thompson BDS  PhD   DSc  Timothy S. Miles MB  PhD   FRACP
Affiliation:1. Research Centre for Human Movement Control, School of Molecular and Biomedical Science, The University of Adelaide, Adelaide SA, Australia;2. University Department of Medicine, The University of Adelaide, Adelaide SA, Australia;3. Department of Neurology, Royal Adelaide Hospital, North Terrace, Adelaide SA, Australia
Abstract:Normal physiological tremor of the jaw has a frequency of 6 to 8 Hz. A patient is described with jaw tremor at frequencies of 12 Hz during jaw movement and 15 Hz when the jaw was relaxed. The 15 Hz tremor was driven by synchronous, bilateral bursts of activity in the temporalis and masseter muscles, which alternated with digastric bursts. Coherence analysis indicated the tremor was highly correlated with both opening and closing muscle activity, and that the opening and closing muscles were about 180° out of phase. The existence of two tremors with different, nonphysiological peak frequencies and the influence of attention, relaxation, and movement in switching from one tremor frequency to the other, suggest that more than one generator may be operating. © 2007 Movement Disorder Society
Keywords:masseter  coherence analysis  masticatory muscles  tremor
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