Tremor

INDEX

Part B (Items 10-14) relates to action tremors of the upper extremities, particularly writing and pouring liquids. Severity is determined by watching the patient carry out the aforementioned activities.

For handwriting, only the dominant hand used for writing is evaluated; the patient writes a standard sentence, his or her name, and the date (item 10). Space is provided on the scoring form for this handwriting sample, which would then be part of the patient record. Drawing is also evaluated by having the patient carry out this activity on the scoring form. Space is available for assessing each hand. To allow consistent evaluation over time, the patient should not rest the drawing hand and forearm on the table or desk. This, of course, makes the task more difficult and the test more sensitive.