Tremors can be classified as follows Resting tremorParkinsonian

The tremor of Parkinson's disease is present at rest. The hand tremor is most marked with the arms supported on the lap and during walking. The characteristic movement is 'pill-rolling' where movement of the fingers at the metacarpophalangeal joints is combined with movements of the thumb. The resting tremor decreases on finger-nose testing but a faster action tremor may supervene. The best way to evoke the tremor is to distract the patient, such as focusing attention on the left hand with a view to 'examining' the right hand or by turning the head.

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