The full UPDRS is a standardized evaluation test for both motor and non-motor deficits of Parkinson's disease (Goetz et al., 2008 (link)) and was utilized in this experiment to assess the baseline of subjects. Since this research mainly focused on the symptom of tremor, a subscale consisting of Part III in UPDRS (UPDRS-III, Motor Examination) was used instead after intervention. The excluded parts were: (Part I) Non-motor Experiences of Daily Living, (Part II) Motor Experiences of Daily Living and (Part IV) Motor Complications, which were less associated with the immediate response of tremor.
FTMTRS is a tool used to evaluate tremor severity in human body (Fahn et al., 1993 ). The full scale was used in the pre-intervention evaluation to assess baseline. A subscale comprising Part A and Part B in FTMTRS was used as a corresponding post-intervention evaluation. We excluded Part C: Functional Disabilities Resulting from Tremor for it had less relevance with the short-term response in tremor.
PPT is a tool for manipulative dexterity evaluation and requires the subject to place the specific small objects as many as possible in the limited time (Tiffin and Asher, 1948 (link)). Since upper limb tremor was one of the factors that affect subject's hand dexterity, we assumed any change in subject's performance in PPT manifested the change in tremor severity. The scale consists of four parts: (1) moving pins with the right hand, (2) moving pins with the left hand, (3) moving pins with both hands and (4) assembling pins, collars and washers with both hands. We followed the standard procedure to implement PPT over subjects. Subjects were instructed to practice the tasks before the evaluation and afterwards underwent a three-trial PPT in both the pre- and post-evaluation.
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