First of all, it has to be said that the tortures experienced by the German Chancellor Angela Merkel can have many reasons and while their doctors do not give a specific diagnosis, every clinical approach falls into the sphere of speculation.
However, the symptom presented by the president is an excuse to remember that tremors, according to the National Institute of Neurological Diseases and Stroke (NINDS, with acronym in English), are involuntary and rhythmic muscle contractions that cause excited movements or shaking in one or more body parts,
According to the institute, this is a frequent change that can be permanent or intermittent, triggering itself or as a result of another change.
This condition is more common in older people, although it may occur at any age and affects both men and women equally. Gustavo Castro, neurologist and member of the Columbia Association of Neurology (ACN), explains that shaking itself is not a change in life, but they can become incapacitated and affect the everyday lives of those who suffer from them,
Why do they appear?
Castro states that their origin must be related to neurological components, especially the brain that controls the movements. And although most tremors have no known reasons, there are some that can be identified; even, some may be inherited,
Also, according to NINDS, this symptom may also be associated with neurological diseases such as multiple sclerosis, stroke consequences. or brain trauma, and others associated with degenerative brain diseases, such as Parkinson & apos; s disease,
Rest and movement
NINDS classifies these symptoms in two types. The one that happens at rest, also called static tremor, and that of action, the one that accompanies the voluntary movements.
The tranquility of peace occurs when the man and his muscles relax even when the limbs rest on somethingAccording to NINDS, they are usually more visible in the hand or fingers and accompany diseases such as Parkinson's disease.
Tremor of action is more common and has several categories characterized by forced movement to the activity being performed.
Postural tremor is one that occurs when there is a movement against gravity; kinetics is associated with any voluntary movement; intentional occurs when there is specific muscle activity, such as gripping or pinching, and isometry, it seems that there is no movement, this happens when there is only a muscle contraction and he grabs something heavy,
Types of shocks
From the academic level tremors have been identified, which include up to 20 manifestations.
The main: He has no exact reason, but can accompany people for many years and usually affects both sides of the body, although it is more noticeable than the dominant one.
"This is a slow tremor, both in the hands and in the hands, can be present in the activity or at rest without having unusual postures or changes in the speed of the movements," Castro says.
Physiological tremor: According to NINDS, it is present in healthy people and is rarely seen. It usually includes both hands and fingers and is not a disease. However, in some of them it increases due to the reaction of some drugs, abstinence from alcohol or even thyroid problems or sugar, a condition that is eliminated when treated.
Trekking on Parkinson's: Symptom of this disease, and does not occur in all affected. "It happens like excitement in one or both hands or in the fingers when it is at rest It also affects the chin, the lips, the face and the legs It can only appear on one side of the body and progress to both countries, "he said. ,
There are tremors such as psychogenic, orthostatic, cerebellar or dystonic with specific characteristics.
Clinical history with a complete neurological examination is the basis of the diagnosis, says Neurologist Castro. In this approach, he says, it is important to classify a symptom from the beginning, "whether it is at rest, movement or if it accompanies any activity, etc.". It should also check its frequency, amplitude, and consequently carry out relevant research to identify the cause.
NINDS guarantees this There is no exact cure for most tremors that are not related to a specific cause. However, there are therapeutic measures to mitigate them.
In cases where a determinant, such as thyroid problems or muscle deficits, is identified, it is crucial to deal with the cause of the symptom interrupting when it is associated with taking medication.
Castro says tremor management has advanced with procedures such as electrical stimulation and even surgery at certain brain centers. And these are procedures that remain in the hands of specialists for serious cases.
Rehabilitation and lifestyle changes
Maria Fernanda Perez, Head of Rehabilitation Unit at San Ignacio de Bogota University Hospital, says that Complex approaches through rehabilitation teams for patients with severe tremor have shown results. For this purpose, they use techniques with physiotherapy, motion control, even rails and adaptation equipment.
NINDS declares this tremor is not a life-threatening symptom. However, it may represent some inability for basic activities and even emotional changes in those who suffer. Therefore, it is also important to be supported from a psychological point of view.
CARLOS FRANCISCO FERNÁNDEZ R.
TIME OF MEDICAL ADVICE