Skip to main content
Top
Published in: European Journal of Applied Physiology 1/2010

01-09-2010 | Original Article

Effects of acute hypoxia on postural and kinetic tremor

Authors: A. Legros, H. R. Marshall, A. Beuter, J. Gow, B. Cheung, A. W. Thomas, F. S. Prato, R. Z. Stodilka

Published in: European Journal of Applied Physiology | Issue 1/2010

Login to get access

Abstract

Human physiological tremor is a complex phenomenon that is modulated by numerous mechanical, neurophysiological, and environmental conditions. Researchers investigating tremor have suggested that acute hypoxia increases tremor amplitude. Based on the results of prior studies, we hypothesized that human participants exposed to a simulated altitude of 4,500 m would display an increased tremor amplitude within the 6–12 Hz frequency range. Postural and kinetic tremors were recorded with a laser system in 23 healthy male participants before, during, and after 1 h of altitude-induced hypoxia. A large panel of tremor characteristics was used to investigate the effect of hypoxia. Acute hypoxia increased tremor frequency content between 6 and 12 Hz during both postural and kinetic tremor tasks (P < 0.05, F = 6.142, Eta2 = 0.24 and P < 0.05, F = 3.767 Eta2 = 0.14, respectively). Although the physiological mechanisms underlying the observed changes in tremor are not completely elucidated yet, this study confirms that acute hypoxia increases tremor frequency in the 6–12 Hz range. Furthermore, this study indicates that changes in physiological tremor can be detected at lower hypoxemic levels than previously reported (blood saturation in oxygen = 80.9%). The effects of hypoxia mainly result from a cascade of events starting with the activation of the hypothalamic–pituitary–adrenal axis causing in turn an increase in catecholamine release, leading to an augmentation of tremor amplitude in the 6- to12-Hz interval and heart rate increase.
Appendix
Available only for authorised users
Footnotes
1
Please note that the description of the quantification of the changes in terms of ‘better or worse performance’ regarding tremor characteristics is stated here as an indication only. Though they could be adapted in describing pathological tremor such characterizations would be too speculative to be used to fully describe tremor staying within the physiological range
 
Literature
go back to reference Arihara M, Sakamoto K (1999) Contribution of motor unit activity enhanced by acute fatigue to physiological tremor of finger. Electromyogr Clin Neurophysiol 39:235–247PubMed Arihara M, Sakamoto K (1999) Contribution of motor unit activity enhanced by acute fatigue to physiological tremor of finger. Electromyogr Clin Neurophysiol 39:235–247PubMed
go back to reference Bartholomew CJ, Jensen W, Petros TV et al (1999) The effect of moderate levels of simulated altitude on sustained cognitive performance. Int J Aviat Psychol 9:351–359CrossRefPubMed Bartholomew CJ, Jensen W, Petros TV et al (1999) The effect of moderate levels of simulated altitude on sustained cognitive performance. Int J Aviat Psychol 9:351–359CrossRefPubMed
go back to reference Beuter A, Edwards R (1998) Tremor in Cree subjects exposed to methylmercury: a preliminary study. Neurotoxicol Teratol 20:581–589CrossRefPubMed Beuter A, Edwards R (1998) Tremor in Cree subjects exposed to methylmercury: a preliminary study. Neurotoxicol Teratol 20:581–589CrossRefPubMed
go back to reference Beuter A, Edwards R (1999) Using frequency domain characteristics to discriminate physiologic and parkinsonian tremors. J Clin Neurophysiol 16:484–494CrossRefPubMed Beuter A, Edwards R (1999) Using frequency domain characteristics to discriminate physiologic and parkinsonian tremors. J Clin Neurophysiol 16:484–494CrossRefPubMed
go back to reference Beuter A, Edwards R (2002) Characterization and discrimination of kinetic tremor in Parkinson’s disease. Rev Neurol (Paris) 158:338–340 Beuter A, Edwards R (2002) Characterization and discrimination of kinetic tremor in Parkinson’s disease. Rev Neurol (Paris) 158:338–340
go back to reference Beuter A, Edwards R, Lamoureux D (2000) Neuromotor profiles: what are they and what can we learn from them? Brain Cogn 43:39–44PubMed Beuter A, Edwards R, Lamoureux D (2000) Neuromotor profiles: what are they and what can we learn from them? Brain Cogn 43:39–44PubMed
go back to reference Bonvallet M, Audisio M, Hugelin A (1959) Reticular and cortical factors in the changes in motoneuron excitability seen during acute hypoxia. J Physiol (Paris) 51:411–412 Bonvallet M, Audisio M, Hugelin A (1959) Reticular and cortical factors in the changes in motoneuron excitability seen during acute hypoxia. J Physiol (Paris) 51:411–412
go back to reference Britton TC, Thompson PD (1995) Primary orthostatic tremor. BMJ 310:143–144PubMed Britton TC, Thompson PD (1995) Primary orthostatic tremor. BMJ 310:143–144PubMed
go back to reference Chalmers JP, Korner PI, White SW (1966) The control of the circulation in skeletal muscle during arterial hypoxia in the rabbit. J Physiol 184:698–716PubMed Chalmers JP, Korner PI, White SW (1966) The control of the circulation in skeletal muscle during arterial hypoxia in the rabbit. J Physiol 184:698–716PubMed
go back to reference Cotes JE, Chinn DJ, Miller MR (2006) Lung function: physiology, measurement and application in medicine. Blackwell, Victoria Cotes JE, Chinn DJ, Miller MR (2006) Lung function: physiology, measurement and application in medicine. Blackwell, Victoria
go back to reference Deuschl G, Bain P, Brin M (1998) Consensus statement of the movement disorder society on tremor. Ad Hoc Scientific Committee. Mov Disord 13(Suppl 3):2–23PubMed Deuschl G, Bain P, Brin M (1998) Consensus statement of the movement disorder society on tremor. Ad Hoc Scientific Committee. Mov Disord 13(Suppl 3):2–23PubMed
go back to reference Deuschl G, Raethjen J, Lindemann M et al (2001) The pathophysiology of tremor. Muscle Nerve 24:716–735CrossRefPubMed Deuschl G, Raethjen J, Lindemann M et al (2001) The pathophysiology of tremor. Muscle Nerve 24:716–735CrossRefPubMed
go back to reference Edwards R, Beuter A (2000) Using time domain characteristics to discriminate physiologic and parkinsonian tremors. J Clin Neurophysiol 17:87–100CrossRefPubMed Edwards R, Beuter A (2000) Using time domain characteristics to discriminate physiologic and parkinsonian tremors. J Clin Neurophysiol 17:87–100CrossRefPubMed
go back to reference Elble RJ (1986) Physiologic and essential tremor. Neurology 36:225–231PubMed Elble RJ (1986) Physiologic and essential tremor. Neurology 36:225–231PubMed
go back to reference Elble RJ, Koller WC (1990) Tremor. The John Hopkins University press, London Elble RJ, Koller WC (1990) Tremor. The John Hopkins University press, London
go back to reference Fellows IW, Macdonald IA, Wharrad HJ et al (1986) Low plasma concentrations of adrenaline and physiological tremor in man. J Neurol Neurosurg Psychiatry 49:396–399CrossRefPubMed Fellows IW, Macdonald IA, Wharrad HJ et al (1986) Low plasma concentrations of adrenaline and physiological tremor in man. J Neurol Neurosurg Psychiatry 49:396–399CrossRefPubMed
go back to reference Ganong WF (2001) Review of medical physiology. McGraw-Hill, New York Ganong WF (2001) Review of medical physiology. McGraw-Hill, New York
go back to reference Goodman D, Kelso JA (1983) Exploring the functional significance of physiological tremor: a biospectroscopic approach. Exp Brain Res 49:419–431CrossRefPubMed Goodman D, Kelso JA (1983) Exploring the functional significance of physiological tremor: a biospectroscopic approach. Exp Brain Res 49:419–431CrossRefPubMed
go back to reference Gross J, Timmermann L, Kujala J et al (2002) The neural basis of intermittent motor control in humans. Proc Natl Acad Sci USA 99:2299–2302CrossRefPubMed Gross J, Timmermann L, Kujala J et al (2002) The neural basis of intermittent motor control in humans. Proc Natl Acad Sci USA 99:2299–2302CrossRefPubMed
go back to reference Hiramatsu Y, Takahashi H, Izumi A (1971) Effect of inosine on adrenaline and vasopressin induced myocardial hypoxia. Jpn J Pharmacol 21:355–360CrossRefPubMed Hiramatsu Y, Takahashi H, Izumi A (1971) Effect of inosine on adrenaline and vasopressin induced myocardial hypoxia. Jpn J Pharmacol 21:355–360CrossRefPubMed
go back to reference Hugelin A, Bonvallet M, Dell P (1959) Reticular & cortical activation of chemoreceptor origin during hypoxia. Electroencephalogr Clin Neurophysiol Suppl 11:325–340CrossRef Hugelin A, Bonvallet M, Dell P (1959) Reticular & cortical activation of chemoreceptor origin during hypoxia. Electroencephalogr Clin Neurophysiol Suppl 11:325–340CrossRef
go back to reference Koller W, Cone S, Herbster G (1987) Caffeine and tremor. Neurology 37:169–172PubMed Koller W, Cone S, Herbster G (1987) Caffeine and tremor. Neurology 37:169–172PubMed
go back to reference Koster B, Lauk M, Timmer J et al (1998) Central mechanisms in human enhanced physiological tremor. Neurosci Lett 241:135–138CrossRefPubMed Koster B, Lauk M, Timmer J et al (1998) Central mechanisms in human enhanced physiological tremor. Neurosci Lett 241:135–138CrossRefPubMed
go back to reference Krause WL, Leiter JC, Tenney MS et al (2000) Acute hypoxia activates human 8–12 Hz physiological tremor. Respir Physiol 123:131–141CrossRefPubMed Krause WL, Leiter JC, Tenney MS et al (2000) Acute hypoxia activates human 8–12 Hz physiological tremor. Respir Physiol 123:131–141CrossRefPubMed
go back to reference Lakie M, Frymann K, Villagra F et al (1994a) The effect of alcohol on physiological tremor. Exp Physiol 79:273–276PubMed Lakie M, Frymann K, Villagra F et al (1994a) The effect of alcohol on physiological tremor. Exp Physiol 79:273–276PubMed
go back to reference Lakie M, Walsh EG, Arblaster LA et al (1994b) Limb temperature and human tremors. J Neurol Neurosurg Psychiatry 57:35–42CrossRefPubMed Lakie M, Walsh EG, Arblaster LA et al (1994b) Limb temperature and human tremors. J Neurol Neurosurg Psychiatry 57:35–42CrossRefPubMed
go back to reference Legros A, Beuter A (2005) Effect of a low intensity magnetic field on human motor behavior. Bioelectromagnetics 26:657–669CrossRefPubMed Legros A, Beuter A (2005) Effect of a low intensity magnetic field on human motor behavior. Bioelectromagnetics 26:657–669CrossRefPubMed
go back to reference Legros A, Gaillot P, Beuter A (2006) Transient effect of low-intensity magnetic field on human motor control. Med Eng Phys 28:827–836CrossRefPubMed Legros A, Gaillot P, Beuter A (2006) Transient effect of low-intensity magnetic field on human motor control. Med Eng Phys 28:827–836CrossRefPubMed
go back to reference Li XY, Wu XY, Fu C et al (2000) Effects of acute mild and moderate hypoxia on human mood state. Space Med Med Eng (Beijing) 13:1–5 Li XY, Wu XY, Fu C et al (2000) Effects of acute mild and moderate hypoxia on human mood state. Space Med Med Eng (Beijing) 13:1–5
go back to reference Lippold OC (1970) Oscillation in the stretch reflex arc and the origin of the rhythmical, 8–12 C-S component of physiological tremor. J Physiol 206:359–382PubMed Lippold OC (1970) Oscillation in the stretch reflex arc and the origin of the rhythmical, 8–12 C-S component of physiological tremor. J Physiol 206:359–382PubMed
go back to reference Lippold O (1981) The tremor in fatigue. Ciba Found Symp 82:234–248PubMed Lippold O (1981) The tremor in fatigue. Ciba Found Symp 82:234–248PubMed
go back to reference Llinas R, Volkind RA (1973) The olivo-cerebellar system: functional properties as revealed by harmaline-induced tremor. Exp Brain Res 18:69–87CrossRefPubMed Llinas R, Volkind RA (1973) The olivo-cerebellar system: functional properties as revealed by harmaline-induced tremor. Exp Brain Res 18:69–87CrossRefPubMed
go back to reference Marsden CD, Meadows JC (1970) The effect of adrenaline on the contraction of human muscle. J Physiol 207:429–448PubMed Marsden CD, Meadows JC (1970) The effect of adrenaline on the contraction of human muscle. J Physiol 207:429–448PubMed
go back to reference Marsden CD, Meadows JC, Lange GW et al (1967) Effect of deafferentation on human physiological tremor. Lancet 2:700–702CrossRefPubMed Marsden CD, Meadows JC, Lange GW et al (1967) Effect of deafferentation on human physiological tremor. Lancet 2:700–702CrossRefPubMed
go back to reference Marsden CD, Meadows JC, Lange GW et al (1969) The role of the ballistocardiac impulse in the genesis of physiological tremor. Brain 92:647–662CrossRefPubMed Marsden CD, Meadows JC, Lange GW et al (1969) The role of the ballistocardiac impulse in the genesis of physiological tremor. Brain 92:647–662CrossRefPubMed
go back to reference Mazzocchio R, Gelli F, Del Santo F et al (2008) Effects of posture-related changes in motor cortical output on central oscillatory activity of pathological origin in humans. Brain Res 1223:65–72CrossRefPubMed Mazzocchio R, Gelli F, Del Santo F et al (2008) Effects of posture-related changes in motor cortical output on central oscillatory activity of pathological origin in humans. Brain Res 1223:65–72CrossRefPubMed
go back to reference McAuley JH, Marsden CD (2000) Physiological and pathological tremors and rhythmic central motor control. Brain 123(Pt 8):1545–1567CrossRefPubMed McAuley JH, Marsden CD (2000) Physiological and pathological tremors and rhythmic central motor control. Brain 123(Pt 8):1545–1567CrossRefPubMed
go back to reference Morrison S, Kavanagh J, Obst SJ et al (2005) The effects of unilateral muscle fatigue on bilateral physiological tremor. Exp Brain Res 167:609–621CrossRefPubMed Morrison S, Kavanagh J, Obst SJ et al (2005) The effects of unilateral muscle fatigue on bilateral physiological tremor. Exp Brain Res 167:609–621CrossRefPubMed
go back to reference Nelson M (1982) Psychological testing at high altitudes. Aviat Space Environ Med 53:122–126PubMed Nelson M (1982) Psychological testing at high altitudes. Aviat Space Environ Med 53:122–126PubMed
go back to reference Norman KE, Edwards R, Beuter A (1999) The measurement of tremor using a velocity transducer: comparison to simultaneous recordings using transducers of displacement, acceleration and muscle activity. J Neurosci Methods 92:41–54CrossRefPubMed Norman KE, Edwards R, Beuter A (1999) The measurement of tremor using a velocity transducer: comparison to simultaneous recordings using transducers of displacement, acceleration and muscle activity. J Neurosci Methods 92:41–54CrossRefPubMed
go back to reference Pavlicek V, Schirlo C, Nebel A et al (2005) Cognitive and emotional processing at high altitude. Aviat Space Environ Med 76:28–33PubMed Pavlicek V, Schirlo C, Nebel A et al (2005) Cognitive and emotional processing at high altitude. Aviat Space Environ Med 76:28–33PubMed
go back to reference Peterson BS, Skudlarski P, Gatenby JC et al (1999) An fMRI study of Stroop word-color interference: evidence for cingulate subregions subserving multiple distributed attentional systems. Biol Psychiatry 45:1237–1258CrossRefPubMed Peterson BS, Skudlarski P, Gatenby JC et al (1999) An fMRI study of Stroop word-color interference: evidence for cingulate subregions subserving multiple distributed attentional systems. Biol Psychiatry 45:1237–1258CrossRefPubMed
go back to reference Pickles H, Perucca E, Fish A et al (1981) Propranolol and sotalol as antagonists of isoproterenol-enhanced physiologic tremor. Clin Pharmacol Ther 30:303–310PubMed Pickles H, Perucca E, Fish A et al (1981) Propranolol and sotalol as antagonists of isoproterenol-enhanced physiologic tremor. Clin Pharmacol Ther 30:303–310PubMed
go back to reference Pollok B, Gross J, Dirks M et al (2004) The cerebral oscillatory network of voluntary tremor. J Physiol 554:871–878CrossRefPubMed Pollok B, Gross J, Dirks M et al (2004) The cerebral oscillatory network of voluntary tremor. J Physiol 554:871–878CrossRefPubMed
go back to reference Scow J, Krasno LR, Ivy AC (1950) The immediate and accumulative effect on psychomotor performance of exposure to hypoxia, high altitude and hyper-ventilation. J Aviat Med 21:79–81PubMed Scow J, Krasno LR, Ivy AC (1950) The immediate and accumulative effect on psychomotor performance of exposure to hypoxia, high altitude and hyper-ventilation. J Aviat Med 21:79–81PubMed
go back to reference Stein RB, Lee RG, Nichols TR (1978) Modifications of ongoing tremors and locomotion by sensory feedback. Electroencephalogr Clin Neurophysiol, suppl 5, pp 12–519 Stein RB, Lee RG, Nichols TR (1978) Modifications of ongoing tremors and locomotion by sensory feedback. Electroencephalogr Clin Neurophysiol, suppl 5, pp 12–519
go back to reference Stiles RN, Randall JE (1967) Mechanical factors in human tremor frequency. J Appl Physiol 23:324–330PubMed Stiles RN, Randall JE (1967) Mechanical factors in human tremor frequency. J Appl Physiol 23:324–330PubMed
go back to reference Travis LE (1929) The relation of voluntary movement to tremors. J Exp Psychol 12:515–524CrossRef Travis LE (1929) The relation of voluntary movement to tremors. J Exp Psychol 12:515–524CrossRef
go back to reference Vaillancourt DE, Newell KM (2000) Amplitude changes in the 8–12, 20–25, and 40 Hz oscillations in finger tremor. Clin Neurophysiol 111:1792–1801CrossRefPubMed Vaillancourt DE, Newell KM (2000) Amplitude changes in the 8–12, 20–25, and 40 Hz oscillations in finger tremor. Clin Neurophysiol 111:1792–1801CrossRefPubMed
go back to reference Vallbo AB, Wessberg J (1993) Organization of motor output in slow finger movements in man. J Physiol 469:673–691PubMed Vallbo AB, Wessberg J (1993) Organization of motor output in slow finger movements in man. J Physiol 469:673–691PubMed
go back to reference van der Post J, Noordzij LA, de Kam ML et al (2002) Evaluation of tests of central nervous system performance after hypoxemia for a model for cognitive impairment. J Psychopharmacol 16:337–343CrossRefPubMed van der Post J, Noordzij LA, de Kam ML et al (2002) Evaluation of tests of central nervous system performance after hypoxemia for a model for cognitive impairment. J Psychopharmacol 16:337–343CrossRefPubMed
go back to reference Vetter K, Horvath SM (1961) Analysis of physiological tremor during rest and exhaustion. J Appl Physiol 16:994–996PubMed Vetter K, Horvath SM (1961) Analysis of physiological tremor during rest and exhaustion. J Appl Physiol 16:994–996PubMed
go back to reference Virues-Ortega J, Buela-Casal G, Garrido E et al (2004) Neuropsychological functioning associated with high-altitude exposure. Neuropsychol Rev 14:197–224CrossRefPubMed Virues-Ortega J, Buela-Casal G, Garrido E et al (2004) Neuropsychological functioning associated with high-altitude exposure. Neuropsychol Rev 14:197–224CrossRefPubMed
go back to reference Virues-Ortega J, Garrido E, Javierre C et al (2006) Human behaviour and development under high-altitude conditions. Dev Sci 9:400–410CrossRefPubMed Virues-Ortega J, Garrido E, Javierre C et al (2006) Human behaviour and development under high-altitude conditions. Dev Sci 9:400–410CrossRefPubMed
go back to reference Wachs H, Boshes B (1966) Tremor studies in normals and parkinsonism. Arch Neurol pp 66–82 Wachs H, Boshes B (1966) Tremor studies in normals and parkinsonism. Arch Neurol pp 66–82
go back to reference Watson JM, Richens A (1974) The effects of salbutamol and terbutaline on physiological tremor, bronchial tone and heart rate. Br J Pharmacol 1:223–227 Watson JM, Richens A (1974) The effects of salbutamol and terbutaline on physiological tremor, bronchial tone and heart rate. Br J Pharmacol 1:223–227
go back to reference Wessberg J, Vallbo AB (1996) Pulsatile motor output in human finger movements is not dependent on the stretch reflex. J Physiol 493(Pt 3):895–908PubMed Wessberg J, Vallbo AB (1996) Pulsatile motor output in human finger movements is not dependent on the stretch reflex. J Physiol 493(Pt 3):895–908PubMed
Metadata
Title
Effects of acute hypoxia on postural and kinetic tremor
Authors
A. Legros
H. R. Marshall
A. Beuter
J. Gow
B. Cheung
A. W. Thomas
F. S. Prato
R. Z. Stodilka
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 1/2010
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-010-1475-x

Other articles of this Issue 1/2010

European Journal of Applied Physiology 1/2010 Go to the issue