Listed in Issue 180


SCHLESINGER and COLLEAGUES, Department of Neurology, Rambam Health Care Campus, Haifa, Israel.  set out to determine whether Parkinson's Disease (PD) tremor improves with relaxation guided imagery (RGI) and relaxing music.


Patients with Parkinson's disease (PD) may have pronounced tremor that exacerbates during stress.


Twenty patients with PD with moderate to severe tremor participated in sessions where relaxation techniques were implemented. Tremor was objectively monitored using an accelerometer. RGI dramatically decreased tremor in all 20 patients (baseline 270.38 +/- 85.82 vs. RGI 35.57 +/- 43.90 movements per minute P < 0.0001).


In 15 patients, RGI completely abolished tremor for 1-13 min. Average tremor activity remained significantly below baseline both 15 min and 30 min after RGI was discontinued (P < 0.001). Patients reported improvement lasting 2-14 hours (mean 6.8 +/- 3.8). Relaxing music significantly reduced tremor but to a lesser degree than RGI (220.04 +/- 106.53 movements per minute P = 0.01). Self-relaxation had no significant effect on tremor.


Relaxation guided imagery (RGI) can supplement conventional medical treatments for tremor in patients with PD on best medical treatment. (c) 2009 Movement Disorder Society.


Schlesinger I, Benyakov O, Erikh I, Suraiya S and Schiller Y, Parkinson's disease tremor is diminished with relaxation guided imagery. Movement Disorders, 24(14): 2059-62. Oct 30 2009.

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