Turkish Journal of Physical Medicine and Rehabilitation

Orthostatic tremor after knee contusion without head trauma: A rare case report

San-Ha Kim 1 ,Jae-Young Han 2 ,Min-Keun Song 2 ,In Sung Choi 1 ,Hyeng-Kyu Park 1
1 Department of Physical & Rehabilitation Medicine, Chonnam National University Hospital, Gwangju City, Republic of Korea
2 Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Center for Aging and Geriatrics, Chonnam National University Medical School & Hospital, Gwangju, Republic of Korea
DOI : 10.5606/tftrd.2023.8718 Orthostatic tremor (OT) is an uncommon progressive movement disorder that involves a leg tremor when standing or weight bearing. Additionally, OT can accompany other medical or neurodegenerative disorders. In this article, we report an unusual case of OT after trauma in an 18-year-old male patient whose symptoms of OT have been resolved after a multimodal therapeutic approach, including botulinum toxin injection. Surface electromyography, including a tremor recording, was used for the diagnosis of OT. The patient completely recovered after the rehabilitation. A comprehensive rehabilitative treatment is required in the management of OT as the patient`s quality of life is greatly affected. Keywords : Botulinum toxin, orthostatic tremor, surface electromyography, trauma