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Please Note: The technology listed below is not available to the public at this time. This technology is in the early stage of research and requires further development before it is ready for the marketplace. The VA is currently in the process of identifying potential companies who may be interested in licensing and/or further developing the technology through Cooperative Research and Development Agreements (CRADA). Through cooperative research initiatives such as these, it is our hope and goal that commercial products will be fully developed and made available to benefit veterans and others.  

VA TECHNOLOGY OPPORTUNITY BRIEF

A Firm-Contact Apparel Prosthesis for Tremor Suppression

(#01-056)

OPPORTUNITY:
The Department of Veterans Affairs (VA) is seeking a commercial partner to license and/or further develop this technology through a Cooperative R & D Agreement (CRADA) to expedite bringing it to market.

BACKGROUND:
Tremors affect a population estimated between 1 million and 1.5 million individuals. A simple method of classifying tremor disorders is to consider the tremors as either postural or kinetic. These tremors not only make it difficult to complete tasks but also may be a source of embarrassment. A number of treatments exist or are under development. Although each of these therapies is a viable treatment within its target sector, each one has a drawback, ranging from its invasiveness, cost or side effect. The described methods are pharmacological, surgical, nerve stimulation or cell implantation. Thus, a noninvasive, cost-effective, minimal-risk method of treatment is in high demand for alleviating or suppressing the effects of kinetic tremors, the most notable of which are tremors affecting the hands.

TECHNOLOGY OVERVIEW:
The VA has developed a technology that deals with a treatment for alleviating or suppressing the effects of kinetic tremors. The subject technology is an orthotic device, the application of an observation that circumferential pressure on certain hand or arm joints reduces tremors in patients who have either Parkinson's disease or essential tremors. Specifically, the invention is a sleeve, band or sleeve with a band incorporated within it that applies pressure to any area of the arm, wrist, hand, or fingers for the purpose of suppressing tremors. The invention anticipates, in response to clinical observations, that each patient might require a different version, placement or tension of this device. Therefore, the device can be made of different materials, such as mesh, elastic bands, mesh with embedded elastic bands, sleeves with bands tightened by a fabric fastener, and can provide adjustable tension. Note that pressure on a joint is most effective for suppressing tremors for motions of that particular joint; however, a lesser benefit is also observed for other joints as well.

TECHNICAL MERIT:
The subject technology, Firm-Contact Apparel Prosthesis for Tremor Suppression, appears to be a noninvasive, inexpensive, risk-free, reversible method of suppressing kinetic tremors. The method potentially represents an effective first option for suppressing tremors associated with either Parkinson's disease or essential tremors. However, until the method has been tested rigorously, its effectiveness cannot be evaluated relative to other methods. The inventor has observed in four cases that applying circumferential pressure on certain hand or arm joints reduces tremors in patients who have either Parkinson's disease or essential tremors. As these observations did not interfere with patients' motor performance or muscle contractions, it appears that sensory afferents are involved.

The working hypothesis of this invention is that pressure enhances sensory inputs to the cerebellum and, thereby, suppresses tremors. The aim of the subject technology is to increase sensory inputs to the cerebellum by exerting pressure on the tendons or the musculotendinous junctions, which are rich in Golgi tendon organs. Because each joint oscillation involves muscle groups innervated by several nerves, no specific nerve is the target of the pressure.

PATENT STATUS:
Technology not patented. VA is seeking CRADA partners to further develop this technology.

FOR MORE INFORMATION CONTACT:
Saleem Sheredos
Program Manager
Technology Transfer Program
Veterans Affairs
Office of Research & Development (12TT)
5th Floor
103 South Gay Street
Baltimore, MD 21202
202-380-5080
Fax 410.962.2141
e-mail: saleem.sheredos@va.gov