MIT class project turns into an FDA-cleared treatment for tremors
news.mit.edu
news.mit.edu
- there's a small-ish window in the disease progression where pulsed vibration is able to help a person regain some intentional motor control
- the device doesn't stop the tremors
- the pulsed vibration does let the brain's control signal come through stronger, so drawing/typing/moving the mouse is more intentional.
- this is no more effective than the results of levidopa/carbidopa treatment, and the levidopa/carbidopa typically calms the overall tremors
- as Parkinson's progresses, these devices become useless, and if the patient qualifies for deep brain stimulation, it's worth looking into (regain years of useful life if you're lucky).
I haven't tested the device on people with essential tremor, so I don't have anything smart to say there.You can make a very unsophisticated version of this without a lot of hardware:
- small microcontroller with 3v outputs (XIAO's are perfect)
- 3v sealed eccentric mass motors (aliexpress $1/ea)
- elastic wristband
- usb battery
- software to pulse the motors for about 200 miliseconds for an on off sequence of about 8 times, then rest for about a second and repeat.
Hopefully these folks will price it affordably.Side note: the idea was published in 2016-2017 in a few promotional videos from Microsoft research: https://www.windowscentral.com/microsofts-emma-watch-and-pro...
Any experience in applying the device to tremors caused by other issues?
I’m curious to know why they had to “choose a disease” for the market tests. some treatments are symptomatic and don’t need to select the exact disease they are going to market for.
In general I would not recommend driving a motor (even a small one) directly with a microcontroller GPIO pin. Those pins aren't designed to sink much current and you'll at best get a very weak response, because although the MCU is 3V that's only going to be maintained with negligible load on the pin. At worst flyback may destroy your microcontroller because the motor is an inductor and will cause a reverse voltage spike when turned off.
A slightly more robust approach that costs just a few pennies more is to use a BJT (i.e. an NPN transistor) to drive the motor and add a flyback diode (a reverse biased diode across the motor's windings) and a little .1uf capacitor.
You could also use a FET to drive it. Just be aware most common ones don't fully turn on at 3V gate voltage and will still present a significant resistance in the circuit which is why I would probably use a BJT.
I'm going to look into this when I can. would love to try it if it's financially feasible.
ETA: Looking at their website and all the models in the photos are older people...
As someone diagnosed with ET since high school that's kind of funny.
It comes down to two mismatches: first being the famous person's own patience, which is just a normal amount, but instead of usual number of others going up to them now it's 100 or 1000x the number of others.
The second mismatch is the information asymmetry: the famous person him/herself knows that they have gotten 100x people going up to them and saying / asking the same thing, and they know that they will continue getting this for the rest of their life, so they respond with annoyance, which is completely understandable. However, the average person going up to them isn't gonna think that many logical steps and realize this; they're just saying "oh cool, it's a celeb, I never see celebs. Let me try to talk to them!"
No, I did not try "this one weird trick that doctors hate" and I'm not going to. I'm going to do my own research, I'm going to speak with medical professionals and specialists who understand the MOA of the treatments they're discussing (and what "MOA" even means) because I'm an adult, thanks.
To anyone saying it's not rude: It is when it's just "have you tried X?" because, who the fuck are you? Are you a doctor specializing in my disease? Are you also a sufferer of my disease? Are you a caregiver for someone with my disease? No? Then go away "dude who read something one time".
You want to wander in with unsolicited medical advice, you need to show me that you're not just the same losers I've dealt with my whole life saying "oh man, I have a migraine" when they mean an extremely bad stress headache. I assume everyone with chronic illness has had the same well-meaning gibberish.
It's great that you want to connect with me, but weird that you want to do it about my disease. It might even be a good discussion. But it never is if the lead is "have you thought of this?"
That’s a bit hostile. I happen to have been following research around beta-carbolines for almost two decades and am curious whether clinical practice follows that research. My replies may be curt simply because I am writing on a mobile device.
It is interesting that you should decide to die on that hill, when the parent poster clearly did not have an issue with my question. It was neither directed at you, nor did it concern your disease.
Are you certain of your own motivations?
So you’re just clueless here, wow what a rude question.
Are there any studies with results showing this as a suitable way to reduce tremors?
See e.g. https://link.springer.com/article/10.1007/s12311-015-0751-z
My grandfather on the other end of the spectrum and who also had it didn't do those things either.
A (very) quick look at this says that the compounds are doing the damage, but the real problem is that some people don't metabolize them as quickly as others, and they build up. These are neurotoxic at higher concentrations and cross the blood-brain barrier, so if you aren't clearing them out then I guess you're exposing your cerebellum to more of them for a longer duration.
Studies suggest that people with ET have higher levels of these beta-carbolines in their blood than control patients, in some cases (like familial tremor) even if their diet and lifestyle doesn't look it should be risk.
As in, 36 hours+ without food (just water, electrolytes if you want), do the symptoms improve or worsen?
My pediatric neurologist at the time actually suggested trying some wine (with adult supervision of course) because some people seemingly respond well to that. But I've of course tried all kinds of alcohol by now years later and none seem to do the trick.
Another doctor more recently also suggested trying CBD (non THC) but no obvious improvement from that either, although I really only ever tried one type of CBD supplement and maybe it wasn't the right dosage.
And people still believe anything doctors say.
Alcohol is not a good treatment for anything except acute methanol poisoning, and maybe as a topical disinfectant/antiseptic.
Long-term alcohol use will cause tremors, and many alcoholic beverages contain comparatively large amounts of beta-carbolines.
The treatment was very effective. She went from not being able to eat soup without making a mess and barely being able to use touch screens (let alone write) to no visibly noticeable tremor. They had her draw a before and after spiral and it was an amazing improvement.
But the side effects were rough. She had trouble walking for weeks after the first treatment, though it eventually resolved with time and physical therapy. She had speech (cadence, slurring, word-finding) issues after the second treatment that she's currently doing therapy for.
It was a really big quality of life improvement for her but I don't know if she would have done it if she were not retired or didn't have a strong family support network.
A few months ago maybe I've started using more and more MSG (glutamate) on my food (maybe two teaspoons a day now), and it's pretty much gone, plus fine motor control in general (say guitar playing) is noticeably improved.
I'm also taking care to limit my vitamin A and nickel intake, but this one seems to be mostly related to the glutamate.
https://padiracinnovation.org/News/2024/07/the-hexosamine-bi...
not that they tested or approved it
it's an often marketed phrase that's meaningless
I think you may be confused, or are repeating something you heard in a Netflix documentary.
First, “fda cleared” means your device is “substantially equivalent” to another cleared or granted device. You can’t be cleared based on another approved device, since approval means the other device received a PMA. Second, substantial equivalence is actually quite lenient. I know, because I’ve helped clear over 50 devices.
Finally, a cleared device still can require a lot of testing. Frequently FDA requires our clients to run multimillion dollar studies to validate their devices.
Demo wasn’t a trial
ah, "Today, Encora is focused on building a national sales force and working to secure coverage from insurers."
why not just sell the damn thing but don’t market it for parkinson’s.
These are the values MIT teaches young entrepreneurs who want to solve real problems and help real people?
It’s unexamined capital-optimizing society extracting garbage.
Go help people. Make enough money to keep the business growing.
Let the VC piggies keep funding founders whose primary motivation is billionaire status.
Like the snake oil glasses for color-blindness, we can probably prevent them from making marketing claims now that we know they don’t work, but I don’t think forcing them to go through a drug market approval is necessary, the risk is not high enough.
Ok, maybe you're not reviewing the entire article, but at least the subtitle.
The first digit is the school that offers it, then after the decimal point they have their number of classes. (EECS is unusual in that it has four digits after the decimal point, most every other course has just three.) In general, classes that are required start with 001 and increment up, such that 001 is the intro course, 002 follows from that, etc. Then electives start around 015 or so.
Course 1 is Civil Engineering, Course 2 is Mechanical engineering, Course 3 is materials science, etc. 6 is Electrical and Computer engineering.
So 2.009 is a mechanical engineering course, in this case one for students towards the end of their time. It's called Product Engineering Processes, where you create a new product from beginning to production.
So 6.0002 is pronounced "six triple oh two"?
6.0002 is now 6.100B (the B is deconflict) but most everything else went to four digits, with the last digit a 0 for undergrad and a 2 for graduate school taking the same class. e.g. 6.6830 is the undergraduate Computer Vision class and 6.6832 is the graduate Computer Vision class.