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Feasibility Pilot of the LaceUp Compression-Weight Sleeve for Essential Tremor
Alessandro Napoli1, Hannah Gravante2, Tori Hamilton2
1Raphael Center for Neurorestoration, Vickie & Jack Farber Institute for Neuroscience, Philadelphia, PA 19107, USA.
Bioengineering (Basel, Switzerland)
|July 28, 2026
Summary
A new wearable sleeve, LaceUp, showed promise in reducing essential tremor (ET) symptoms by combining compression and weight. This pilot study suggests LaceUp may be a feasible option for managing ET disability.
Area of Science:
- Neurology
- Biomedical Engineering
- Rehabilitation Medicine
Background:
- Essential tremor (ET) significantly impacts quality of life, with current treatments offering limited efficacy for many patients.
- Novel, non-invasive interventions are needed to manage the disabling symptoms of essential tremor.
Purpose of the Study:
- To evaluate the feasibility and preliminary efficacy of LaceUp, a passive wearable device for essential tremor.
- To assess tremor reduction and functional outcomes using objective and subjective measures.
Main Methods:
- A feasibility study involving ten adults with essential tremor (ET).
- Participants completed tasks under baseline, unweighted sleeve, wrist weight, and LaceUp conditions.
- Outcome measures included inertial measurement unit (IMU) data, spiral and handwriting analysis, and patient-reported satisfaction.
Main Results:
- LaceUp demonstrated the largest median tremor-band power reduction (-32.9%) on the more-affected limb compared to other conditions.
- Six out of nine participants preferred LaceUp in a ranking task.
- Some participants reported continued use and satisfaction at follow-up, though findings are preliminary.
Conclusions:
- The LaceUp wearable sleeve is a feasible intervention for essential tremor, showing potential for tremor reduction.
- Further research is warranted to confirm efficacy, optimize device use, and establish its role in ET management.
