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Parents agree on the religiouseducation and practice for thechildren. Dorsiflexthe client’s foot and apply light pressurelateral to and along the side of the extensortendon of the big toe.The pulses of both feetmay be assessed at the same time to aid inmaking comparisons.Assess amplitude bilat-erally (Fig. In Africa proguanil combined withCQ has been used as a suppressive prophylactic in moderatelyCQ-resistant P.f. As high-frequency stimulation(>100 Hz) in the same location can also effectively sup-press tremor without creating many of the defi cits associ-ated with thalamotomy, VIM DBS is now the preferredtreatment for tremor.

While somerecommend that all innovation ultimately be tested in a formal research study,there are dif?culties with this as well.

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