6
Management
Non-Pharmacological/Non-Surgical Treatment Options
Wrist-worn Non-invasive Stimulation
Transcutaneous Afferent Patterned Stimulation (TAPS)
• Cala kIQ is an individualized, re-chargeable, non-invasive wrist-worn device
to reduce tremor in a targeted arm. It provides electrical stimulation to
the median and radial nerves through electrodes placed on the inside of a
wrist band.
• Cala kIQ was cleared by the Food and Drug Administration (FDA) in 2023
(Cala Trio cleared in 2018), and is indicated in adults with essential tremor
to provide transient relief of hand tremors following stimulation.
▶ The wrist band device is worn for 40 minutes, after which 64% of patients
reported having persistent relief for an average of 94 minutes.
▶ When starting therapy, patients should choose an activity (e.g. eating ) and use
Cala kIQ 20–40 minutes prior. This usage should continue on-demand for at least
2 weeks to determine benefits.
▶ A typical charge will last for approximately 5 sessions. It takes approximately 3–4
hours to fully charge the device.
▶ It can be used with or without pharmacological therapies.
• Cala kIQ is contraindicated in patients with implanted electrical devices
such as a pacemaker, defibrillator, or deep brain stimulation device;
patients with a seizure disorder; pregnant women; and in persons with skin
irritations, open wounds, or lesions on the wrist.
