Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity.
Movement disorders are basal ganglia or extrapyramidal diseases.
Movement disorders are conventionally divided into two major categories- hyperkinetic and hypokinetic.
Hyperkinetic movement disorders refer to dyskinesia, or excessive, often repetitive, involuntary movements that intrude upon the normal flow of motor activity.
Hypokinetic movement disorders refer to akinesia, the lack of movement, hypokinesia, the reduced amplitude of movements)bradykinesia (slow movement), and rigidity.
In primary movement disorders, the abnormal movement is the primary manifestation of the disorder.
In secondary movement disorders, the abnormal movement is a manifestation of another systemic or neurological disorder.
Classification
Hypokinetic Movement disorders
Parkinson’s disease (Primary or Idiopathic Parkinsonism)
Pantothenate kinase-associated neurodegeneration
Progressive Supranuclear Ophthalmoplegia
Striatonigral degeneration
Hyperkinetic Movement disorders
Dystonia
Drug induced dystonia
Idiopathic familial dystonia
Idiopathic nonfamilial dystonia
Spasmodic torticollis
Idiopathic orofacial dystonia
Blepharospasm
Other extrapyramidal movement disorders
Essential tremor
Drug induced tremor
Myoclonus
Opsoclonus
Chorea
Drug induced chorea
Rheumatic chorea (Sydenham’s chorea)
Huntington’s Chorea
Ballismus
Hemiballismus (affecting only one side of the body)
Athetosis (contorted torsion or twisting)
Dyskinesia (abnormal, involuntary movement)
Tardive dyskinesia
Attention-deficit hyperactivity disorder (with hyperactivity)
Tic disorders (involuntary, compulsive, repetitive, stereotyped)
Tourette’s syndrome
Drug-induced tics and tics of organic origin
Stereotypic movement disorder
Paroxysmal nocturnal limb movement
Painful legs (or arms), moving toes (or fingers) syndrome
Sporadic restless leg syndrome
Familial restless leg syndrome
Stiff-person syndrome
Cramp and spasm
Fasciculation
Diagnostic evaluation requires:
Decide the dominant type of movement disorder
Make differential diagnosis of the particular disorder
Confirm the diagnosis by lab tests
Testing includes:
Metabolic screening
Microbiology
Immunology
CSF examination
Genetics
Imaging
Neurophysiological tests
Pharmacological tests
Treatment
Treatment of element disorders depends upon the underlying disorder.
Movement disorders have been known to be associated with a variety of autoimmune diseases.
Motor disorders are disorders of the nervous system that cause abnormal and involuntary movements.
They can result from damage to the motor system.
Motor disorders include developmental coordination disorder, stereotypic movement disorder, and the tic disorders including Tourette syndrome.
Motor disorders are malfunctions of the nervous system that cause involuntary or uncontrollable movements or actions of the body.
Motor disorders can cause lack of intended movement or an excess of involuntary movement.
Symptoms of motor disorders include tremors, jerks, twitches, spasms, contractions, or gait problems.
Tremor is the uncontrollable shaking of an arm or a leg.
Twitches or jerks of body parts may occur due to a startling sound or unexpected, sudden pain.
Spasms and contractions are temporary abnormal resting positions of hands or feet.
Spasms are temporary while contractions could be permanent.
Gait problems are problems with the way one walks or runs.
This can mean an unsteady pace or dragging of the feet along with other possible irregularities.
Most motor disorders are caused by pathological changes in the brain.
Causes of motor disorders by genetic mutation usually affect the cerebrum.
There are constant signals being sent to and from the brain and the muscles that regulate the details of the movement such as speed and direction, so when a certain part of the brain malfunctions, the signals can be incorrect or uncontrollable causing involuntary or uncontrollable actions or movements.
Motor disorders refer to a wide range of conditions that affect the ability to control and coordinate movement.
Some common motor disorders include:
1. Parkinson’s disease: A progressive disorder that affects the nervous system, causing symptoms such as tremors, stiffness, slowed movements, and balance problems.
2. Cerebral palsy: A group of disorders that affect movement and coordination.
It is typically caused by damage to the developing brain before, during, or shortly after birth and can result in difficulties with muscle control, reflexes, and coordination.
3. Multiple sclerosis: An autoimmune disease that targets the central nervous system, leading to various neurological symptoms such as muscle weakness, tremors, and coordination problems.
4. Huntington’s disease: A hereditary disorder that affects brain cells and causes a progressive decline in motor skills, resulting in involuntary movements, trouble with coordination, and difficulties with balance.
5. Dystonia: A condition characterized by involuntary muscle contractions that cause repetitive or twisting movements and abnormal postures.
6. Essential tremor: A neurological disorder that causes involuntary shaking or trembling, usually affecting the hands, but it can also affect other parts of the body.
Treatment and management options for motor disorders depend on the specific condition and its severity, and often involve a multidisciplinary approach, including medication, physical therapy, occupational therapy, speech therapy, assistive devices, and lifestyle modifications.