Movement disorders describe abnormal movements you cannot control. Sometimes
these conditions can result in too little movement, while other conditions
can cause uncontrolled, or too much movement.
Some examples of movement disorders include:
Tremors
Tics
Myoclonus
Chorea/Athetosis
Ballismus
Dystonia
Akathisia
There are many causes of movement disorders, but most involve an imbalance
in the deeper structures in the brain, such as the basal ganglia. This
area makes movements easier to perform, and more coordinated, smooth,
and balanced.
“My husband takes tiny steps and sometimes he can’t stop walking.
He keeps falling and just broke his hip. Is there any way to help him?”
Parkinson’s disease (PD) affects one million Americans. It is caused
by a reduction in a specific chemical (dopamine) in certain parts of the
brain. It can cause a resting tremor, slow movement, rigidity, and postural
instability (poor balance and frequent falls). It can also affect memory,
mood, and sleep. It typically affects older patients and slowly worsens.
Many medications treat the symptoms of PD, however, the right balance of
medications for your condition can be hard to find and can change with
time. However effective treatment for PD can improve your symptoms, independence,
and quality of life for years to come.
There also are non-pharmacologic treatments for movement disorders. Physical
and occupational therapy programs, including LSVT for PD, can benefit
many patients.
Deep brain stimulation (DBS) is also commonly used to treat Parkinson’s disease and essential tremor.
“My mother had a tremor all her life. It kept getting worse until
she couldn’t eat or drink for herself. I have the same tremor. Will
the same thing happen to me?”
Essential tremor is shaking that gets worse with movement. It runs in families,
can affect young adults, and can get worse with age. It affects your hands
and your voice. It gets worse with activity and can make eating and drinking
difficult. However, there are medication and procedures which can help
improve these symptoms.
Restless legs syndrome describes the irresistible urge to move your legs.
It often happens at night when you are trying to fall asleep. It is sometimes
a sign of iron deficiency. In other cases, it can be treated with medications
or life-style changes.