Involuntary Movement Flashcards
What 3 questions should be asked of involuntary movements
When it started, does it come and go, and what makes them worse
T/F: Involuntary movements can be normal variants
True
Shaking of in the fingers due to agonists and antagonists actions is what kind of tremor
Physiologic
What are startle reactions and are usually normal occurrences. can be whole body or just one m. group. if occurring regularly, considered a type of seizure disorder
Myoclonic jerks
Twitches within the m. aka
Benign Fasciculations
What is decreased movement and is seen is Depression or Parkinson’s
Hypokinesia
What is increased movement that may be exacerbated by emotional stress, and decreased with repose
Hyperkinesia
What type of tremor: rapid tremor, low amplitude, worsens with volitional movement
Emotional
What type of tremor: hereditary, usually affects the hands
Familial
What type of tremor: associated with agin
Senile
What type of tremor: “pill-rolling” at rest, disappears or dampens with volitional movement (basal ganglion lesion)
Parkinsonian
What type of tremor: worsens with refined volitional movement (cerebellar pathology)
Intention
What type of tremor: occurs during maintenance of an intentional posture, disappears with movement (basal ganglion)
Postural
What are random, quick movements stimulating fragments of normal movements
Nontremorous Hyperkinesia or Chorea
What are slow, writhing movements of the fingers and extremities that may come and go and are usually associated with the pyramidal tract signs
Athetosis
What are slow, alternating contraction and relaxation of agonists and antagonists with one movement predominating for a long time which leads to fixed joint contractures
Dystonia
What are violent, flinging movements of half of the body
Hemiballismus
What are quick, repetitive movements of the face, tongue, or extremitites, associated with emotional stress
Tics
Motor unrest manifested as continual shifting of posture and/or movement (Parkinson’s and psychotropic med use)
Akathisia
What are tonic or clonic spasms of all or part of the body
Epilepsy
What are involuntary movements of the face, mouth, tongue, and limbs. Onset usually occurs months after prolonged use of neuroleptic agents
Tardive dyskinesias
Basal ganglia vs cerebellar lesions
Basal ganglia typically go away with movement
