neurodegenerative disorders Flashcards
area where voluntary movement is generated
cerebral cortex
weakness
motor cortex and pathways (UMN types of weakness)
spasticity and hyperreflexia
ataxia
cerebellum and connections
dysmetria, dysdiadochokinesia, intention tremor, hypotonia
sensory nerves and pathways
extrapyramidal
rigidity
bradykinesia/hyperkinesia
apraxia
higher order motor deficit in planning and sequencing motor tasks
movement disorders
neurologic syndromes - excess of movement or a paucity of voluntary and automatic movements, unrelated to weakness or spasticity
hyperkinesia, hypokinesia
often associated with pathology of the basal ganglia
hyperkinetic disorders
tremor, dystonia
chorea, athetosis, hemiballismus
myoclonus, hemifacial spasm, ataxia
tics, stereotypy, restless leg syndrome
hypokinetic disorders
bradykinesea, akinesia, hypokinesia
freezing
abnormalities of muscle tone
rigidity - increased muscle tone present equally in all directions of passive movement and throughout range of movement
smooth (leadpipe) or jerky (cogwheeling)
tremor
rhythmic, oscillartoy movements
rest, action, posture, intention
frequency
regular or irregular
dystonia
involuntary sustained muscle contractions which lead to twisting and repetitive movements of abnormal postures of the affected body part
parts of the affected - focal, segmental, hemidystonia, generalised
chorea
involuntary, irregular, purposeless, non-rhythmic, abrupt, rapid movements that flow from one body part to another
hemiballismus / ballism
large amplitude choreic movements of proximal parts of the limbs
Tics
involuntary repetitive movements, suppressible, compulsive, variability, migration
urge and relief
dyskinesia
rapid, involuntary, irregular movements including twitches, jerking, twisting movements