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Movement - uncontrolled or slow

Dystonia; Involuntary slow and twisting movements; Choreoathetosis; Leg and arm movements - uncontrollable; Arm and leg movements - uncontrollable; Slow involuntary movements of large muscle groups; Athetoid movements

Uncontrolled or slow movement is a problem with muscle tone, usually in the large muscle groups. The problem leads to slow, uncontrollable jerky movements of the head, limbs, trunk, or neck.

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Muscular atrophy

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Considerations

The abnormal movement may be reduced or disappear during sleep. Emotional stress makes it worse.

Abnormal and sometimes strange postures may occur because of these movements.

Causes

The slow twisting movements of muscles (athetosis) or jerky muscle contractions (dystonia) may be caused by one of many conditions, including:

Sometimes two conditions (such as a brain injury and medication) interact to cause the abnormal movements when neither one alone would cause a problem.

Home Care

Get enough sleep and avoid too much stress. Take safety measures to avoid injury. Follow the treatment plan your doctor prescribes.

When to Contact a Medical Professional

Call your health care provider if:

What to Expect at Your Office Visit

The doctor will perform a physical exam. This may include a detailed examination of the nervous and muscle systems.

The doctor will ask about your medical history and symptoms, including:

Tests that may be ordered include:

Treatment is based on the movement problem the person has and on the condition that may be causing the problem. If medicines are used, the health care provider will decide which medicine to prescribe based on the person's symptoms and any test results.

Related Information

Cerebral palsy
Encephalitis
Hepatic encephalopathy
Huntington disease

References

Jankovic J, Lang AE. Movement disorders. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 21.

Lang AE. Other movement disorders. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 410.

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Review Date: 2/3/2015  

Reviewed By: Amit M. Shelat, DO, FACP, Attending Neurologist and Assistant Professor of Clinical Neurology, SUNY Stony Brook, School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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