Introduction
It is irregular, jerky, involuntary movements in both
upper and lower extremities seen with certain types of basal ganglia disorder.
Clinical feature
Clinical feature
- facial movement including grimaces
- head turning to shift eye
- sudden jerky movement of upper and lower extrimities
- unsteady gait
- abnormal reflex
Gait analysis
- it is dance like movement characterized by irregular, non repetitive or rhythmic
- it is wide based gait, with slow leg raising and knee flexion associated with upper limb movement
- this cause abnormal posture and the walking become difficult
PT management
- Correct the abnormal posture by positioning or by using splint: to prevent deformity
- Stretching of the contracted muscles: to reduce the spasticity
- Soft tissue and joint mobilization: to maintain the joint mobility
- Improve muscle tone
Improve co-ordination and balance
a. Non –
Equilibrium exercise: - finger to nose
-finger
to finger
-alternative pronation/supination
-tapping
of foot
-heel to
shine
b. Equilibrium exercise : - standing with normal base of support
- standing with eye open / closed
- turning
- sit to stand
-
Gait and balance training
a. Parallel
bar walking using mirror as a biofeedback
b. Weight
shifting
c. Walking
side way
d. Walking
in uneven surface with support and later progress without using support
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