Movement, uncontrollable

Considerations:
This condition is usually a lifelong problem that begins during childhood and is characterized by involuntary neck, face, forearm, wrist, and hand movements. Facial grimaces along with tongue and jaw movements are often associated with involuntary neck movements.

Stress and activity often aggravate this condition, and relaxation and sleep help relieve the problem.

Common Causes:
IN CHILDREN

IN ADULTS

  • drug toxicity
  • degenerative disease
  • neoplastic lesions
  • vascular (blood vessel) lesions

Note: There may be other causes of uncontrollable movement. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as location, quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for uncontrollable movement, occurring alone or in combination with other problems.

Home Care:
Swimming, stretching, and walking and balancing exercises can help coordination and slow down the deterioration process.

Family support is important, and open discussion of feelings is recommended. Self-help groups are available in many communities, and physical therapy should be sought as necessary.

Call Your Healthcare Provider If:

  • there are any persistent involuntary movements that are unexplained.



What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting uncontrollable movement in detail may include:

  • type

  • location
    • Are the arms affected?
    • Are the legs affected?

  • time pattern
    • When did this behavior begin?
    • Did it occur suddenly?
    • Has it been worsening gradually over months?
    • Is it present continuously?
    • At what age did this symptom begin?

  • aggravating factors
    • Is it worse after exercise ?
    • Is it worse when emotionally stressed?

  • relieving factors
    • Is it better after sleep?
    • What makes it better?

  • other
    • What other symptoms are also present?

The physical examination may include detailed examination of both the nervous and the muscular systems.

A physical examination will be performed with emphasis on the neurological exam.
Diagnostic tests that may be performed include:

Intervention:
Athetosis can be treated in some cases (such as Wilson's disease or in drug-related causes).

After seeing your health care provider:
You may want to add a diagnosis related to uncontrollable movement to your personal medical record.