Movement Disorders Tutorial

Learn to describe and classify abnormal movements. Not all that moves is tremor.
-----------------------------------------------------------------
Aurora (Novel): amzn.to/2q9K2Xf
-----------------------------------------------------------------
Movement Disorders Video Playlist
• Movements
Videos credited to...
Cris Paulsen
NEJMvideo
Jonathan Haile
djmovus
Music Express Magazine
STAT
Dr. Prodigious
Neil Bossenger
Sleep & TMJ Therapy
Tessie Parkinson
Leslie Snipes
ali nooli
bindo6662
kisalam
Vivek Misra

[@ayk4sh532]

This channel is highly underrated.

[@user-mt2co8ip4u]

Freaking amazing video, funny, informative and useful for practice - I tested myself by muting the sound and trying to describe the movements, then rewinding and listening to your description. Thank you so much! For fellow students watching, here are the notes I took on the video (if I've written anything wrong I will edit my comment): Movement disorders • Involuntary or voluntary movements • Unilateral or bilateral - worse on left or right? • Rhythmic ○ Frequency - high or low ○ Amplitude - high or low or moderate ○ Scenario § Rest § Movement § Task ○ Abolition - disappearance on task or adopting a posture ○ Axis - changing axis from x to y or vice versa suggests psychogenic ○ Definitions § Dystonic tremor "no-no of the head" □ Pt can sometimes stop it such as by touching their chin □ Some pts find a null point where agonist and antagonist muscles cancel each other out § Athetosis - fingers writhing § Tremor □ Rest - can distract themselves, if involving fingers then pill rolling (parkinson's) □ Kinetic ® Postural - tremor in a certain posture, essential (strong family hx - ↓ with alcohol/beta blockers) ® Simple ® Intention - tremor when trying to move muscles, most often when reaching for something far away, cerebellar ataxia ® Task - writer's cramp • Non-rhythmic ○ Rest or non-rest ○ Bilateral or unilateral ○ Location § One muscle, one limb or all limbs ○ Amplitude - high or low or moderate ○ Velocity - fast or slow ○ Stereotypic/Definition § Myoclonus - sudden shocking movement, can be large amplitude □ Asterixis - negative myoclonus where hands drop suddenly (due to hepatic encephalopathy or uraemia) ("liver flap") § Chorea - abrupt onset continuous flow mvmts, amphetamines and dopaminergics including cocaine, huntington's, basal ganglia lesions § Ballismus - larger amplitude chorea, usually faster than chorea as well □ Hemiballismus - only one side of the body affected § Tics - suppressible but usually at the cost of inner desire to move § Dyskinesia - involuntary, erratic, writhing movements of the face, arms, legs or trunk. They are often fluid and dance-like, but they may also cause rapid jerking or slow and extended muscle spasms. □ Acute dystonia - after taking antipsychotics. High potency (Haloperidol), low potency less likely to cause (chlorpromazine) ® Laryngospasm ® Oculogyric crisis □ Levodopa induced/Parkinson's- after taking levodopa or neuroleptics (acute) □ Tardive (chronic) ® Order from acute to chronic: acute dystonia -> akathisia -> Parkinsonian -> tardive • On examination ○ Tremor § Rhythmic □ Rest - close eyes and count month of years backwards or have them do an activity ® Archimede's spiral ◊ Don't rest hand on paper and just let pen touch paper ◊ If smooth then rest tremor, if shaky then kinetic □ Kinetic ® Postural - multiple different positions ® Simple - hands hanging down by knees ® Intention tremor - finger nose testing ® Task - cue from hx, if they tell you they get tremor drinking water or soup, give them a cup and ask them to pretend to take a drink § Non-rhythmic □ Suppressible - tics

[@aseragalaly2540]

thank you so much

[@carlinesimeon9440]

Spot on and thanks for the notes

[@awanderer2661]

Thank you 💗

[@lizzubek9469]

I really appreciate this synopsis to go along with the video. So helpful!

[@pastmedicalhistory2523]

i wish i had seen this video before my final medical school exam,!! amazing work

[@kaushalzaveri9207]

Hey man! Spread the crystal clear knowledge you have!

[@carlinesimeon9440]

Absolute great video, content, visual support, theory and its application. Simple, concise to the point and extremely easy to understand and retain. Bravo!

[@JJMedlife]

I usually don't comment on YT videos I watch for studying but here I really need to leave a comment: THANK YOU for this great work!!!! I really had some difficulties in that topic in neurology and now its much clearer. Thanks! Keep up the hard work, looking forward to see more of you :)

[@andreavanlierde469]

I wish I had a teacher like him when I was studying Medicine!!

[@dalianabulsi]

This video is amazing. Thanks a lot for the great explanation.

[@jonlizsam]

Really great vid. Well presented and important info. And thanks for the plug for Aurora. I love sci-fi too.

[@yasmins.6068]

I really have to agree with many positive comments. Extremely informative and well put together. Thank you.

[@rwuthenow]

Really enjoyed your video. I'm a rehab nurse and work with TBI patients, studying for my certification exam. I appreciate the help and thanks for the book recommendation!

[@docjohnpaul1]

Brilliant use of "The Price is Right" sound track. The neurobabble is very well laid out, don't get me wrong, but yes. Perfect soundtrack selection.

[@Thefoxesden77]

Awesome video! Thank you so much!

[@yasmins.6068]

Great informative video. The Price is Right in the background was a bonus

[@Anonimous1984]

This is the best video about abnormal movement I've ever seem. Easy to understand and very funny. Thank you so much!

[@neuraxis5276]

Thanks for the kind words!

[@talapath]

Thank you, this is a very useful tutorial!

[@MacTavish83]

great video and awesome opening scene again, please continue producing your content, I'm a final year med student and plan on specializing in Neurology. your videos are very helpful and still entertaining. Learning and laughing in between is the best way to go :) And to repeat what I commented on the other video, your style of teaching and video editing/production is great!

[@dr.alaaelhag8619]

Amazing 🔥

[@erhansonmez2679]

it is very useful to figure out this topic which is hard to understand. thanks a lot.

[@wairimumwaniki1817]

Great video

[@Adoctorfrombrazil]

Amazing video!!

[@VizagVlogs]

good video content explained enough in details with illustrations

[@user-uq9qj7ri3c]

Thank you!! And By the Gracie of GOD... May you continue to help me better understand what I'm dealing with and going through 🥰

[@faicotone]

thank you this is very informative

[@user-ts8gk6bs4i]

Amazing！

[@Realrzi]

love the vid!

[@shahrzadf6917]

amzing video

[@beedot6300]

Thank you for this it clarified a lot for me as a patient i’m rocking backwards and forwards almost feels like it’s in time with my heart beat. I’m awaiting a neurology appointment in Liverpool; im scared. Also have the tremor throughout the left hand side all movements are rhythmical. I wish you could look at my tremor and see what your thoughts are! Thanks 🙏

[@ldobranici]

I am a psychiatrist (old age) and I found your videos exceptional . Please continue with them. Thank you!

[@susanmaricle4373]

So what medicine Is good for Myoclonis spasms/seizures? Keppra Is what I take. It used to be Ativan 10yrs.ago ,neurologist stopped it???He doesn't prescribe it anymore.

[@hema11901]

Nice

[@mnnomad1870]

Cool cup. Are you located in Minnesota? I am and and have bounced around from the u of m to just about every neurologist in Twin Cities. I need help.

[@khaledsaleh2468]

subscribed!

[@christybernard9501]

Thanku

[@shilpykoul4143]

Background music too noisy.....otherwise ur video is awsm.

[@anncarroll2204]

Like jumping up from seated positions

[@samiul_sami4234]

Which category will u say about the 2nd vdo???i couldn’t get it!!

[@mrsaussie2011]

Hi, is there anyway I can get in contact with you, my 16 year old Neice has developed something after taking the HPV vaccine and we are desperate. She is struggling physically let alone mentally the lack of sleep and the movement 24/7 has taken a toll, it’s day 11 and we are still no where close to knowing what’s going on. Please help kind regards

[@Mini1978JG]

Hi! thanks for the video. I just have one question. What is stereotyping? I find this quite confusing. Thank you

[@nooshinjalali9099]

Sir,my son when he is not doing anything,then he start movement like a doll go and back, then his movement stopped when he start his work.even whe he sitting in chair he starts movement go _ back. Could you please tell me what is wrong. Thank

[@karlkrause532]

I have been having these very strange uncontrollable muscle movements, now a then for a couple of years and they have been very debilitating. it starts with my eyes getting hazy and the my shoulder shrugs and then my legs strata moving around, if I lay down my legs keep lifting up in the air,and separating from each other, I have to take knock out pills to get thought it Please advise if there is anything I can do

[@ifraurooj6072]

Wow✌

[@dmgh85]

the video is so helpful but the music is distracting

[@smadaf]

It shouldn't be hard for the maker to upload a version that lacks the music.

[@MrLalala9]

Wait didnt they made a movie from the book u ve suggested starred chris prat and jennifer lawrence 'the passenger' ? Nice video btw

[@bosslady77]

My daughter started with Tremors, Shakiness and Leg Stiffness. It started Suddenly in July. Neurologist is treating her with Ingrezza but she has regressed so therefore the dr is switching her to Austedo. Took her to a new psychiatrist and she says we need to take another look at this, Could it me Chorea. We need help. I’m trying so hard to find her help or diagnosis. She is struggling so much. 😩

[@nousername8698]

👍👍👍👍👍👍

[@amysims1517]

my daughter is 14 1/2 and has myoclonus dystonia along with her father and his sister. We live in Virginia. It's challenging to find support for people that live with involuntary movement disorders. Tried medication and that made it worse... any thoughts on deep brain stimulation? or any other treatments? this video was extremely helpful and if you need videos on myoclonus we can help!

[@danieljimenez1989]

Intranasal or transcranial photobiomodulation with infrared light.

[@irisng7375]

Good explanation for my exam but I don’t understand why the background music ? so distracting and makes me what to have tics.

[@jonasmenezes1598]

10 for the acting

[@skmiraduzzaman685]

I am still wandering what is that movement 🤔 @1.05

[@cjf1931]

Hello doc.. I know of someone who developed something like this. Her body keeps on nodding forward and backward. If she tries to suppress, it becomes sideways.

[@cjf1931]

What sort of illness is it?

[@ritanightingale250]

0:45

[@sameepthakuri9550]

I am wearing the same shirt right now lool

[@melcarling]

This was great but music is so loud

[@MrsMRRoss]

Hi! The music is overpowering what you are saying.

[@smadaf]

Stopped 46 seconds in, because of the music and the sense that already I'd wasted 46 minutes.

[@nmg6248]

Lots of great content here. It’s unfortunate that neurologist classify some movements as “psychogenic.” The movements are uncontrolled and debilitating, that’s originating in the brain somewhere. Occult damage is still damage, to imply these movements are psychologically controlled blames the patient rather than the idiopathic brain or nerve damage

[@ajaxbuchann5243]

The whole point of ‘psychogenic’ is that there is no nerve damage. The brain is functional. The symptoms are a response to an external stimulus, rather than an internal one. The distinction is important if you want to figure out how to treat it.

[@nmg6248]

@@ajaxbuchann5243 true, very true. Unfortunately many doctors are still understanding psychogenic to be psychosomatic. My, unfortunately extensive, experience has been as soon as they hear “psychogenic” it’s game over for figuring out what the outside cause may be because the outside cause is assumed to be psychological and all in the patients mind. A better term needs to be coined that doesn’t have this bias built into it. For example a young woman had her seizures ruled out as epileptic so they were labeled psychogenic. It took years and an unbiased doctor (a chiropractor no less!) to discover a CSF leak, no neurologist would even LOOK for the cause even though psychological seizures were far fetched and made no sense given her history

[@nmg6248]

@@ajaxbuchann5243 also testing for nerve damage is limited, but most doctors treat as definitive unless the patient knows the right questions to ask

[@reason5591]

There is a perfect example of Myoclonus video of a person with Multiplesclerosis right here on You Tube Search for "Myclonus in Multiple Sclerosis" channel name is RB

[@steven13929]

Haha hey to be fair, as an EMU nurse, often by the time neurology sees the pt for what was at the time a fine tremor or other mild symptom, it has progressed. Esp those non-epileptic events that seem to only be triggered by white coats 😄 great video

[@1anitavelasco]

No music.

[@thecognitivedissonant5206]

What do they do with dead bodies on the space ship trip?? Gross

[@saya7285]

You are smart sir But that background music is so annoying

[@michellesirois6954]

I couldnt finish the video...frigging music was driving me nuts

[@GoodbyeRubyTu3sday]

Imho the music is very annoying, it makes it hard to pay attention to the words and it lowers the professionality of the video