Zaburzenia ruchowe
Leczenie
Zaburzenia ruchowe to heterogenna grupa schorzeń neurologicznych charakteryzujących się nieprawidłowościami w jakości i ilości ruchów, obejmujących zarówno nadmierną aktywność, jak i spowolnienie ruchowe. Leczenie jest zindywidualizowane i opiera się głównie na kontroli objawów, gdyż brak jest skutecznych terapii przyczynowych. Farmakoterapia stanowi podstawę, z lekami takimi jak lewodopa (uzupełniająca niedobór dopaminy w chorobie Parkinsona), agoniści dopaminy, inhibitory MAO-B i COMT, beta-blokery (propranolol) w drżeniu samoistnym, leki przeciwcholinergiczne w dystonii oraz leki przeciwpsychotyczne w zespole Tourette’a. Toksyna botulinowa jest skuteczna w leczeniu dystonii, spastyczności, drżeń i tików, z efektem utrzymującym się około 3-4 miesiące. Kompleksowa rehabilitacja obejmuje fizjoterapię (m.in. program LSVT BIG®), terapię zajęciową, logopedyczną (LSVT LOUD®, SPEAK OUT!®) oraz wsparcie psychologiczne i psychiatryczne, co jest kluczowe dla poprawy funkcjonowania i jakości życia pacjentów.
- Ogólne podejście do leczenia zaburzeń ruchowych
- Leczenie farmakologiczne
- Leki w chorobie Parkinsona
- Leki w drgawkach i drżeniu
- Leki w dystonii
- Leki w innych zaburzeniach ruchowych
- Leczenie toksyną botulinową
- Rehabilitacja i terapie niefarmakologiczne
- Fizjoterapia
- Terapia zajęciowa
- Terapia logopedyczna
- Wsparcie psychologiczne i psychiatryczne
- Inne terapie niefarmakologiczne
- Leczenie chirurgiczne i neuromodulacja
- Zindywidualizowane podejście do leczenia
- Multidyscyplinarny zespół terapeutyczny
- Dopasowanie leczenia do różnych typów zaburzeń ruchowych
- Ocena skuteczności leczenia i modyfikacja terapii
- Badania kliniczne i nowe perspektywy leczenia
- Badania kliniczne
- Nowe kierunki w leczeniu zaburzeń ruchowych
- Znaczenie wczesnej diagnozy i interwencji
- Wsparcie psychospołeczne i edukacja pacjenta
Ogólne podejście do leczenia zaburzeń ruchowych
Zaburzenia ruchowe stanowią grupę schorzeń neurologicznych charakteryzujących się nieprawidłowościami w jakości i ilości ruchów spontanicznych. Obejmują one zarówno zwiększoną aktywność ruchową, jak i spowolnienie lub ograniczenie ruchów, które mogą być mimowolne lub dobrowolne. Leczenie zaburzeń ruchowych jest zindywidualizowane i zależy od konkretnego typu zaburzenia, jego nasilenia oraz ogólnego stanu zdrowia pacjenta12.
Dla większości zaburzeń ruchowych nie istnieje skuteczne leczenie przyczynowe, dlatego celem terapii jest kontrola objawów, poprawa jakości życia oraz utrzymanie maksymalnej niezależności pacjenta34. Kompleksowe podejście do leczenia zaburzeń ruchowych wymaga współpracy interdyscyplinarnego zespołu, w skład którego wchodzą: neurologowie, neurochirurdzy, neuropsycholodzy, psychiatrzy, fizjoterapeuci, terapeuci zajęciowi, logopedzi oraz inni specjaliści56.
Efektywne zarządzanie zaburzeniami ruchowymi opiera się na wczesnej diagnozie, edukacji pacjenta i jego rodziny, opracowaniu spersonalizowanego planu leczenia oraz regularnej ocenie skuteczności zastosowanej terapii. W miarę postępu choroby plan leczenia może wymagać modyfikacji w celu dostosowania do zmieniających się potrzeb pacjenta7.
Leczenie farmakologiczne
Farmakoterapia stanowi podstawę leczenia wielu zaburzeń ruchowych. Dobór leków zależy od rodzaju zaburzenia, nasilenia objawów oraz indywidualnych potrzeb pacjenta8.
Leki w chorobie Parkinsona
W chorobie Parkinsona głównym celem farmakoterapii jest uzupełnienie niedoboru dopaminy w mózgu. Najczęściej stosowanym lekiem jest lewodopa, która przekształca się w dopaminę w mózgu i zazwyczaj przynosi znaczną poprawę w zakresie chodu, ruchu oraz zmniejszenie sztywności i drżenia89. Inne leki stosowane w chorobie Parkinsona to:
- Agoniści dopaminy (ropinirol, pramipeksol) – stymulują receptory dopaminowe8
- Inhibitory MAO-B (selegilina) – spowalniają rozkład dopaminy8
- Inhibitory COMT (entakapon, tolkapon) – przedłużają działanie lewodopy8
- Amantadyna – działa na receptory glutaminianowe8
Leki w drgawkach i drżeniu
W leczeniu drżenia samoistnego najczęściej stosowane są:
- Beta-blokery (propranolol) – zmniejszają objawy fizyczne, takie jak drżenie1011
- Leki przeciwpadaczkowe (prymidon, topiramat) – najbardziej skuteczne w redukcji drżenia rąk1012
- Benzodiazepiny (alprazolam, klonazepam) – działają uspokajająco na ośrodkowy układ nerwowy10
- Gabapentyna – lek przeciwpadaczkowy stosowany również w leczeniu drżenia10
Leki w dystonii
W leczeniu dystonii stosuje się:
- Leki przeciwcholinergiczne (triheksyfenidyl, benzotropina) – zmniejszają efekty acetylocholiny, prowadząc do zmniejszenia drżenia lub sztywności mięśni1312
- Benzodiazepiny (diazepam, lorazepam) – leki uspokajające, pomagające w rozluźnieniu mięśni13
- Baklofen – lek zwiotczający mięśnie szkieletowe13
Leki w innych zaburzeniach ruchowych
W zespole Tourette’a stosuje się leki przeciwpsychotyczne, takie jak haloperidol10. W leczeniu mioklonii wykorzystuje się barbiturany, fenytoinę, prymidon, walproinian sodu oraz klonazepam14.
Skutki uboczne leków stosowanych w zaburzeniach ruchowych mogą obejmować nudności, bóle głowy, zawroty głowy, zmęczenie, a w rzadkich przypadkach ruchy mimowolne, takie jak dyskinezy. Beta-blokery mogą powodować spowolnienie akcji serca, zawroty głowy, depresję i nudności. Benzodiazepiny prowadzą do senności i zmęczenia15.
Leczenie toksyną botulinową
Toksyna botulinowa (Botox) to skuteczna metoda leczenia wielu zaburzeń ruchowych. Działa poprzez blokowanie sygnałów nerwowych do nadaktywnych mięśni, zmniejszając ruchy mimowolne, sztywność i skurcze1617.
Iniekcje toksyny botulinowej są szczególnie skuteczne w leczeniu:
- Dystonii – powodują rozluźnienie nadmiernie skurczonych mięśni i poprawę nieprawidłowej postawy18
- Spastyczności – zmniejszają napięcie mięśniowe19
- Drżenia – mogą redukować nasilenie drżenia20
- Kurczu połowiczego twarzy – rozluźniają skurczone mięśnie twarzy21
- Tików – mogą zmniejszać częstotliwość i nasilenie tików20
Iniekcje toksyny botulinowej wykonuje się bezpośrednio w miejsce, gdzie nerwy przekazują sygnał do skurczu mięśnia. Efekt terapeutyczny jest tymczasowy i utrzymuje się zwykle przez około 3-4 miesiące, po czym zabieg trzeba powtórzyć1618.
Skutki uboczne iniekcji mogą obejmować tymczasowe osłabienie grupy mięśni poddanych leczeniu oraz rzadko objawy grypopodobne związane z reakcją alergiczną15.
Rehabilitacja i terapie niefarmakologiczne
Kompleksowe podejście do leczenia zaburzeń ruchowych obejmuje nie tylko farmakoterapię, ale również różne formy rehabilitacji i terapii, które mają na celu poprawę funkcjonowania pacjenta w codziennym życiu2223.
Fizjoterapia
Fizjoterapia odgrywa kluczową rolę w leczeniu zaburzeń ruchowych, pomagając pacjentom poprawić siłę mięśniową, równowagę, koordynację i ogólną sprawność ruchową24. Programy fizjoterapeutyczne są dostosowane do indywidualnych potrzeb pacjenta i mogą obejmować:
- Ćwiczenia wzmacniające mięśnie i postawę22
- Trening równowagi i zapobiegania upadkom25
- Ćwiczenia rozciągające poprawiające zakres ruchu26
- Program LSVT BIG® – oparty na badaniach naukowych protokół terapeutyczny koncentrujący się na zwiększeniu amplitudy ruchów u pacjentów z chorobą Parkinsona i innymi zaburzeniami neurologicznymi2728
- Rehabilitację przedsionkową – zaprojektowaną w celu zmniejszenia zawrotów głowy, zaburzeń wizualnych i zaburzeń równowagi29
Regularny program ćwiczeń fizycznych podkreślający wykonywanie dużych ruchów jest ważnym elementem wielu planów leczenia, pomagającym w utrzymaniu mobilności, elastyczności i równowagi27.
Terapia zajęciowa
Terapia zajęciowa koncentruje się na poprawie zdolności pacjenta do wykonywania codziennych czynności19. Terapeuci zajęciowi pomagają pacjentom:
- Nauczyć się bezpiecznie stać, siedzieć i poruszać się19
- Korzystać z adaptacyjnych narzędzi i technik ułatwiających wykonywanie czynności takich jak ubieranie się, gotowanie czy mycie30
- Poprawić sprawność motoryki małej31
- Dostosować otoczenie domowe do potrzeb wynikających z zaburzeń ruchowych25
Terapia logopedyczna
Terapia logopedyczna jest szczególnie ważna dla pacjentów z zaburzeniami ruchowymi, które wpływają na mowę i połykanie32. Obejmuje ona:
- Program LSVT LOUD® – protokół terapeutyczny mający na celu poprawę funkcji głosu, mowy i komunikacji u pacjentów z chorobą Parkinsona2728
- Terapię mowy i języka23
- Ocenę i terapię zaburzeń połykania33
- Program SPEAK OUT!® – dwuczęściowy program terapii mowy dla osób z chorobą Parkinsona34
Wsparcie psychologiczne i psychiatryczne
Zaburzenia ruchowe często prowadzą do problemów ze zdrowiem psychicznym, takich jak depresja i lęk35. Wsparcie psychologiczne i psychiatryczne obejmuje:
- Psychoterapię (terapię rozmową) – pomagającą pacjentom rozpoznać i zmienić niezdrowe emocje, myśli i zachowania19
- Ocenę i leczenie problemów poznawczych, emocjonalnych i behawioralnych związanych z zaburzeniami ruchowymi23
- Grupy wsparcia dla pacjentów i ich rodzin3637
- Strategie radzenia sobie ze stresem, który może nasilać objawy w niektórych schorzeniach38
Inne terapie niefarmakologiczne
W leczeniu zaburzeń ruchowych stosuje się również inne metody niefarmakologiczne:
- Terapia rekreacyjna – pomaga pacjentom kontynuować lub powrócić do aktywności rekreacyjnych, które lubią23
- Wsparcie żywieniowe – pomaga pacjentom utrzymać optymalną dietę mimo wyzwań związanych z mobilnością i połykaniem23
- Medycyna integracyjna – łączy sprawdzone terapie alternatywne z tradycyjną opieką medyczną w holistycznym podejściu do zdrowia i dobrego samopoczucia39
- Terapie manualne i instrumentalne, takie jak suche igłowanie, plastrowanie kinezjologiczne i instrumentalne mobilizacje tkanek miękkich40
- Terapia światłem czerwonym oraz terapia BEMER41
Leczenie chirurgiczne i neuromodulacja
Gdy leczenie farmakologiczne i terapie niefarmakologiczne nie przynoszą wystarczającej ulgi w objawach, pacjenci z zaburzeniami ruchowymi mogą kwalifikować się do leczenia chirurgicznego42.
Głęboka stymulacja mózgu (DBS)
Głęboka stymulacja mózgu (Deep Brain Stimulation, DBS) to procedura neurochirurgiczna, która zrewolucjonizowała leczenie zaburzeń ruchowych43. Polega ona na wszczepieniu elektrody do głębokich struktur mózgu i połączeniu jej z wszczepialnym generatorem impulsów44.
DBS jest szczególnie skuteczna w leczeniu:
- Choroby Parkinsona – zwłaszcza w przypadku pacjentów z fluktuacjami ruchowymi i dyskinezami indukowanymi lewodopą44
- Drżenia samoistnego – z poprawą drżenia od 82% do 95% oraz poprawą funkcji ręki, codziennych czynności i jakości życia o 50-75%45
- Dystonii – z poprawą nasilenia dystonii o około 60% po 5 latach45
Procedura DBS może być wykonywana z pacjentem obudzonym lub w znieczuleniu ogólnym44. Elektrody są zwykle aktywowane miesiąc po implantacji, a programowanie jest dostosowywane przez neurologów specjalizujących się w zaburzeniach ruchowych w celu optymalizacji łagodzenia objawów i zminimalizowania skutków ubocznych44.
Zabiegi ablacyjne
Przed rozpowszechnieniem DBS, w leczeniu zaburzeń ruchowych stosowano zabiegi ablacyjne, które nadal mają swoje miejsce w leczeniu chirurgicznym46:
- Ablacja z wykorzystaniem fal radiowych (RFA) – tradycyjna metoda tworzenia precyzyjnych uszkodzeń w określonych obszarach mózgu46
- Radiochirurgia stereotaktyczna (SRS) – wykorzystuje precyzyjnie ukierunkowane promieniowanie do tworzenia zmian w mózgu46
- Ultradźwięki zogniskowane pod kontrolą rezonansu magnetycznego (MRgFUS) – nieinwazyjna metoda wykorzystująca skupione fale dźwiękowe do tworzenia precyzyjnych uszkodzeń w mózgu46
MRgFUS jest bezpieczną i skuteczną opcją kontroli drżenia w drżeniu samoistnym i chorobie Parkinsona, chociaż efekty mogą z czasem słabnąć46. Procedura ta wykorzystuje połączenie rezonansu magnetycznego i ultradźwięków do celowania i zniszczenia małej objętości tkanki mózgowej bez uszkadzania sąsiednich tkanek47.
Inne metody neuromodulacji
Oprócz DBS, w leczeniu zaburzeń ruchowych stosuje się inne techniki neuromodulacji:
- Pompy dożołądkowe do ciągłego podawania lewodopy (DUOPA) – zaawansowana terapia dla pacjentów z chorobą Parkinsona, polegająca na dostarczaniu leku do jelita cienkiego za pomocą ciągłej pompy33
- Pompy baklofenowe – stosowane w przypadkach ciągłej spastyczności20
- Przezskórna stymulacja magnetyczna (TMS) – nieinwazyjna metoda stymulacji mózgu48
- Urządzenia neurostymulacyjne noszone na ciele – mogą pomóc w kontroli objawów niektórych zaburzeń ruchowych49
Zindywidualizowane podejście do leczenia
Skuteczne leczenie zaburzeń ruchowych wymaga zindywidualizowanego podejścia dostosowanego do konkretnych potrzeb każdego pacjenta633.
Multidyscyplinarny zespół terapeutyczny
Opieka nad pacjentem z zaburzeniami ruchowymi wymaga współpracy wielu specjalistów, w tym6:
- Neurologów specjalizujących się w zaburzeniach ruchowych
- Neurochirurgów
- Neurofizjologów
- Neuropsychologów
- Psychiatrów
- Radiologów
- Terapeutów zajęciowych
- Fizjoterapeutów
- Logopedów
Multidyscyplinarny zespół współpracuje, aby opracować kompleksowy plan leczenia, który uwzględnia wszystkie aspekty zaburzeń ruchowych pacjenta, w tym objawy fizyczne, poznawcze i emocjonalne33.
Dopasowanie leczenia do różnych typów zaburzeń ruchowych
Różne typy zaburzeń ruchowych wymagają różnych podejść terapeutycznych:
Choroba Parkinsona:
- Leki zwiększające poziom dopaminy (lewodopa, agoniści dopaminy)9
- Fizjoterapia z elementami LSVT BIG27
- DBS dla pacjentów z zaawansowaną chorobą44
- Pompy dożołądkowe (DUOPA)33
Drżenie samoistne:
- Beta-blokery i leki przeciwpadaczkowe1112
- DBS jądra brzuszno-pośredniego wzgórza (VIM)45
- MRgFUS dla pacjentów niekwalifikujących się do DBS46
Dystonia:
Tiki i zespół Tourette’a:
Ocena skuteczności leczenia i modyfikacja terapii
Regularna ocena skuteczności leczenia jest kluczowa dla zapewnienia optymalnych wyników30. Obejmuje ona:
- Regularne wizyty kontrolne i badania w celu monitorowania postępów30
- Dostosowanie dawek leków w zależności od odpowiedzi pacjenta11
- Modyfikację planu rehabilitacji w miarę zmiany potrzeb pacjenta51
- Rozważenie alternatywnych metod leczenia, jeśli obecne podejście nie przynosi oczekiwanych rezultatów52
Badania kliniczne i nowe perspektywy leczenia
Dziedzina leczenia zaburzeń ruchowych stale się rozwija, a prowadzone badania kliniczne oferują pacjentom dostęp do nowych, obiecujących terapii3953.
Badania kliniczne
Badania kliniczne to rodzaj badań naukowych, które analizują nowe testy i metody leczenia określonych schorzeń54. Pacjenci z zaburzeniami ruchowymi mogą mieć możliwość uczestnictwa w badaniach klinicznych, które dają dostęp do innowacyjnych terapii, które nie są jeszcze powszechnie dostępne39.
Ośrodki specjalizujące się w leczeniu zaburzeń ruchowych często prowadzą badania kliniczne oceniające skuteczność nowych leków, metod chirurgicznych i innych interwencji terapeutycznych55.
Nowe kierunki w leczeniu zaburzeń ruchowych
Badania nad nowymi metodami leczenia zaburzeń ruchowych koncentrują się na kilku obiecujących obszarach5657:
- Immunoterapie i leki ukierunkowane na nieprawidłowo sfałdowaną α-synukleinę56
- Inhibitory kinazy tyrozynowej c-Abelson (cABl)56
- Agoniści peptydu glukagonopodobnego-1 (GLP-I)56
- Blokery kanałów wapniowych56
- Szlaki nikotynowe56
- Leki ukierunkowane na reaktywne formy tlenu56
- Terapie genowe58
- Przeszczepy komórek macierzystych1358
Postępy w neuromodulacji i technikach ablacyjnych również oferują obiecujące możliwości, takie jak spersonalizowane podejścia do leczenia i rozszerzone zastosowania dla szerszego zakresu zaburzeń ruchowych46.
Znaczenie wczesnej diagnozy i interwencji
Wczesna diagnoza i interwencja mają kluczowe znaczenie dla skutecznego leczenia zaburzeń ruchowych38. Badania sugerują, że wczesne leczenie może przynieść korzyści w przypadku niektórych zaburzeń ruchowych, takich jak choroba Parkinsona59.
Naukowcy pracują nad nowymi metodami wczesnej diagnozy, takimi jak wykorzystanie elektroencefalografii (EEG) do diagnozy choroby Parkinsona we wczesnym stadium jej rozwoju, co umożliwia bardziej skuteczne leczenie60.
Wsparcie psychospołeczne i edukacja pacjenta
Kompleksowe leczenie zaburzeń ruchowych wykracza poza interwencje medyczne i obejmuje wsparcie psychospołeczne oraz edukację pacjenta i jego rodziny6136.
Grupy wsparcia i edukacja
Grupy wsparcia odgrywają ważną rolę w pomaganiu pacjentom i ich rodzinom w radzeniu sobie z wyzwaniami związanymi z zaburzeniami ruchowymi36. Wiele ośrodków specjalizujących się w leczeniu zaburzeń ruchowych oferuje programy edukacyjne i grupy wsparcia, które zapewniają62:
- Informacje o najnowszych metodach leczenia i badaniach62
- Porady dla opiekunów62
- Dostęp do zasobów społecznościowych62
- Grupowe aktywności ruchowe62
Edukacja pacjenta obejmuje informacje o chorobie, dostępnych opcjach leczenia, technikach samodzielnego radzenia sobie z objawami oraz znaczeniu zdrowego stylu życia35.
Wsparcie dla opiekunów
Opiekunowie osób z zaburzeniami ruchowymi często doświadczają znacznego obciążenia fizycznego i emocjonalnego63. Wsparcie dla opiekunów może obejmować:
- Sesje edukacyjne na temat zarządzania opieką nad pacjentem63
- Grupy wsparcia dla opiekunów63
- Usługi opieki wyręczającej, które zapewniają opiekunom krótkotrwały odpoczynek64
- Konsultacje z pracownikami socjalnymi, którzy mogą pomóc w uzyskaniu dostępu do zasobów społecznościowych64
Zdrowy styl życia i interwencje behawioralne
Zdrowy styl życia może pomóc w zarządzaniu objawami zaburzeń ruchowych i poprawie ogólnego samopoczucia65. Zalecenia dotyczące stylu życia obejmują:
- Regularne ćwiczenia fizyczne – badania sponsorowane przez Fundację Parkinsona wykazały, że osoby, które zaczynają ćwiczyć wcześniej i ćwiczą co najmniej 2 godziny tygodniowo, doświadczają wolniejszego spadku jakości życia z powodu choroby Parkinsona27
- Zbilansowana dieta – wspiera funkcje mózgu i układu nerwowego38
- Zarządzanie stresem – może pomóc w zmniejszeniu objawów w niektórych schorzeniach38
- Dobre nawyki snu – poprawa jakości snu może zmniejszyć nasilenie niektórych objawów65
Interwencje behawioralne, takie jak terapia poznawczo-behawioralna (CBT) i terapia dialektyczno-behawioralna (DBT), mogą pomóc pacjentom w radzeniu sobie z emocjonalnymi aspektami życia z zaburzeniami ruchowymi66.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
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- #1 Movement Disorders: What They Are, Symptoms & Typeshttps://my.clevelandclinic.org/health/diseases/24847-movement-disorders
The treatment for movement disorders varies based on the type. Most movement disorders don’t have a cure, so the goal of treatment is to manage symptoms. But some movement disorders, such as medication-induced parkinsonism, are often treatable. […] Examples of treatments for movement disorders include: […] Medication: Several medications can help the symptoms of movement disorders. For example, muscle relaxants can help with spasticity. Dopaminergic medications may help with Parkinson’s disease and restless leg syndrome. Antianxiety medications may help with dystonia. There are also specific medications for specific conditions. […] Physical therapy: Physical therapy helps improve how your body performs physical movements. Physical therapists help you manage symptoms like pain, stiffness and discomfort that make it hard to move.
- #2 Movement Disorder Diagnosis & Treatment | Mount Sinai – New Yorkhttps://www.mountsinai.org/care/neurology/services/movement-disorders
The Mount Sinai movement disorder specialists are internationally recognized for our expertise in the diagnosis and management of movement disorders in children and adults. Our pioneering research into the causes of movement disorders has made it possible to perform genetic testing for individuals and families living with these conditions. […] Dedicated to providing comprehensive, innovative care, we diagnose, treat, and research a wide range of disorders in children and adults that affect movement including Parkinsonâs disease, dystonia, ataxia, tremor, tics, and Huntingtonâs disease and other choreas. […] Because many diseases still await a cure, treatment of movement disorders usually concentrates on improving symptoms. We work with you and your family to develop a care plan, which may include:
- #3 Movement Disorders: Types & Treatment | SSM Healthhttps://www.ssmhealth.com/services/neurosciences/neurology-services/movement-disorders
Movement disorders cannot be cured, and the goal of treatment is to minimize symptoms and improve quality of life. […] While treatment for movement disorders will depend on the underlying cause of your condition, options your doctor may suggest include: Drug therapies to control your symptoms, Physical or occupational therapy to help maintain or restore your ability to control your movements, Botulinum toxin injections to help prevent muscle contractions, Deep brain stimulation, a surgical treatment option that uses an implant to stimulate the areas of your brain that controls movement. […] Our specialized teams will develop an individualized treatment plan for you. Our thorough, compassionate care will help you find relief and comfort during the uncertainty of your treatment.
- #4 Movement Disorders | Baystate Healthhttps://www.baystatehealth.org/medical-services/movement-disorders
Every move you make depends on your nervous system. […] If you or your doctor suspects that you have a movement disorder, you need advanced care from specialists who know what it takes to manage and treat these conditions. […] We have the advanced training and expertise to provide the care you need. Youll work closely with your care team to create a treatment plan that is personalized for your unique needs. Your treatment plan may include: […] In many cases, were able to successfully treat movement disorders with one or more of these approaches. For some, however, there is no cure for their movement disorders. In these cases, we work with patients to successfully manage their diseases, focusing on symptom control, pain relief and improved quality of life.
- #5 Movement Disorders Program | Brown University Healthhttps://www.brownhealth.org/centers-services/movement-disorders-program
Movement disorders affect more than 40 million people in the United States. […] The field of movement disorders has been revolutionized in recent years by tremendous growth in new diagnostic information, pharmacological and neurosurgical treatments, and a deeper understanding of motor control. […] At the Movement Disorders Program, we take a holistic approach to disease management, employing the expertise of a multidisciplinary team of specialists in neurology, neurosurgery, neuropsychology, psychiatry, speech-language pathology, occupational therapy, and physical therapy. […] With many types of movement disorders, treatment is specific to each disorder. Medications are usually the preferred treatment, while surgical options are available for certain severe, persistent, or degenerative conditions.
- #6 Get Movement Disorders Treatment | Cleveland Clinichttps://my.clevelandclinic.org/services/movement-disorders-treatment
Cleveland Clinic specializes in diagnosing and treating all types of movement disorders. […] We build a treatment plan to help you manage your movement disorder as well as support your mental and emotional well-being. […] Cleveland Clinic offers the latest and most promising treatments for all movement disorders. From managing your condition with medications to restorative neurosurgery like deep brain stimulation (DBS) to treating non-motor symptoms, like depression, cognitive decline and nutrition concerns. We recommend the best treatments for your unique diagnosis. […] Treating movement disorders often requires a team of specialists depending on your specific needs. Our expert care team works together to plan the treatment you need. […] Your personalized movement disorders care team may have providers like neurologists, neurosurgeons, neurophysiologists, neuropsychologists, psychiatrists, radiologists, occupational therapists, physical therapists, and speech-language pathologists.
- #7https://atriumhealth.org/medical-services/specialty-care/neurosciences/movement-disorders
Movement disorders like Parkinsons disease, dystonia and essential tremor can make everyday tasks challenging and leave you worried about your future. […] Our Parkinsons Disease and Movement Disorders program offers help and hope for all types of movement disorders. From advanced diagnosis and innovative treatments that give you symptom relief, to long-term care and support for your physical and mental well-being, our experts empower you to take control of your condition. […] We offer the latest and most promising treatment options for movement disorders, including deep brain stimulation and botulinum toxin injections. […] Once we better understand the cause of your symptoms, we design a personalized treatment plan that uses the latest therapies to maximize your quality of life. […] Depending on your specific needs, your care may include: Medications: There are many drugs that can be used to manage movement disorders. Our specialists can help you find the medication thats most helpful for you.
- #8 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Treatment-of-movement-disorders.aspx
Movement disorders begin with the pathology within the brain and there are drugs that may help in therapy of these conditions. […] Outlining therapy of movement disorders it is important to note that there are a range of movement disorders and each need spate attention and diagnosis although most of them are treated with the same armament of medications. […] Treatment involves many types of specialists and primarily neurologists. Early stages respond well to medications. During mid- to late-stage disease additional surgery may be suggested. […] Levodopa helps to restore this Dopamine and is the mainstay of drug therapy for Parkinsons disease. […] There are other drugs like Amantadine, Selegiline, Ropinirole, Entacapone, Tolcapaone, and Pramipexole that help in treatment of Parkinsons disease by replacing or increasing the dopamine in the brain.
- #9 Parkinson’s Disease Diagnosis & Treatments | Mount Sinai – New Yorkhttps://www.mountsinai.org/care/neurology/services/movement-disorders/parkinsons
Parkinson’s disease is a common neurodegenerative disorder affecting more than a million people in the United States. […] The movement disorder specialists at Mount Sinai are expert in diagnosing and treating Parkinson’s disease. […] After we confirm the diagnosis, we develop a comprehensive treatment plan, personalized to your needs. […] Mount Sinai specialists are skilled in providing the full range of therapies for Parkinson’s disease. […] Medications: The most common treatment for Parkinson’s disease is dopamine replacement therapy, usually levodopa, which generally produces significant improvements in walking and movement, as well as reductions in stiffness and tremors. […] Deep Brain Stimulation: Mount Sinai’s Center for Neuromodulation is recognized for its excellence in performing deep brain stimulation surgery for selected patients with Parkinson’s disease.
- #10 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Treatment-of-movement-disorders.aspx
Tremors, especially essential tremors, are treated with beta blockers like Propranolol, other drugs like Primidone, Benzodiazepines like alprazolam, clonazepam, gaba analogues like gabapentin, antipsychotics like Mirtazapine, clozapine, and botox. […] Surgery and DBS is recommended in severe cases. […] Tourette’s syndrome is usually treated with antipsychotics like Haloperidol. […] Botox is useful in facial spasms, blepharospasm and torticollis (dystonia of the neck muscles). […] Anti-seizure drugs like carbamazepine, phenytoin, gabapentin, baclofen are also useful in the treatment of movement disorders. […] Treatment of movement disorders caused by drugs. […] Common side effects of dopamine increasing drugs include nausea, headache, dizziness, and fatigue and rarely abnormal movements like dyskinesias.
- #11 Medication for Movement Disorders | NYU Langone Healthhttps://nyulangone.org/conditions/movement-disorders/treatments/medication-for-movement-disorders
Movement disorders such as essential tremor and dystonia are not life threatening, but they can interfere with your ability to perform everyday activities or tasks. To ease the symptoms, specialists at NYU Langones Fresco Institute for Parkinsons and Movement Disorders prescribe medication for the type of movement disorder a person has. […] Your doctor can determine whether you might benefit from one medication or a combination of several. NYU Langone neurologists closely monitor your response to medication and adjust your prescriptions as necessary. […] People with essential tremor or tremors from another cause may be treated with a blood pressure medication called a beta blocker to alleviate symptoms. Beta blockers, such as metoprolol, have been shown to reduce the physical symptoms of movement disorders, such as shaking.
- #12 Medication for Movement Disorders | NYU Langone Healthhttps://nyulangone.org/conditions/movement-disorders/treatments/medication-for-movement-disorders
Doctors may prescribe antiseizure medications, such as primidone or topiramate, for essential tremor or other forms of tremor. These medications are most effective for reducing tremors in the hands. […] For a person with dystonia, a doctor may prescribe a class of medications called anticholinergic agents. Anticholinergics work by reducing the effects of a brain chemical called acetylcholine, resulting in decreased tremors or muscle stiffness. Medications in this group include trihexyphenidyl and benztropine. […] Doctors may prescribe anti-anxiety medications, such as clonazepam, for dystonia. Anti-anxiety medications calm the central nervous system and relax the muscles to provide short-term relief from muscle spasms. […] Some people with movement disorders may benefit from injections of botulinum toxin, commonly known as Botox, in the affected muscles. Botox works by blocking the brain chemicals, or neurotransmitters, responsible for muscle spasms. Botox may be used alone or in combination with other medication. The injections typically need to be repeated every few months. Side effects may include redness, swelling, or mild pain at the injection site.
- #13 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Treatment-of-movement-disorders.aspx
Some surgeries like Deep brain stimulation (DBS), thalamotomy, Pallidotomy are other options for advanced cases. DBS surgery uses electrodes to cause stimulation of certain affected areas of the brain. […] Stem cell transplantation has also been tried in treatment of Parkinsons disease. […] Overall good nutrition is essential for treatment of Parkinsons disease. Good nursing care is vital. […] Exercise helps keep the patient with the disease from losing muscle mass and can improve mobility and diminish injury from falls. […] Psychotherapy is necessary for patients with concomitant psychiatric conditions. […] Dystonias are treated with anticholinergic drugs like trihexyphenidyl, Benzodiazepines like diazepam, lorazepam and Skeletal muscle relaxants like baclofen. […] For patients with severe dystonia who have not responded to therapy surgery is considered to relieve the muscle spasm and pain. Brain surgery may also be performed as treatment.
- #14 Movement Disorders – AANShttp://www.aans.org/patients/conditions-treatments/movement-disorders/
Myoclonus is treated through prescribing medications that may help reduce symptoms. In some cases, effective results are achieved by combining multiple drugs. Some of the medications prescribed are barbiturates, phenytoin, primidone, sodium valproate and the tranquilizer clonazepam. […] Treatment may include medications such as baclofen, diazepam, tizanidine and clonazepam. Physical therapy with specific muscle exercises may be prescribed in an effort to help reduce the severity of symptoms. Surgery may be recommended for tendon release or to cut the nerve-muscle pathway. […] Unfortunately, there is no treatment for TD, the risk of developing TD may be minimized by prescribing newer classes of antipsychotics to treat psychosis, restricting the long-term use of neuroleptics to well-defined indications and prescribing these medications in the lowest effective dosage. […] Treatment for the disorder focuses on the management of symptoms and requires a supportive, multidisciplinary approach. Medication may be needed for breathing irregularities and motor difficulties. Antiepileptic drugs may be used to control seizures.
- #15 Azthena logo with the word Azthenahttps://www.news-medical.net/health/Treatment-of-movement-disorders.aspx
Beta blockers like Propranolol may cause slowed heart rate, light-headedness, depression and nausea. […] Benzodiazepines lead to drowsiness, and fatigue. […] Anti-seizure medications may cause lack of coordination and balance, nausea, dizziness and fatigue. […] Botox may cause temporary weakness in the group of muscles being treated and rarely, flu-like symptoms due to allergies.
- #16 Nonsurgical Therapies for Movement Disorders | Henry Ford Health – Detroit, MIhttps://www.henryford.com/services/movement-disorders/treatments/nonsurgical-therapies-movement-disorders
We offer botulinum toxin, or Botox, injections to help relax muscles where spasms or tremors occur. Botox provides temporary relief (about three months) to reduce unwanted muscle movements and improve abnormal positions. […] We have specialized rehabilitation therapists who work with people who have movement disorders. Depending on your specific needs, you may see one or more neurological rehabilitation therapists for physical, occupational and speech-language therapy. […] You may benefit from talk therapy, also called psychotherapy or counseling, with a psychologist, psychiatrist or licensed clinical social worker. Our counseling services can help with behavioral symptoms such as anxiety and depression and help you build coping strategies. […] Assistive devices help you stay mobile when coping with symptoms such as muscle spasms, tremors and stiffness. We can recommend the right devices, such as walkers, wheelchairs and canes, to meet your needs.
- #17 Parkinsonâs and Movement Disorders Center | Stony Brook Neuroscience Institutehttps://neuro.stonybrookmedicine.edu/centers/movement/treatments
Treatments for movement disorders first depend on establishing an accurate diagnosis and can range from physical therapy to a range of medications and even brain surgery. […] We offer medical management, botulinum toxin injection and surgical therapy as treatments for movement disorders. Anyone who is on medication and still suffering from bothersome symptoms of movement disorders is a potential candidate for surgery. […] A surgery called deep brain stimulation (DBS) entails placing small wires into the brain and stimulating them with electrical current supplied by a stimulator device. This safe and effective procedure can give appropriately selected patients increased mobility, use of their hands and independence. […] Botulinum toxin injections are used to treat movement disorders by temporarily blocking nerve signals to overactive muscles, reducing involuntary movements, stiffness and spasms. This treatment is commonly used for conditions such as dystonia, spasticity and tremors, helping to improve mobility, function and quality of life.
- #18 Physical Therapy for Movement Disorder | OneRehabhttps://onerehab.com/movements-disorders/
It is crucial to seek medical attention when diagnosed with FMD. Though there is no known cure, treatment focuses on management and care. OneRehab is the best functional movement disorder therapy clinic helping patients with physical and occupational therapies. […] Injecting botulinum toxin into muscles can reduce or get rid of muscle contractions, thus improving abnormal posture. The injections are repeated after every three to four months. Patients can receive other medications to alleviate the symptoms. […] Living with the condition means patients have to learn to live with itâmodern movement physical therapy teaches patients coping mechanisms. In our rehab clinic, we provide therapy to help patients manage uncontrollable shaking. Therefore, improving posture which allows a patient to conduct daily activities.
- #19 Movement Disorders: What They Are, Symptoms & Typeshttps://my.clevelandclinic.org/health/diseases/24847-movement-disorders
Occupational therapy: Occupational therapy helps improve your ability to perform daily tasks. An occupational therapist helps you learn how to safely stand, sit, move or use different tools to participate in your activities. […] Mobility aids: Mobility aids, like canes, walkers and wheelchairs, can help you move more safely and increase your independence. […] Speech therapy: Speech therapy helps improve your speech, language skills and swallowing ability. […] Psychotherapy: Psychotherapy (talk therapy) is a term for a variety of treatment techniques that aim to help you identify and change unhealthy emotions, thoughts and behaviors. Movement disorders often lead to mental health conditions, like depression and anxiety. Psychotherapy can help. […] Botulinum toxin (Botox) injections: These can help relax your muscles if you have dystonia or spasticity.
- #20 Movement Disorders Treatment Options | Temple Healthhttps://www.templehealth.org/services/conditions/movement-disorders/treatment-options
This option has been used effectively for spasms, focal dystonia, tics and many aspects of Parkinsons disease. In this treatment, the toxin is injected near where the nerves signal a muscle to contract. In this way, a spasming or overly contracted muscle may be relaxed. […] Round-the-clock pumps have been found to be effectively delivery mechanisms for drugs in cases where a patient suffers from ongoing spasticity. […] When patients experience worsening symptoms or dont respond to medical therapies, deep-brain stimulation can offer relief. In this procedure, a neurosurgeon makes a small hole in the skull, then inserts an electrode into a targeted location in the brain. The electrode is attached to an external battery device. By delivering electrical impulses into the affected area of the brain, deep-brain stimulation activates nerve cells and provide symptom relief. Deep-brain stimulation has been helpful for patients with Parkinsons disease.
- #21 Movement Disorders | UVA Healthhttps://uvahealth.com/services/parkinsons-movement-disorders
Muscle spasms, tremors and/or impaired motor control can get in the way of enjoying your life. They can also be a symptom of something more serious. […] A range of neurological disorders can cause symptoms of involuntary movement like tremors, shaking, walking problems and impaired motor control. No matter the size of your challenge, we will treat your movement disorder. […] Watch UVA’s neurologists and neurosurgeons talk about how they treat Parkinson’s disease and other movement disorders. […] Selective targeting with chemodenervation (botulinum toxin injections) can improve some dystonias, including hemifacial spasm. […] Botox injections blocks signals from nerves to the muscles. In disorders such as dystonia, hemifacial spasm or tremor, there are abnormal signals that cause muscles to function incorrectly. By blocking these abnormal signals and weakening the active muscle, we can reduce the degree of abnormal movement or spasm in the affected part of the body.
- #22 Nonmedication Options for Movement Disorders | Froedtert & MCWhttps://www.froedtert.com/parkinsons-movement-disorders/non-medication-therapies
Many other treatment options are available in addition to or instead of medication to enhance the care of people with movement disorders. […] Components of care may include: […] Exercise, to develop a personalized exercise plan to help patients strengthen muscles and posture, promote flexibility, prevent cardiovascular disease and stimulate the parts of the brain that can control movement and coordination. […] Physical therapy, to provide guidance for how to enhance posture, improve mobility, prevent falls, increase range of motion and more. […] The program offers the LSVT BIG program, a research-based exercise approach focusing on Parkinsons disease and other neurological conditions. […] Occupational therapy, to learn strategies for accomplishing daily tasks more easily, including driving as appropriate, using alternative techniques, adaptive equipment, positioning and other techniques.
- #23 Nonmedication Options for Movement Disorders | Froedtert & MCWhttps://www.froedtert.com/parkinsons-movement-disorders/non-medication-therapies
Recreational therapy, to help patients continue in or return to the leisure activities they enjoy. […] Speech-language pathology, to assess swallowing abilities, prevent aspiration pneumonia, and restore voice and speech (including the Lee Silverman Voice Treatment LOUD Program). […] Cognitive/linguistic retraining provides techniques for developing the mental process of language, memory and other thinking skills. […] Nutritional support, to help patients maintain an optimal diet despite challenges such as mobility and swallowing. […] Neuropsychiatry, to assess cognitive, emotional and behavioral problems related to a movement disorder. […] Neuropsychology, to assess problems with thought processes and identify ways to help patients relearn skills or find alternative ways to make up for decreased neurological abilities.
- #24 Physical Therapy – Neurology Solutionshttps://www.neurologysolutions.com/approach-and-treatments/physical-therapy-for-movement-disorders/
At Neurology Solutions, we believe that every movement disorder patient can benefit from Physical Therapy (PT). Certain exercises have been proven to have a tremendous positive impact, helping movement disorder patients better manage their symptoms. PT belongs right up there with medications and procedures as a go-to tool for the treatment of movement disorders. […] Successfully treating a movement disorder requires a comprehensive approach, and physical therapy is just one, essential part of that comprehensive approach. Without a rigorous PT regimen, the chances for a positive outcome for the patient are significantly diminished. […] Whether you are 3 days or 30 years diagnosed having a specialized therapist is crucial for elongated quality of life with these disorders. […] This technique can allow us to break down improper muscle activation and treat deeper structures that normally cannot be accessed with other modalities.
- #25 How Can Physical Therapy Help Movement Disorders?https://bordertherapy.com/heres-how-physical-therapists-can-aid-those-with-movement-disorders/
Stronger muscles are essential for maintaining balance and coordination and performing daily activities. Physical therapists can design safe and effective exercise programs to help build strength and improve stamina for people with movement disorders. This can help with everyday tasks like getting dressed or climbing stairs. […] A goal of physical therapy for movement disorders is to help people stay as independent as possible. Physical therapists can teach strategies for activities of daily living like getting dressed, bathing and moving around the house safely. This can significantly improve a persons quality of life and empower them to manage their daily routines. […] People with movement disorders are more at risk for falls due to balance problems. Physical therapists can assess fall risks and develop a plan to help prevent them. This may include practicing safe transfers like moving from sitting to standing, practicing balance exercises with different surfaces, and recommending home safety modifications like installing grab bars in the bathroom.
- #26 Physical Therapy for Movement Disorder | OneRehabhttps://onerehab.com/movements-disorders/
The essential management method is therapy. A psychotherapist provides talk therapy helping a patient with behavior and managing their expectations as the disease progresses. […] Physical therapy, when well provided, aids in alleviating the symptoms and keeping a patient strong. If you are searching for a physical therapy clinic near me, we are unparalleled in providing a tailor-made treatment plan. […] Patients who have movement-related conditions can continue with medication. However, physical therapy for movement disorders helps with improving strength, allowing function maintenance in the activities of daily living. […] A physical therapist can include stretches in the treatment program to improve flexibility. As a result, you can achieve the desired range of motion at each joint and muscle to attain movement without being limited. Furthermore, you can perform various balance exercises to prevent falls and improve your movement.
- #27 Treatment Options for Movement Disordershttps://www.riversideonline.com/en/medical-services/neurological-and-spine-institute/parkinsons-disease-and-movement-disorders-program/treatment-options-for-movement-disorders
Gaining and maintaining functional movement is an important aspect of treatment for individuals with movement disorders. Physical, occupational and speech therapy may each play a role in symptom treatment as well as delay or prevent disability with some conditions. […] LVST BIG and LOUD are intensive programs tailored to each patient. LVST BIG is where patients work through exercises with physical and occupational therapists to improve their walking, gait, balance and endurance. LVST LOUD helps people improve their communications skills and is done with Speech Language Pathologists. […] In addition to formal therapies, a regular exercise program emphasizing large movements is an important part of many treatment plans to maintain mobility, flexibility and balance. […] Research sponsored by the Parkinsons Foundation has established that individuals who start exercising earlier and who exercise at least 2 hours a week experienced a slower decline in quality of life due to their Parkinsons Disease.
- #28 Movement Disorders | Geisingerhttps://www.geisinger.org/patient-care/conditions-treatments-specialty/movement-disorders
Our neurologists recommend medications and tailor the doses based on your individual needs. Each patientâs preferences are different, so our providers take care to personalize your treatment and minimize side effects. Your custom medication plan may combine both established and recently approved drugs. […] If medications still leave you with symptoms, nonsurgical treatments are available. […] LSVT BIG® and LVST LOUD® are forms of exercise-based behavioral treatment therapy that can help improve voice, swallowing and movement. Both use clinically proven techniques to improve motor function and slow the progression of movement disorder symptoms. […] If medications and therapies donât manage movement disorder symptoms, there are surgical treatments to consider. […] Deep brain stimulation (DBS) surgery uses an implantable device like a pacemaker that delivers electrical stimulation to targeted parts of the brain that control movement. This can put an end to tremors and other movement disorder symptoms. DBS is used to treat many conditions including:
- #29 Physical Therapy – Neurology Solutionshttps://www.neurologysolutions.com/approach-and-treatments/physical-therapy-for-movement-disorders/
Vestibular rehabilitation is designed to reduce vertigo and dizziness, visual disturbance, and/or imbalance, and falls. […] Decreased motor function in the ocular musculature can/does occur in the movement disorder population. It is often an overlooked system and can help improve a patients confidence while moving.
- #30 Get Movement Disorders Treatment | Cleveland Clinichttps://my.clevelandclinic.org/services/movement-disorders-treatment
We craft your treatment plan based on your specific diagnosis and needs. We may manage your condition with medications. […] Your provider may prescribe muscle relaxers or botulinum toxin injections. […] Our therapists can help you find better ways to move or do daily tasks like cooking or dressing. […] Movement disorders often lead to things like depression and anxiety. Our team finds that psychotherapy, or talk therapy, can help you recognize and change unhealthy thoughts, behaviors and emotions. […] For conditions with severe tremors like advanced Parkinsons disease or dystonia, high-intensity focused ultrasound (HIFU), gamma knife surgery or deep brain stimulation (DBS) may help lessen these movements. […] You can expect to have regular checkups and testing so we can keep track of your progress and see if treatments need to be adjusted.
- #31 Movement Disorders Clinic | UCLA Healthhttps://www.uclahealth.org/medical-services/neurology/movement-disorders
By participating in research, our specialists continuously learn more about movement disorders and use their knowledge to adjust treatment approaches in real time. […] With each treatment plan, our goal is to improve quality of life. […] Theres no cure for movement disorders. But several treatments can significantly reduce symptoms and improve quality of life. Our neurologists provide a variety of treatments for movement disorders, including: […] Certain medicines may help interrupt the nerve signals that cause muscle spasms. […] OT can help patients increase fine motor skills and complete daily tasks such as brushing their teeth, bathing or grooming. […] PT involves specific exercises to help patients increase strength, balance and muscle tone. […] A neurologist may administer a botulinum toxin (Botox) injection directly to the affected muscle. The medication interrupts the nerve signals that cause muscle spasms and reduces symptoms.
- #32 Treatment for Movement Disorders | St. Luke’s Health | St. Luke’s Healthhttps://www.stlukeshealth.org/services-specialties/neurology-neurosurgery/neurological-conditions/movement-disorders
The treatment of a movement disorder depends on the specific type of disorder, its severity, and the individual’s overall health. Here are some common approaches to treating movement disorders: […] Medications are often used to manage symptoms of movement disorders. These can include medications to increase dopamine levels (such as levodopa for Parkinson’s disease), muscle relaxants, or anti-seizure medications. […] Physical therapy can help to improve muscle strength, flexibility, and coordination. This can be especially helpful for individuals with movement disorders that affect their ability to walk or perform daily activities. […] Occupational therapy can help individuals with movement disorders to improve their ability to perform daily tasks, such as dressing, grooming, and eating.
- #33 Movement Disorder Treatment In Kansas City | The University Of Kansas Health Systemhttps://www.kansashealthsystem.com/care/conditions/movement-disorders
We offer services to complement medical and surgical treatments, delivering a complete care plan for every patient managing a movement disorder. These include: Neuropsychological testing, Occupational therapy, Physical therapy, including LSVT-BIG, a therapy protocol recognized for its effectiveness in addressing movement impairment for patients with Parkinson’s disease and related disorders, Social services, Speech therapy, including LSVT-LOUD, a therapy protocol proven to improve speech and communications issues for patients with Parkinson’s disease and related disorders, Swallowing evaluations including clinical examination, video study and fiberoptic endoscopic evaluation of swallowing.
- #33 Movement Disorder Treatment In Kansas City | The University Of Kansas Health Systemhttps://www.kansashealthsystem.com/care/conditions/movement-disorders
Deep brain stimulation, which delivers electrical stimulation to the brain to relieve symptoms for patients with Parkinson’s disease, essential tremor and dystonia. Our neurosurgeons are among the most experienced in the nation and can perform procedures with the patient either awake or asleep. […] Carbidopa/levodopa enteral suspension (Dupoa), an advanced therapy for Parkinson’s disease, involves the delivery of medication to the small intestine via continuous pump. This approach offers more consistent symptom control with less „off time,” in which symptoms worsen between medication doses. […] Our fellowship-trained movement disorder experts bring focus, innovation and compassion to treatment and support of patients and families. Our specialists’ training, education and experience are essential to providing you with precise diagnoses and treatment options.
- #33 Movement Disorder Treatment In Kansas City | The University Of Kansas Health Systemhttps://www.kansashealthsystem.com/care/conditions/movement-disorders
Our providers collaborate with you to determine a treatment approach that may combine physical, occupational, speech/swallowing and cognitive therapies, medication or surgery to control symptoms and slow disease progression. […] Diverse specialists contribute to care plans. Experienced neurologists, neurosurgeons, general surgeons, neurophysiologists, neuropsychologists, neuro-ophthalmologists, neuroradiologists, psychologists, dermatologists, urologists and specialized nurses and anesthesiologists may play a role. The interdisciplinary approach achieves outcomes that surpass the national average. […] Our care team combines neurological and physical examinations with symptom observation and neuroimaging to evaluate your needs. We provide education and help explore the long-term outlook. Through discussion of specific symptoms and their severity, our physicians partner with you and your family to create a personalized treatment plan.
- #34 Parkinsonâs Disease and Movement Disorders Treatment Center | Hospital for Special Care | Hospital for Special Carehttps://hfsc.org/specialties/neuromuscular-care/parkinsons-disease-and-movement-disorders-center/
Rehabilitation: Occupational, physical, speech and swallow, and aquatic therapy are completed to manage symptoms. […] LSVT Big® and LSVT Loud®: LSVT Big® therapy program works on your arm and leg movement to improve your functioning, such as more stable walking with bigger steps, better balance and trunk rotation. LSVT Loud® therapy program works to improve your breathing, voice and speech function. […] Botulinum toxin injections for movement disorders. […] SPEAK OUT!® Therapy Program â a two-part speech therapy program to help individuals with Parkinson’s regain and maintain effective communication.
- #35 Treatment Options for Movement Disordershttps://www.riversideonline.com/en/medical-services/neurological-and-spine-institute/parkinsons-disease-and-movement-disorders-program/treatment-options-for-movement-disorders
Talk to your provider before starting an exercise regimen to understand what type of exercise would be safe and appropriate for you. […] While not every patient experiences these mood changes, it is important to speak to your provider if you notice changes in yourself or your loved one so that it can be addressed.
- #36 Parkinsonâs and Movement Disorders Center | Stony Brook Neuroscience Institutehttps://neuro.stonybrookmedicine.edu/centers/movement/treatments
Physical, occupational, and speech therapy play a crucial role in treating movement disorders by helping patients improve mobility, coordination and daily functioning. Physical therapy focuses on strength and balance, occupational therapy enhances fine motor skills and independence in daily activities, and speech therapy addresses communication and swallowing difficulties, all working together to enhance quality of life. […] To help enhance your or your loved one’s quality of life while living with Parkinson’s disease or another movement disorder, we offer a number of practical and emotional support options as well as psychological and psychiatric counseling and evaluation, plus our movement disorder support groups.
- #37 Movement Disorders | Lahey Hospital & Medical Centerhttps://www.lahey.org/services/neurology/movement-disorders
DBS can be very effective in treating both Parkinsons disease and essential tremor (ET), as well as the movement disorders associated with multiple sclerosis and some types of dystonia. […] In addition to deep brain stimulation, we still perform both pallidotomies and thalamotomies in select patients, when indicated. […] The Stimulator Clinic is designed for patients who have undergone DBS surgery for PD, essential tremor or dystonia. […] A general Botox clinic meets once weekly, and a specialized Botox clinic meets on the fourth Friday of each month. […] This newly established support group meeting is designed for patients who have undergone deep brain stimulation surgery for Parkinsons disease, essential tremor and/or dystonia, as well as their family members. […] This support group is designed for patients with Parkinsons disease who are being treated at Lahey Hospital Medical Center.
- #38 Movement Disorders: Types, Symptoms and Treatment | Bannerhttps://www.bannerhealth.com/services/neurology/programs-care/movement-disorders
Dopamine therapies for Parkinsons disease […] Muscle relaxants for dystonia […] Anticonvulsants for myoclonus […] Physical therapy helps with balance and mobility. […] Occupational therapy assists with daily activities. […] Speech therapy improves communication in conditions that affect speech. […] Deep brain stimulation (DBS) is used for Parkinsons disease, dystonia and essential tremor. […] Regular exercise can improve mobility and muscle control. […] A healthy diet supports brain and nerve function. […] Managing stress can help reduce symptoms in some conditions. […] If you have a movement disorder, there are ways to improve your quality of life: […] Work with a specialist to manage symptoms. […] Stay informed about new treatments and research. […] Early diagnosis and treatment can help you manage your condition and maintain your quality of life.
- #39 Nonsurgical Therapies for Movement Disorders | Henry Ford Health – Detroit, MIhttps://www.henryford.com/services/movement-disorders/treatments/nonsurgical-therapies-movement-disorders
Integrative medicine combines proven alternative therapies with traditional Western medical care in a holistic approach to health and wellness. At Henry Ford, the Center for Integrative Medicine offers complementary and alternative medicine (CAM) therapies that can help people with movement disorders. […] For years, our neurology specialists have pioneered groundbreaking research that has become standard treatment for movement disorders. At Henry Ford, you have access (if eligible) to clinical trials offering the latest nonsurgical treatments that aren’t widely available.
- #40 Physical Therapy – Neurology Solutionshttps://www.neurologysolutions.com/approach-and-treatments/physical-therapy-for-movement-disorders/
Neurological conditions often require an orthopedic and neurological approach to have the greatest impact on outcomes. Dry needling allows us to achieve that goal. […] If properly applied kinesiology tape may help reduce pain, decrease swelling, and improve muscle performance and function. […] The utilization of the instruments is thought to provide ergonomic and mechanical advantages for the clinician while providing deeper and more effective treatment to the targeted tissues. […] Most if not all movement disorder patients will have some features of arthrokinematic decline (Deficits in the joints moving in the correct manner). […] Facilitating movement within the joints will performing functional movements helps lubricate said joint. […] The primary purpose of this technique is to restore motion of all soft tissue, release entrapped nerves, veins/arteries, lymphatic structures, and re-establish proper texture/functionality of soft tissue.
- #41 Movement Disorders | CFNChttps://www.carolinafnc.com/movementdisorders
Treatment for movement disorders is completely individualized to the person’s root cause of their symptoms. Treatment is often composed of neurological rehabilitation, balance rehabilitation, neuromodulation, lifestyle and supplementation, hyperbaric oxygen therapy and more. […] Common Treatment Methods for Movement Disorders include Diet and Lifestyle Changes, Individualized Supplementation, Balance Rehabilitation, Mild Hyperbaric Oxygen Therapy, Red Light Therapy, Neurological Rehabilitation, Bemer Therapy, and Neuromodulation.
- #42 Movement disorders – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/movement-disorders/diagnosis-treatment/drc-20567986
Treatment for movement disorders may include medicines to manage symptoms. Sometimes a combination of medicines may be needed. Botox injections also can treat some movement disorders, such as dystonia and essential tremor. […] If there’s a medical condition that’s causing the movement disorder, treating the condition can help relieve symptoms. […] Physical, occupational and speech therapy also can help people with movement disorders. […] People who have serious symptoms may need surgery. Sometimes deep brain stimulation may be an option to treat movement disorders such as essential tremor or Parkinson’s disease.
- #43 Treatment of Movement Disorders with Neuromodulationhttps://practicalneurology.com/diseases-diagnoses/movement-disorders/treatment-of-movement-disorders-with-neuromodulation/32040/
Effective surgical treatments are available for Parkinson disease, essential tremor, and dystonia. […] Neuromodulation and lesioning techniques have revolutionized the treatment of movement disorders. […] Deep brain stimulation (DBS) remains a powerful procedure, allowing for awake or asleep placement and the use of directional leads for precise stimulation. DBS has shown remarkable efficacy in treating Parkinson disease (PD), essential tremor (ET), and dystonia. […] Lesioning procedures, such as radiofrequency ablation (RFA), stereotactic radiosurgery (SRS), and MRI-guided high intensity focused ultrasound (MRgFUS) continue to offer important alternative options to neuromodulation. […] As research and technology progress, personalized treatment approaches and expanded applications hold potential for improving patient outcomes and quality of life in movement disorders.
- #44 Treatment of Movement Disorders with Neuromodulationhttps://practicalneurology.com/diseases-diagnoses/movement-disorders/treatment-of-movement-disorders-with-neuromodulation/32040/
DBS is a procedure in which an electrode with multiple 1- to 1.5-mm contacts is placed into a deep structure in the brain and connected to an implantable pulse generator. […] Placement of DBS leads can be performed with the recipient awake or asleep. […] Several authors have demonstrated equivalence in surgical outcomes between awake and asleep techniques showing comparable efficacy and safety profiles. […] The leads typically are activated 1 month after placement, and programming is fine-tuned by neurologists specializing in movement disorders to optimize symptom relief and minimize side effects. […] DBS was initially approved as an adjunct to medication and may be used earlier in tremor-predominant PD. […] Landmark studies showed increase in medication ON time without dyskinesias of 4.6 hours daily with DBS vs 0 hours on medical therapy; 24% to 38% improvement in quality of life vs no improvement; better improvement in Unified Parkinsons Disease Rating Scale (UPDRS) scores up to 6 months; and reduction in medication usage.
- #45 Treatment of Movement Disorders with Neuromodulationhttps://practicalneurology.com/diseases-diagnoses/movement-disorders/treatment-of-movement-disorders-with-neuromodulation/32040/
The ventral intermediate nucleus of the thalamus (VIM) may be targeted in tremor-predominant PD. […] The primary surgical target in ET is the VIM. […] Long-term follow-up studies up to 8.5 years after surgery have shown tremor improvement from 82% to 95%, as well as 50% to 75% improvement in hand function, activities of daily living, and quality of life. […] For DBS, the preferred target is GPI, although STN and VIM have been used. […] An RCT including 38 participants undergoing bilateral pallidal stimulation with 5-year follow-up showed improvements in dystonia severity of about 60% at 5 years. […] DBS has been attempted for treatment of other movement disorders, including ataxia, tic disorders, and tardive dyskinesia. […] Unilateral and bilateral DBS of GPI or STN has been found to be safe and somewhat efficacious as a treatment for those with tardive dyskinesia.
- #46 Treatment of Movement Disorders with Neuromodulationhttps://practicalneurology.com/diseases-diagnoses/movement-disorders/treatment-of-movement-disorders-with-neuromodulation/32040/
Before DBS became widespread, lesioning of the same targets was performed with RFA, and more recently with SRS. […] Focused ultrasound has emerged as a form of incisionless surgery that offers the benefits of lesioning procedures without the drawbacks of an invasive procedure or radiation. […] MRgFUS is a safe and effective option for tremor control in ET and PD, although effects may attenuate over time. […] Advancements in neuromodulation and lesioning techniques have provided valuable options for managing various movement disorders. […] As research and technology continue to advance, the future of neuromodulation and lesioning holds exciting possibilities for tailoring treatment approaches to individual patients and expanding its application to a broader range of movement disorders and pathologies.
- #47 Movement Disordershttps://www.radiologyinfo.org/en/info/movement-disorders
If you have a movement disorder, Deep Brain Stimulation (DBS) may reduce your involuntary movements. A two-part procedure first implants a small electrode in the brain using general anesthesia. The second surgery connects a wire from the electrode to a small battery pack that sends electrical impulses by pushing a button. Once the electrode is in place, you can adjust the device on your own. You will work with a neurologist to determine the combination of settings that best control your symptoms. […] Doctors are studying MR-guided Focused Ultrasound (MRgFUS) as a treatment for some movement disorders. The procedure uses focused beams of sound energy to heat and destroy a small volume of brain tissue without harming adjacent tissue.
- #48 Treatment of Functional Movement Disorders – PubMedhttps://pubmed.ncbi.nlm.nih.gov/32279721/
Functional movement disorders (FMD) are commonly seen in neurologic practice and frequent sources of disability. Treatment of FMD begins with an explanation of the diagnosis and needs to be tailored to patients’ symptoms and comorbidities. There may be benefit from multidisciplinary treatment, including physical, occupational, and speech therapy, as well as psychotherapeutic interventions, especially cognitive behavior therapy. The role for neuromodulation such as transmagnetic stimulation in FMD treatment requires further research.
- #49 Treating Movement Disorders | Providencehttps://www.providence.org/services/neuroscience/movement-disorders
When youre diagnosed with a movement disorder, you may wonder how it will affect your ability to work and participate in other activities. […] Our goal is not only to manage your symptoms, but also to slow the progression of your disease. […] Our neuroscience specialists work together to diagnose your movement disorder and explore treatment options, such as deep brain stimulation (DBS) for patients with Parkinsons disease. […] For many patients with movement disorders, support services can be as important as treatment. […] We offer innovative treatments for movement disorders through our large clinical trial program and specialized facilities. […] After undergoing deep brain stimulation at Providence, he immediately saw a 95 percent reduction in shaking. […] Some movement disorders may be treated with medication or managed with supportive aids such as weighted eating utensils, which are heavier than standard utensils to help stabilize the hand and arm to reduce tremors. […] Treatment may include one or more of the following therapies: Botulinum toxin injections, Deep brain stimulation (DBS), Focused ultrasound, Occupational therapy, Physical therapy, Prescription medications, Speech therapy, Wearable neurostimulation devices.
- #50 Psychogenic Movement Disorders | Baylor Medicinehttps://www.bcm.edu/healthcare/specialties/neurology/parkinsons-disease-and-movement-disorders/functional-movement-disorders
Antidepressants and muscle relaxants may be also beneficial. […] Most importantly, however, the patient should try to understand which stress factors may be playing a role and seek the expertise of a psychologist experienced and skilled in stress management. […] The role of a psychiatrist is not to make the diagnosis but to provide insights into underlying psychological or psychiatric issues and to aid in the treatment of psychiatric issues such as depression or anxiety. […] PMD may be difficult to treat, especially if the patient is diagnosed late or is not accepting of the diagnosis. […] Indeed, patients with the best prognosis are those who initially accept the diagnosis and work with the movement disorder neurologist, psychologist, psychiatrist and physical, speech and occupational therapists in implementing a short-term and long-term therapeutic program.
- #51 How Can Physical Therapy Help Movement Disorders?https://bordertherapy.com/heres-how-physical-therapists-can-aid-those-with-movement-disorders/
Physical therapists understand the physical and emotional challenges faced by people with movement disorders. They provide not only exercises and techniques, but also encouragement and support. This positive and motivating environment is crucial for promoting progress and maintaining a good quality of life. […] While there is currently no cure for many movement disorders, there is hope. At Border Therapy Services, our expert team of physical therapists is dedicated to providing personalized and compassionate care for individuals living with these conditions. We will work collaboratively to develop a physical therapy treatment plan that addresses your specific needs and goals. Through a combination of targeted exercises, manual therapy techniques and ongoing support, we strive to help you regain control of your movements, improve your daily function and live a fulfilling life.
- #52 Movement Disorders Treatment | Baptist Health South Floridahttps://baptisthealth.net/services/brain-and-spine-care/services-and-programs/neurology/movement-disorders
Movement disorders affect everyone differently thats why we believe personalized, compassionate care is the best approach to treatment. […] As national leaders in the care of movement disorders, the Baptist Health Brain Spine Care team offers the most innovative treatment options so you can live your best life. […] When you choose Baptist Health, you can expect: A personalized approach to your care, with a treatment plan tailored to your needs. […] Though most movement disorders cant be cured, doctors can treat symptoms to improve your quality of life. […] Our team may use medicines to help manage your symptoms. […] If youve been diagnosed with dystonia or a similar disorder, we may suggest treatment using Botox injections. […] Our doctors may recommend deep brain stimulation (DBS) if medicine doesnt reduce your movement disorder symptoms.
- #53 Movement Disorders | Neurologyhttps://health.ucdavis.edu/conditions/neurology/movement-disorders
Physical therapy and occupational therapy can ease muscle stiffness and pain, improving mobility and quality of life. Speech therapy can help with speech and swallowing issues. […] A surgically implanted device sends mild electrical currents to your brain to reduce involuntary movements. […] We’re active in the latest movement disorders research and clinical trials. You may benefit from promising new therapies that are still in development.
- #54 Movement Disorders: What They Are, Symptoms & Typeshttps://my.clevelandclinic.org/health/diseases/24847-movement-disorders
Deep brain stimulation: This is a brain surgery for people with advanced Parkinson’s disease, dystonia and other tremors. It may reduce involuntary movements. […] Clinical trials: Clinical trials are a type of research that studies new tests and treatments for specific conditions. There may be a clinical trial you can be a part of.
- #55 Movement Disorders | Nebraska Medicinehttps://www.nebraskamed.com/neurological-care/movement-disorders
Your care team will be led by a neurologist specially trained in the treatment of movement disorders, who will coordinate with specialists in other areas who have expertise in the management of your symptoms. […] Our goal is to help you live the best quality of life possible. […] Our doctors participate in some of the most current movement disorders clinical trials, giving our patients access to the most promising and cutting-edge treatments.
- #56 Therapeutic Advances in Movement Disordershttps://pmc.ncbi.nlm.nih.gov/articles/PMC7810426/
This issue of the Journal first focuses on nonsurgical approaches to treatment of the motor features of Parkinsons disease. With the ever growing therapeutic options available to treat PD, determining the optimal therapeutic regimen for an individual patient has become increasingly complicated. […] There is much enthusiasm for these emerging data-driven approaches to better define PD subtypes based on clinical features and biomarkers with the hope of translating this into patient-specific therapeutic approaches. […] Novel immunotherapies and drugs targeting misfolded -synuclein, c-Abelson tyrosine kinase (cABl), Glucagon-like peptide-1 (GLP-I) agonists, calcium channel blockers, nicotine pathways, and reactive oxygen species are all under development and offer hope to the field despite the long history of multiple failed disease-modifying therapeutic compounds to date.
- #57 Therapeutic Advances in Movement Disordershttps://pmc.ncbi.nlm.nih.gov/articles/PMC7810426/
Rounding out the chapters on Parkinsons disease therapeutics are two that focus on surgical approaches. Surgical treatment approaches have transformed the management of moderate to advanced PD care and, besides the discovery of levodopa, represent one of the greatest therapeutic breakthroughs for the field. […] They highlight the great promise for these approaches, some of which may allow for slowing progression of the disease or medication reduction, without the need for implanted hardware. […] The next section of this issue of the Journal includes manuscripts that highlight current therapeutics for movement disorders other than Parkinsons disease. […] Treatment of multiple system atrophy (MSA), an -synucleinopathy, provides similar challenges in clinical heterogeneity. […] Their review of current trials to identify disease-modifying therapies provides hope for more effective interventions in the future. […] Dystonia comprises a heterogeneous group of syndromes with diverse etiologies. Therapeutic approaches to dystonia are equally broad. […] They highlight the need for an individualized approach to each patient and provide a helpful starting point for clinicians. […] Overall, the reviews in this issue provide a hopeful outlook for movement disorder therapeutics in the next decade. Improved symptomatic therapies, disease-modifying interventions, and approaches to disease prevention are in reach for many disorders.
- #58 Movement Disorders â Westchester Medical Center Health Networkhttps://www.wmchealth.org/service-line/neurosciences/movement-disorders
Many different therapies can help strengthen muscles, improve mobility and speech, and help encourage healthy thoughts and behaviors. These therapies usually include: Psychotherapy, Speech therapy, Physical therapy, Occupational therapy. […] Deep brain stimulation (DBS) is a brain surgery that can help reduce motor symptoms for those suffering from Parkinsonâs disease, dystonia, and other tremors. DBD is usually used when medication has become less effective. […] Experts continually research and identify new movement disorder treatment techniques, such as gene therapies and stem cell transplants. At WMCHealth, we work in the spirit of science, aiming to discover the most innovative and effective treatments for our patients by conducting clinical trials.
- #59 Treatment of Movement Disorders with Neuromodulationhttps://practicalneurology.com/articles/2023-sept-oct/treatment-of-movement-disorders-with-neuromodulation
DBS was initially approved as an adjunct to medication and may be used earlier in tremor-predominant PD. […] Landmark studies showed increase in medication ON time without dyskinesias of 4.6 hours daily with DBS vs 0 hours on medical therapy; 24% to 38% improvement in quality of life vs no improvement; better improvement in Unified Parkinsons Disease Rating Scale (UPDRS) scores up to 6 months; and reduction in medication usage. […] Eligibility for DBS traditionally was limited to people with symptom duration longer than 5 years. […] However, recent evidence suggests an advantage for earlier treatment. […] The ventral intermediate nucleus of the thalamus (VIM) may be targeted in tremor-predominant PD. […] The primary surgical target in ET is the VIM. […] For refractory tremor, surgical options include DBS and lesioning procedures.
- #60 Movement disorders: Parkinsonâs disease, Huntingtonâs disease | University of Iowa Health Carehttps://uihc.org/services/movement-disorders
Living with a movement disorder affects every aspect of your life. University of Iowa Health Care specialists bring years of expertise and innovation to diagnosing your condition and managing your symptoms. […] With UI Health Care, you’ll receive world-class care with groundbreaking therapies such as deep brain stimulation (DBS) and Botox injections. […] Your team makes a personalized care plan for you and adapts it as your needs evolve. […] Our clinical trials can give you access to therapies that aren’t yet available anywhere else. […] For example, our researchers recently developed a way to use electroencephalography (EEG) to diagnose Parkinson’s disease early in its progression. Earlier diagnosis means more effective treatment. […] Movement disorders tests and treatments include botulinum toxin (Botox) injections, deep brain stimulation (DBS), drug therapies, Lee Silverman Voice Treatment (LSVT), occupational therapy, physical therapy, psychotherapy, and speech therapy.
- #61 Movement Disorder Diagnosis & Treatment | Mount Sinai – New Yorkhttps://www.mountsinai.org/care/neurology/services/movement-disorders
Medication […] Physical, occupational, and speech therapy […] Practical and emotional support for you and your family, including support groups […] Psychological and psychiatric counseling and evaluation […] Surgery, including deep brain stimulation […] Emerging treatments newly available through clinical trials. […] Because movement disorders are often chronic conditions, we carefully follow some of our patients for decades, developing a personal relationship to ensure you receive the very best ongoing care.
- #62 Movement Disorders | OhioHealthhttps://www.ohiohealth.com/movementdisorders
OhioHealth Movement Disorders clinicians employ an interdisciplinary approach to develop a diagnosis-based, individualized plan of care that is designed to treat symptoms and improve quality of life. […] The OhioHealth Movement Disorders team offers many opportunities for neuroscience-focused exercise, wellness, and education. These programs can enhance the effectiveness of your treatment and improve your overall quality of life. […] OhioHealth has a full range of therapeutic services for neurologically impaired patients, including physical, occupational, speech and other therapies. […] The OhioHealth Movement Disorders Program has been proud to host a large, annual symposium that has become a hub for the latest information on Parkinson disease treatments and research, group exercise activities, care partner advice, and in-person access to community and resources for support, education, exercise and wellness. […] We have created exercise, education and support programs to help people living with neurological conditions and their caregivers, to build strength, health and community. Together, we will manage your symptoms so that you can live a more active, fulfilling life.
- #63 Northwestern Medicine Parkinson’s Disease and Movement Disorders Center | Northwestern Medicinehttps://www.nm.org/conditions-and-care-areas/neurosciences/movement-disorders
If you have a movement disorder, you deserve care that can help you get back to doing the things you love with confidence and peace of mind. […] Northwestern Medicine Parkinsons Disease and Movement Disorders Center provides specialized care for movement disorders at locations close to where you live and work. We offer patient-centered treatment plans to help improve your quality of life, maximize your independence and manage your symptoms. […] We offer a full range of medical therapies. Our team provides surgical management for patients with symptoms that can no longer be managed by medication. […] Our multidisciplinary approach features: Physical therapy and exercise programs, Occupational therapy, Education and support groups, Counseling, Caregiver support, Access to community services, Voice and swallowing therapies, Nutritional recommendations, Neurosurgical (deep brain stimulation) evaluations, Complementary practices such as yoga, massage, acupuncture, Genetic testing and counseling.
- #64 Nonmedication Options for Movement Disorders | Froedtert & MCWhttps://www.froedtert.com/parkinsons-movement-disorders/non-medication-therapies
Social services, to coordinate quality of life services for patients and families with the assistance of social workers specializing in the needs of movement disorders patients. […] Wellness support, to support healthy lifestyles with options like the Stepping On program for fall prevention. […] Treatment options include Nonmedication Therapies.
- #65https://atriumhealth.org/medical-services/specialty-care/neurosciences/movement-disorders
Therapy and rehabilitation: We provide comprehensive physical, occupational and speech therapy in collaboration with Atrium Health Carolinas Rehabilitation. These services can help you improve or maintain your ability to control your movements and function more independently. […] Botulinum toxin injections: In this treatment, an injection is given to temporarily relax muscles, reducing spasms and involuntary movements. […] Lifestyle changes: Exercising, getting good sleep and eating a balanced diet can be beneficial for managing movement disorders. Your care team, including a dedicated dietitian, can help you make lifestyle changes to feel your best. […] Deep brain stimulation (DBS): This procedure works by placing small electrodes in the brain that interrupt abnormal signals that can cause tremors, stiffness and slowness.
- #66 Treatments for Functional Movement Disorders | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/brain-and-nerves/functional-movement-disorders/treatments.html
It can be very frustrating and stressful to experience a functional movement disorder. Our multispecialty team works together to tailor treatment plans to your unique symptoms and needs. The team’s goal is to improve your quality of life through therapy, exercise, and medications. […] Based on the diagnosis, your doctor will suggest treatments and referrals to other specialists: […] Physical therapy […] Cognitive behavioral therapy or dialectical behavioral therapy […] Medication […] Hypnosis […] Neurobehavioral Clinic referral.