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Movement Disorders and Musculoskeletal System: A Reciprocal Relationship.

Sanjay Pandey1, Anjali Chouksey2, Yuvadee Pitakpatapee3

  • 1Department of Neurology Govind Ballabh Pant Postgraduate Institute of Medical Education and Research New Delhi India.

Movement Disorders Clinical Practice
|February 11, 2022
PubMed
Summary
This summary is machine-generated.

Movement disorders (MDs) can be linked to musculoskeletal (MSK) issues in patients or arise from MSK conditions. This overview details conditions combining MDs and MSK problems for better diagnosis.

Keywords:
deformitiesdystoniageneticmusculoskeletaltrauma

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Area of Science:

  • Neurology
  • Rheumatology
  • Orthopedics
  • Movement Disorders
  • Musculoskeletal Disorders

Background:

  • The interplay between movement disorders (MDs) and musculoskeletal (MSK) disorders presents in two main ways.
  • MDs patients frequently exhibit concurrent MSK issues, notably in parkinsonian syndromes, dystonia, Tourette syndrome, and genetic MDs.
  • Conversely, certain MSK disorders can induce or mimic MDs.

Purpose of the Study:

  • To provide a comprehensive overview of disorders manifesting with combined MSK and MD symptoms.
  • To discuss common MDs within these combined conditions.
  • To outline clinical points, diagnostic approaches, and differential diagnoses for these complex cases.

Main Methods:

  • Literature review and synthesis of existing research on the association between MDs and MSK disorders.
  • Categorization of conditions based on whether MDs present with MSK issues or MSK disorders cause/mimic MDs.
  • Discussion of specific examples within each category, including primary MSK disorders and peripherally induced MDs.

Main Results:

  • Key MSK disorders causing MDs include joint hyperlaxity syndrome, craniovertebral junction anomalies, congenital muscular torticollis, and rheumatoid arthritis.
  • Peripheral trauma can lead to peripherally induced MDs, often accompanied by sensory phenomena like complex regional pain syndrome.
  • The pathogenesis of peripherally induced MDs remains unclear but is frequently associated with pain syndromes.

Conclusions:

  • Understanding the dual presentation of MDs and MSK disorders is crucial for accurate diagnosis and management.
  • This overview highlights the diverse range of conditions requiring integrated neurological and musculoskeletal assessment.
  • Further research into the pathogenesis of peripherally induced MDs is warranted.