sudden involuntary movements

[Fyzzio]

Hi,
I have also seen a few of these people. Panic attack is exactly the right word. This behaviour is often caused by symptoms of neurological diseases, like severe lack of visuo-spatial awareness and proprioception, which might have occured after an otherwise unnoticed stroke, but could also be due to emotional trauma or comes from being in bed for too long. MRI/ CT is a good diagnostic tool.
We used to hoist them, rather than manually transfer/ mobilise them and sat them out in a tilt 'n space wheelchair. Start with 10 min periods (e.g. when changing the bedding) and slowly increase every 3 days. Good team work by the helpers, positive encouragement, heaps of praise and perceverance is the key.
That's not based on evidence based practise or any formalised guideline ... - .. just personal experience.
Good luck,
Fyzzio

[hrhk]

thanks for ur comments ,
the only presumed diagnosis was benign essential tremor.
doctors usually examine the patient in bed& the patient fully oriented and has no weakness in any of the muscles,as there were no significant focal neurological deficits an MRI would have been ruled out & the patient currently is for rehab in the view of returning to live on his own in a house. i did attempt to sit her on the edge of the bed with help of 2 ,he just lasted few seconds,I clearly agree with FIZZ that this should be related disturbance in visuo spatial awareness, however without a proper differential diagnosis tool, I am struggling to validate my stand for for diagnostic imaging. any help would be very much appreciated .
tnx in advance

[Fyzzio]

Hi,
if your observation isn't good enough for the doctors to start further investigations, or if your statement, that you cannot find a reasonable explanation for these symptoms occuring, isn't either, can you not get the doctors or one of them to watch your treatment, i.e. sitting the patient up?
Or else, do you know when the ward round is, you could just happen to be in the room just before they enter?
Or, do you have a Rehab Consultant or Specialist Geriatrician, who you could ask?
A benign essential tremor is not a diagnosis, but a symptom. I mean, Parkinsons' could be the underlying cause and then your stuffed with even the best Physio efforts!
So, you have got all reason to ask for thorough investigation.
Regards,
Fyzzio