sudden involuntary movements

[Gawaine]

since he seems to have an extensor pattern incorporated with fear (and it seems like this is not a neurologic-based issue), i would try getting him into a chair and then having him lean far forward with hips and knees flexed MORE Than 90 degrees, with the trunk flexed forward, and arms laying across a bedside table... REALLY take him to extreme flexion in sitting... this MAY help alleviate his fear of falling forward... it may be hard as hell to get him into this position, but i find it beneficial if you can put them there--- sometimes...
people just stay in bed too long and FREAK OUT over bringing their weight forward... such a common problem that i've never been able to fully fix very easily...

good luck...

[hrhk]

thanks for the contribution ,no diagnosis has been made , I made a conclusion that it could be postural tremors,thepatient extends his knee in such a force that ,we r unable to use an encore as he ends up with laceration in his shin.
still looking for answers.
thanks

[estherderu]

dear everybody,

a thought slipped into my mind reading these entries.....
could it be possible that the patient does not want to be moved ? and this is the only way the patient can " tell you". I have worked with the elderly and have seen such behaviour before. It means NO
Personally I would suggest talking about it together and deciding if physiotherapy is necessary. If the patient doesn´t want therapy.... who are we to force them???

As I said, just a thought.....


esther

[hrhk]

thanks for ur answers,MRI Showed- small vessel disease?