Slow Movements
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Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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Content updated on Nov 7, 2023

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About the Symptom

Bradykinesia describes a person's slow or difficult movements. This can be accompanied by muscle weakness, stiffness. Bradykinesia is most commonly caused by Parkinson disease and Parkinson-like disorders. It can also be caused by stroke, brain tumors, ALS, or brain trauma.

When to see a doctor

Seek professional care if you experience any of the following symptoms

  • Slow movements

Possible causes

Generally, Slow movements can be related to:

  • Parkinson disease (PD)

    A progressive nervous system disorder affecting movement. It occurs due to nerve cell damage in the brain. The exact cause for PD is unknown. Risk factors include genetics, male gender, old age, and exposure to certain toxins and environmental factors.

  • Striatal substantia nigra degeneration

    This neurological disorder is caused by a disruption in the connection between two brain areas - the striatum and the substantia nigra. These areas work together to maintain balance and movement. It can be caused by other neurological disorders like Parkinson's or cocaine abuse.

  • Hypothyroidism

    A disorder where thyroid hormone levels in the body are abnormally low. These hormones are necessary for growth, development, and metabolism. Some symptoms include unintended weight gain, constipation, changes in menstrual cycles, dry skin, brittle nails, depression and memory issues. It can be caused by an autoimmune disorder (Hashimoto's) or from prior thyroid surgery and sometimes medications.

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

  • Do you feel that your movements are slow?

  • Do you feel you fatigued?

  • Do you struggle with insomnia?

  • Do you have a reduced appetite and eat less food?

  • Are you tired and unmotivated daily?

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References

  • Paparella G, Fasano A, Hallett M, Berardelli A, Bologna M. Emerging concepts on bradykinesia in non-parkinsonian conditions. Eur J Neurol. 2021 Jul;28(7):2403-2422. doi: 10.1111/ene.14851. Epub 2021 May 18. PMID: 33793037.

    https://onlinelibrary.wiley.com/doi/10.1111/ene.14851

  • Bologna M, Espay AJ, Fasano A, Paparella G, Hallett M, Berardelli A. Redefining Bradykinesia. Mov Disord. 2023 Apr;38(4):551-557. doi: 10.1002/mds.29362. Epub 2023 Feb 27. PMID: 36847357; PMCID: PMC10387192.

    https://movementdisorders.onlinelibrary.wiley.com/doi/10.1002/mds.29362

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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