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Assessment and Treatment of Abnormal Involuntary Movements: A Clinically Focused Narrative Review.

Authors :
Petriceks, Aldis
Vyas, Chirag M.
Paudel, Shreedhar
Donovan, Abigail L.
Van Alphen, Manjola U.
Stern, Theodore A.
Source :
Harvard Review of Psychiatry. Mar/Apr2024, Vol. 32 Issue 2, p47-57. 11p.
Publication Year :
2024

Abstract

Abnormal involuntarymovements (AIMs) comprise a diverse group ofmovement disorders characterized by uncontrolled and unintended movements (e.g., tremors, tics, dystonia). AIMs can occur at any stage of life and pose significant challenges for clinicians. It is difficult to determine their underlying causes due to the complex neurobiological mechanisms involved. Therefore, it is crucial to quantify the severity and progression of AIMs using well-validated measurement scales, such as the Abnormal Involuntary Movement Scale (AIMS). By employing reliable assessment approaches, clinicians can objectively evaluate the motoric manifestations of AIMs and track them over time. Treatment of AIMs varies depending on their nature and etiology. While AIMs often respond to treatment, serious side effects can undermine treatment efficacy. In this clinically focused narrative review, we categorize different types of AIMs and discuss their neurobiological aspects. Further, we emphasize the importance of using well-validated measurement scales for accurate assessment and discuss available treatment modalities that target the specific AIMs manifestations. Additionally, we cover the need for comprehensive care to address the multifaceted nature of AIMs, accounting for their physicalmanifestations as well as their psychological, social, and functional toll on patients. By embracing a multidisciplinary approach, health care professionals can provide patient-centered care that promotes overall well-being and enhances the lives of patients coping with AIMs. Regular follow-up assessments are necessary tomonitor treatment response, adjust medications when needed, and provide ongoing support for individuals affected by AIMs. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10673229
Volume :
32
Issue :
2
Database :
Academic Search Index
Journal :
Harvard Review of Psychiatry
Publication Type :
Academic Journal
Accession number :
176158523
Full Text :
https://doi.org/10.1097/HRP.0000000000000390