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Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
Abnormal posturing is an involuntary flexion or extension of the arms and legs, indicating severe brain injury. It occurs when one set of muscles becomes incapacitated while the opposing set is not, and an external stimulus such as pain causes the working set of muscles to contract. [1] The posturing may also occur without a stimulus.
The muscles most often affected are usually in the legs and feet (75% of reported cases), but the upper body muscles such as the arms, face, neck, and trunk have also been observed to be affected during the episodes of dystonia. [3] Age of onset is usually sometime in childhood, but can range from 1–30 years old. [4]
Tetany or tetanic seizure is a medical sign consisting of the involuntary contraction of muscles, which may be caused by disorders that increase the action potential frequency of muscle cells or of the nerves that innervate them.
This action potential travels to the L3 and L4 nerve roots of the spinal cord, [2] via a sensory axon which chemically communicates by releasing glutamate onto a motor nerve. The result of this motor nerve activity is contraction of the quadriceps muscle, leading to extension of the lower leg at the knee (i.e. the lower leg kicks forward).
Clonus results due to an increased motor neuron excitation (decreased action potential threshold) and is common in muscles with long conduction delays, such as the long reflex tracts found in distal muscle groups. [1] Clonus is commonly seen in the ankle but may exist in other distal structures as well. [2]
Chorea (rapid, involuntary movement) Drug induced chorea: G25.4 Drug-induced tics and tics of organic origin 333.3 G25.6 Paroxysmal nocturnal limb movement G25.80 Painful legs (or arms), moving toes (or fingers) syndrome G25.81 Sporadic restless leg syndrome: G25.82 Familial restless leg syndrome G25.83 Stiff-person syndrome: 333.91 G25.84
Action myoclonus is the most disabling form of myoclonus and can affect the arms, legs, face, and even the voice. It is often associated with tonic-clonic seizures and diffuse neuronal disease such as post-hypoxic encephalopathy , uremia , and the various forms of PME, although, in the case of focal cerebral damage, the disease may be ...