Respiratory problems in neurologic movement disorders

BackgroundMovement disorders are a group of neurological motor disturbances manifested by either paucity or slowness of movement, such as seen in Parkinson’s disease, or by abnormal involuntary movements, called hyperkinesias, which include tremor, dystonia, chorea, tics, myoclonus, and stereotypy. The aim of this review is to draw attention to the respiratory problems that are sometimes associated with these various movement disorders.MethodsReferences for this review were identified by searches of PubMed through June 2010, a text word search strategy. There were no language restrictions. Books on movement disorders, personal experience and judgment were also used in preparation of this review.ResultsData from 245 articles were critically reviewed, compared and integrated.ConclusionAlthough movement disorders are primarily considered motor disorders, the purpose of this review is to draw attention to their involvement of the respiratory system. It is critical that clinicians recognize the phenomenology and take appropriate action to prevent and treat the various respiratory problems associated with the various neurological disorders. Timely institution of therapeutic interventions is needed to favorably impact on the quality of life and survival of these patients.