DISORDERS OF BASAL GANGLION Hypokinesia refers to movement that is slower than normal. Akinesia describes an inability to move or difficulty in initiating movement. Timing disorders Difficulty in producing upper limb movements at regular time intervals. DYSKINESIA Chorea: purposeless, irregular and rapid movements of the body, Tremors: involuntary small amplitude movement of the body parts. Athetosis: A constant succession of slow, writhing, involuntary movements Myoclonus: is brief, involuntary twitching of a muscle or a group of muscles Dystonia : refers to involuntary muscle contractions that cause abnormal postures sustained for variable amounts of time ASSUMPTION: utilising strategies that by-pass defective basal ganglia structures These strategies are additional external information focus their attention upon specific aspects of movement ADDITIONAL EXTERNAL INFORMATION Auditory and visual cuing techniques have been effective in improving hypokinesia of gait Auditory Eg: metronome cue, visual Eg: horizontal lines spaced appropriately along the length of a walkway ATTENTION STRATEGIES attention is focused upon walking with longer steps. strategy may be useful in reducing akinesia and hypokinesia of gait. INTERVENTION FOR SECONDARY COMPLICATION Loss Of Joint Range Of Movement, Muscle Length, Muscle Strength, Muscle Endurance And Cardiopulmonary Fitness