Doctor insights on:
Hands Shaking During Fine Motor Skills
I have very poor fine motor skills: my hand writing is terrible, im awkward with my hands and its very frustrating. Is there a medical cause for this?
Yes, need specialist: Fine motor skills generally involves proper use of fingers in conjunction with the eyes and the brain. The problem described requires a careful history by a knowledgable physician. For example your age, is it new, is it progressive, is it lifelong, is it a problem developed after head trauma etc. You need a fine neurologist. Allow me to refer you to a 'colleague', dr. Arielle kurzweil. ...Read more
5y/o hands shake only when using fine motor skills (writing, assembling LEGOs etc) Are these intention tremors? What should I do about them? Nothing?
Cts release both hands 2011. Fingers improved but radiating pain in wrists and forearms.
Is this normal/ when will it improve? Diminished strength in both hands and fine motor skills poor...Still can't open water
bottle, thread needles, pick up small item
If you had severe cts you may find that while your sensation improved you lost muscle tiissue. This is a common complaint as once the muscle tissue is lost from carpal tunnel it may not return or return only partially.
While sensation may also subjectivley improve, in sever cases there may be incomplete returtn and small object are still dififcult. One measure of the ability to discern small objects is called two point discrimination and your may still be elveated despite being better than before the surgery.
Other issues suchas arthritis, trigger fingers, tenindonitis can affectyour hands too and too often people think that it is all due to cts and will all go away with surgery . In these cases while surgery may partially improve a severe carpal tunnle, it doesnt stop arthritis, overuse and tendonitis.
Id talk to your surgeon about getting re evaluated for other issues. ...Read more
My daughter says her hands feel odd, struggles with fine motor skills and has just started to become light headed. She is on Sertraline and Rigevidon?
Medications?: The first thought could be the medications. With such symptoms she should see her doctor for evaluation right away ...Read more
10 mths post cts surgery, both hands; still scar tissue, soreness at incision, and meaty part of thumb, much swelling/stiffness esp in a.m., loss of strength, loss of fine motor skills, aches sometimes.cts was chronic-10yrs.Are these symptoms normal?
Motor domains of : development depend on the brain's ability to plan, coordinate, execute & remember age-appropriate movements of normal quality, the health, tone & strength of muscles, the disappearance of primitive reflexes & eye-hand coordination. Gross (large) muscle movements develop head to toe the 1st yr. Volitional fine (small) muscle movements develop from shoulder to fingers, from palmar to pincer grasp. ...Read more
Sure: These are movements made with small muscles of hands. Some of these skills are pointing, using both hands to hold a toy, building a tower of two blocks, scribble with a crayon, using a spoon with some spilling, taking off their own socks. ...Read more
Fine motor skills: The Primary Motor Cortex along the Pre central gyrus of the brain. ...Read more
At what age ? What : is the underlying neurological or neurodevelopmental cause? These determine what treatments may be effective. Assessment & therapy for visual-perceptual or visual-motor impairments are done by occupational therapists. If you have no problem, just trying to master a specific skill, practice, practice, The left hand's area of the motor cortex is larger in concert violinists than in the rest of us ...Read more
Video game players: improve their visual attention & eye-hand coordination, but they use navigation strategies reliant on the brain's reward system (caudate nucleus), not its spatial memory system (hippocampus). Resultant decreases in hippocampal structure (grey matter) & function increase risk of neurological disorders like Alzheimer's. Long-term studies using functional MRI's are needed to define degree of risk. ...Read more
Yes but . . .: I can't diagnose any loss over the internet! my recommendation is to document your concerns w/your family physician and ask for referral to an occupational therapist for an evaluation. At the very least, you can determine your current status and use this as a baseline for repeat assessment in 6-12mo or so. If there's an obvious deficit, then your doc can initiate an evaluation and/or refer to neur. ...Read more
Varies with age: An example of a gross motor skill is standing,walking.or stooping and recovering. An example of a fine motor skill is picking up a raisin with a neat pincer grasp between fingers. ...Read more
Learning is directly: related to cognitive ability; motor planning is an executive function. However, research done in Holland did not find a 1:1 correlation between IQ & fine motor (f.m.) skills. It did find an average 10-point decrease in scores on f.m. tests for every standard deviation or 15-point decrease in kids with IQ scores below 85. ~ 70% of people have IQ's of 85-115, the low-average- high average range. ...Read more
Usually affected: Most children with autism have fine motor skills that are delayed and for some they never catch up even with years of therapy. This can make writing difficult as well as buttons, zippers, socks and even flushing a toilet. When a child is young it is important to address with therapy but also to remember that there are often other more useful skills they can acquire in spite of this deficit. ...Read more
My daughter needs help with fine motor skills. Is this a sign or symptom of a learning disability?
Not necessarily: Delay of fine motor skills in and of itself does not necessarily correlate to cognitive delay. It may be neuromuscular in nature or a developmental delay that simply requires some therapy. Important information would include delay in other milestones. Please speak with your pediatrician for further evaluation and guidance. ...Read more
It takes > 400 words: to give you specifics; see healthy children.org & firststeps.org. Gross motor develops head-to-toe from 0-12 mos. Fine motor develops from regarding one's hands at 2 mos. to hands in midline, proximal-distal. Grasp develops ulnar to radial, palm to thumb & index finger. Volitional movements require normal muscle tone & strength, vision, disappearance of primitive reflexes & "tummy time". ...Read more
At what age? If < 3: years, seek evaluation from your state's Child Find Program if concerned; if 3-5, from your school district's Child Find Team. If school age, you may have to pay for private OT & PT evaluations. See developmental screens & age-appropriate tips on healthy children.org, www.moveforwardpt.com/Children/Activities/Default.aspx#.VP09A0ZHbCR, therapystreetforkids.com/fm-strength.html & other sites. ...Read more
Incomplete list here: Use Developmental Screens on first signs.org & healthy children.org. A 3-yr. old displays normal quality of movement to draw a circle & a cross, use scissors, hold crayon with thumb & fingers, throw ball overhand, catch ball using both hands, dress self (no fasteners), walk up & down stairs alternating feet, ride trike, etc. Public Schools' Child Find Teams assess kids age 3-5, free of charge. ...Read more
Brain development : from 3 weeks after conception - 25 years dictates developmental trajectory in all streams. Typically, neurons form, migrate to correct positions in the cortex & send out axons & dendrites in correct paths to transmit signals across synapses. From then on, environmental input is key, because experience- dependent neural activity, aka LEARNING, modifies synapses & eliminates unnecessary ones. ...Read more
Muscle weakness can be a symptom can comes with exacerbation of acute intermittent porphyria. Fine motor skill difficulties alone is unlikely to be the result of acute porphyria. See your PCP for any concerns about fine motor skills.
Here is info on acute intermittent porphyria. http://www.porphyriafoundation.com/about-porphyria/types-of-porphyria/AIP ...Read more
Complex: Suggest working closely, with an occupational therapist, as he/she can design adaptive devices to improve function. You are close to a famous rehab center, chicago rehab, and am sure there are orthotists and therapists would can design exercises and coping skills. Have found pool therapies to be valuable in these areas. Best of luck. ...Read more
Unclear: First, are you referring to acute blood loss, like donating blood, or have a bad laceration, etc., or are you talking about some chronic problem e.G heavy menses? And second, the symptoms you describe can be from causes other than blood loss. Is this something you have discussed with your doctor? ...Read more
What is the treatment for gluten ataxia if I am still having coordination problems with fine motor skills like chopping vegetables?
Gluten avoidance : Can see neurologist for more informationGet a more detailed answer ›