Sɔntɛnde, yu kin fil lɛk se sɔm pat dɛn na yu bɔdi de shek shek, shek, ɔ muv we yu nɔ ebul fɔ kɔntrol? Sɔntɛm yu gɛt prɔblɛm fɔ kɔntrol yu an, yu leg, ɔ yu fes. I nɔ bad if dɛn tin ya apin wan ɔ tu tɛm, bɔt if yu gɛt dɛn abnɔmal muvmɛnt ya ɔltɛm, i kin bi muvmɛnt prɔblɛm. Lɛ wi tɔk mɔ bɔt dis tide, nɔto so?
Wetin na dɛn tin ya we kin mek pɔsin muv? Lɛ wi ɔndastand am rili simpul wan!
Fɔ tɔk am simpul wan, muvmɛnt dizayd na kɔndishɔn we di bɔdi in muvmɛnt nɔ kin bi abnɔmal bikɔs ɔf prɔblɛm dɛn na wi nervɔs sistɛm. Tu tin dɛn de we kin apin. wan na dat di bכdi in muvmεnt dεm de inkrεs we nכ nid (fכ egzampl, jכk, shek, twist). Di ɔda wan na dat di bɔdi in muvmɛnt dɛn kin smɔl pas aw i nid, ɔ i kin apin sloslo.
Imajin, ɛvri muvmɛnt we wi de mek, ilɛksɛf na fɔ es wan an, fɔ put wan leg bifo, ɔ fɔ opin wi mɔt fɔ tɔk, kin apin insay wan we we rili kɔmpleks. di Sεntri Nεv Sistem, we inklud wi bren εn spεnal kכd , εn di Mכtal Nεv dεm εn wi Skel Mכsul dεm, כl dεn prכsεs dεm ya kכnekt togeda. So, if eni damej de pan di pat dεm na di bren we de kכntro dεn muvmεnt dεm ya, כ if eni malfunshכn de pan dεn fכnshכn, den dεn muvmεnt dizayd dεm ya kin apin.
De impɔtant tin na dat dɛn kayn muvmɛnt prɔblɛm ya difrɛn. Sɔm kin afɛkt wan pat nɔmɔ na di bɔdi, ɛn ɔda wan dɛn kin afɛkt di wan ol bɔdi. Sɔmtɛm dɛn kin ambɔg simpul wok lɛk fɔ rayt, bɔt ɔda tɛm, dɛn kin gɛt big impak pan tin dɛn lɛk fɔ waka ɛn muv rawnd.
Sɔntɛnde, di tin dɛn we kin mek pɔsin nɔ muv kpatakpata, lɛk paralayz, ɔ sik dɛn we kin mek di mɔsul dɛn wik, lɛk di mɔsul dɛn we nɔ kin ebul fɔ muv, nɔ kin fɔdɔm insay dis kayn we aw pɔsin kin muv, bikɔs di prɔblɛm dɛn we kin apin to pɔsin we de muv kin gɛt fɔ du wit di we aw pɔsin kin muv we i nɔ want, we nɔ kin muv.
Na tu kayn we dɛn de we nɔmal fɔ muv!
Dɛn muvmɛnt ya we nɔ kɔmɔn we wi de tɔk bɔt, wi kin sheb to tu men pat.
1. Hyperkinetic Movement: Dis min se di muvmεnt dεm de tu mכch.
2. Hypokinetic Movement: Dis min se di muvmεnt dεm nכ de sכm εn i de slo.
Insay sɔm muvmɛnt dizayd, dɛn kin si ɔl tu kayn tin ya, ɔ na wan nɔmɔ kin de.
1. Wetin na Haypakinɛtik Muvmɛnt?
"Hyper" min "excessive" ɛn "kinetic" min "muvmɛnt". Dis min se di muvmɛnt dɛn we nɔ nid de bɔku. Dɛn tin ya kin bi tin dɛn we pɔsin kin muv bay wilful ɔ we pɔsin nɔ want fɔ muv.
Na sɔm kayn we aw pɔsin kin muv pasmak:
- Akathisia: Dis na restlessness wae de mek am very hard for sidon stil or stay still. Dis kכndyushכn kin kכz fכ sכm mεdikeshכn fכ mental sik, spεshal wan ``Antipsychotic'' כ ``Neuroleptic'' drog dεm.
- Ataxia: Dis na wan sik we di bɔdi nɔ de balans ɛn kɔdinɛt, we de mek i nɔ de muv fayn ɛn i nɔ de muv. Sɔntɛnde, i kin ivin tan lɛk se di pɔsin de waka lɛk se i dɔn drɔnk. ``Ataxia`` kin bi wan separet sik, ɔr kin bi wan sayn fɔ ɔda sik.
- Kɔria, Atɛtosis ɛn Balism:
- Chorea: Dis na wan we we di mɔsul dɛn nɔ kin kɔntrol, we pɔsin nɔ kin no wetin go apin. I kin tan lɛk se yu de dans ɔ muv rawnd we yu nɔ de rɛst. Dɛn kin si dis pan sik dɛm lɛk Huntington’s disease.
- (Athetosis): dis kin sho se di an εn di leg dεm de muv sloslo, i de twit, lεk wom.
- (Ballism): Dis kin min fɔ muv wantɛm wantɛm, lɛk fɔ trowe yu an ɔ yu fut kwik kwik wan.
- Dystonia: Dis na wan sik wae de mek di mכsul dεm de kכntrakt kכntinyu כ wan wan tεm, we de mek dεn de muv כ poshכn dεm we nכ de nכmal, bכku tεm dεn kin ripit. yu kin si dis pan sεribra palsi εn sכm nyurodijεnεraytiv kכndishכn dεm. Tink bɔt wan nɛk we dɛn pul na wan say, ɔ wan an we dɛn bɛn insay wan we we nɔ izi fɔ du.
- Myoclonus: Dis na we di mɔsul dɛn kin twitch ɔ jɔk wantɛm wantɛm, we dɛn nɔ kin ebul fɔ kɔntrol. Sɔntɛnde wi kin wek wantɛm wantɛm we wi de slip, na so i kin bi. Bɔt we i kam pan wan sik we pɔsin kin gɛt, i kin apin bɔku tɛm.
- Spasticity: Dis na di kכndyushכn we di mכsul dεm de muv di mכsul dεm kin ambɔg, we kin mek sכm mכsul dεm tayt wan wan we wi de tray fכ muv כ we wi jכs tinap. Dis kin ambɔg di muvmɛnt ɛn i kin afɛkt di we aw i de tɔk ɛn waka.
- Stiriɔtayp: Dɛn tin ya na kɔmpleks, patɛn muvmɛnt dɛn we kin afɛkt ɔl tu di say dɛn na di bɔdi bɔku tɛm. Dɛn kin apin ɔltɛm di sem we ɔ di sem we. Fɔ ɛgzampul, fɔ rɔk, fɔ klap, fɔ rɔk, ɛn fɔ stif. Dɛn kin si dɛn tin ya pan kɔndishɔn lɛk ɔtizm spɛktrum disɔda ɛn Rɛt sindrom.
- Tiks: Dis na muvmεnt dεm we de ripit, ritmik muvmεnt dεm bak we de apin insay wan patεn. Simpul `(tics)` na sכm, i de limited fכ fכ mכsul dεm, lεk fכ blink, fכ kray, fכ fleks yu nεk, כ fכ klia di trot. komplex `(tics)` kin sכt layf εn involv mכr mכsul dεm. Fɔ ɛgzampul, fɔ jomp, fɔ tɔk sɔm wɔd ɔ frayz dɛn. dis `(tics)` na wan ki fכm fכ wan kכndyushכn we dεn kכl `(Tourette's syndrome)`.
- Tremor: 1. .Dis na say we sɔm pat dɛn na di bɔdi kin shek we pɔsin nɔ ebul fɔ kɔntrol. Dis tret kin kam bikɔs di mɔsul dɛn kin tayt ɛn rilaks bɔku tɛm. Dis kin apin na say dɛm lɛk di an, leg, ed, ɛn vɔys.
2. Wetin na Haypokinɛtik Muvmɛnt?
"Hypo" min "lɛs." dis min se di muvmεnt dεm nכ de sכmtεm, i de rili slo. Dis kin afɛkt di muvmɛnt dɛn we wi kin mek wit kɔnshɛns.
- Parkinsonism: Dis na di men kayn hypoactive movement disorder. I de tɔk bɔt bɔku tin dɛn we kin apin na di bren we kin mek i muv sloslo, i kin strɔng, i kin shek, ɔ i kin mek i nɔ ebul fɔ balans.
Pakinsin, na wan sik wae de mek pɔrsin nɔr de fil fayn, na in dɛn kin si mɔr wit Pakinsin sik . כltu, i kin apin bak wit כda kכndyushכn dεm lεk mכltipכl sistεm atrofi, kכtikobasal dεjεnεreshכn, prכgrεsiv supranuklyar palsi, εn Lewy bכdi dimεnshכn.
Apat frɔm dat, Pakinson kin kam bak bikɔs ɔf tin dɛn lɛk fɔ wund in ed ɔltɛm, pɔyzin, mɛrɛsin fɔ sɔm kayn maynd sik dɛn, ɛn fɔ mek blɔd nɔ de go na sɔm pat dɛn na di bren.
- Bradykinesia: Dis na tin we de muv sloslo bak. We pɔsin dɔn bigin fɔ muv, i kin slo ɔ i kin stɔp af-af. Dis na wan big sayn fɔ dis sik we dɛn kɔl Pakinsin .
Bɔrku big kayn wae de mɛk pɔrsin nɔr de muv
Bɔrku kayn wae de mɛk pɔrsin nɔr de muv. Lɛ wi luk sɔm pan dɛn:
- Impɔtant trem: Dis na we sɔm pat dɛn na di bɔdi, mɔ di an ɛn an dɛn, de shek we yu nɔ ebul fɔ kɔntrol. I kin afɛkt bak say dɛn lɛk di ed ɛn di vɔys.
- Huntington’s disease: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. I kin afɛkt di bren ɛn mek i nɔ ebul fɔ kɔntrol di muvmɛnt (chorea) na di an, fut, ɛn fes. Di sayn dɛm kin wɔs as tɛm de go.
- Multiple system atrophy (MSA): Dis na sik we nɔ kin apin so ɔltɛm. Sɔm pat dɛn na di bren kin pwɛl smɔl smɔl. dis kin mek yu gεt kכndyushכn lεk ``Ataxia`` εn ``Parkinsonism``.
- Pakinsin sik: Dis na wan sik wae de kam pan yu bren wae de mek yu nɔr de kɔntrol yu muv, prɔblɛm wit balans ɛn kɔdineshɔn. I kin mek bak di kɔgnitiv dɛklin.
- Periodic limb movement disorder (PLMD): Dis na wan sik wae de mek di limb dεm, spεshal wan di leg dεm, de muv rεpεtεd we dεn de slip. Dis kin mek pɔsin nɔ slip fayn.
- Progressive supranuclear palsy (PSP): Dis na sik bak we nɔ kin apin so ɔltɛm. I kin pwɛl sɔm pat dɛn na di bren. I kin afɛkt aw yu de waka, aw yu de tink, aw yu de swɛla, ɛn aw yu yay de muv.
- Ristlɛs leg sindrom (RLS): .Dis na prɔblɛm we de mek pɔsin slip. i kin bi se i kin want fכ muv di leg dεm (כ sכmtεm di an dεm כ di wan ol bכdi). I kin kam wit strenj tin dɛm lɛk we yu de pul, filin se sɔntin de muv, yu nɔr de fil fayn, ɔr de bɔn.
- Rɛt sindrom: Dis na wan sik wae nɔr kin bɔrku pan jɛnɛtiks wae kin afɛkt aw pɔrsin kin tɔk, aw pɔrsin kin du wit in an, ɛn aw i kin wok togɛda.
- Tardive dyskinesia: Dis kin kam wae yu de yuse sɔm antisaykotik mɛrɛsin fɔ lɔng tɛm. I kin mek yu muv we yu nɔ want lɛk fɔ swɛt yu fes ɛn fɔ smak yu lip.
- Tourette syndrome: Dis na wan sik we de ambɔg di nervɔs sistɛm. I kin mek yu muv ɔ sawnd wantɛm wantɛm, we nɔ kɔmɔn (tik). I kin gɛt fɔ du bak wit tin dɛm lɛk wae pɔrsin de wɔri, wae pɔrsin nɔr de pe atɛnshɔn to ɔda pipul dɛm (ADHD), ɛn sɔmtɛm wae pɔrsin nɔr de fil fayn (OCD).
- Wilson sik: Dis na wan sik bak we nɔ kin apin we pɔsin gɛt jɛnɛtiks. I kin kam bikɔs kɔpa kin bɔku pasmak na di bɔdi, mɔ na di liva ɛn di bren. Di mɔsul dɛn kin stif, dɛn kin shek, ɛn dɛn kin muv we dɛn nɔ ebul fɔ kɔntrol.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin de muv?
De tu tin wae kin mɛk pɔrsin nɔr de muv pasmak na dis sik wae de mɛk pɔrsin kin muv ɛn wae pɔrsin kin shek pasmak .
Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de muv fayn fayn wan?
Di sayn dɛm wae de sho se pɔrsin nɔr de muv kin difrɛn bad bad wan. Ɔl di prɔblɛm dɛn we kin apin we pɔsin de muv kin gɛt fɔ du wit di we aw pɔsin de muv we nɔmal. Sɔm kayn muvmɛnt prɔblɛm kin kam wit ɔda sayn dɛm bak, lɛk fɔ chenj aw yu de tink ɛn aw yu de fil. Dɛn sik ya kin kɔmɔt frɔm smɔl to siriɔs ɛn kin ambɔg di tin dɛn we pɔsin kin du ɛvride.
Sɔm pan de sayn dɛm wae pɔrsin kin si na:
- Muvmεnt dεm we yu nכ de kכntro - lεk fכ jכk, twitch, shek, εn twist.
- Prɔblɛm dɛn wit balans ɛn kɔdineshɔn.
- I nɔ kin izi fɔ du sɔm tin dɛn we pɔsin kin du, lɛk fɔ rayt, fɔ swɛla, ɛn fɔ tɔk.
- I nɔ izi fɔ waka ɔ chenj di we aw yu de waka.
- Rigiditi na di limb ɛn di trɔnk.
Dɛn abnɔmal muvmɛnt ya kin afɛkt wan ɔ sɔm pat dɛn na di bɔdi. Fɔ ɛgzampul:
- Limb dɛn we de na di bɔdi
- An ɛn finga dɛn
- Fut ɛn fut finga dɛn
- Di mɔsul dɛn na di fes
- Hed ɛn nɛk
- Trunk ɛn di we aw pɔsin de tinap
- Vɔys
Aw a go no if a gɛt prɔblɛm wit aw a de muv?
Wi ɔl kin gɛt mɔsul dɛn we kin twitch, jɔk wantɛm wantɛm we wi de slip (hypnic jerks), ɛn we wi nɔ want fɔ muv lɛk hiccups. Bɔt if dɛn sik ya kɔntinyu, i kin bi sayn fɔ se pɔsin nɔ de muv fayn. If yu notis se yu ɔ yu pikin in muvmɛnt de chenj ɔltɛm, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm fɔ mek dɛn no di sik ɛn tritmɛnt.
Wetin na de tin wae kin mek pɔrsin nɔr de muv fayn fayn wan?
Bɔrku tɛm, sɔm pat dɛm na di bren we de kɔntrol wi muvmɛnt kin pwɛl ɔr nɔr de wok fayn. Dɛn pat ya na:
- Praymari mכtal kכtεks: .dis na pat we lεk ribin na di fכnt pat na wi bren. I de ɛp fɔ bigin di muvmɛnt dɛn we wi de mek wit wi maynd. If i dɔn pwɛl, i kin mek i gɛt spasticity, myoclonus, ɛn prɔblɛm wit fayn fayn muvmɛnt.
- Basal ganglia: Dis na di pat dεm na wi bren we de dip insay wi bren. Dɛn kin ɛp wi fɔ bigin ɛn kɔntrol di we aw di mɔsul dɛn de muv bay wilful, kɔntrol di muvmɛnt dɛn we wi nɔ want, ɛn kɔdinɛt di chenj dɛn we wi de mek we wi de tinap. damej pan dεn tin ya kin mek kכndishכn dεm lεk `(Chorea)`, `(Athetosis)`, `(Dystonia)`, εn `(Parkinsonism)`.
- Sεribεl: Dis na di pat pan wi bren we de na di bak, na di bכtכm. I de mek wi muv fayn fayn wan, i de mek wi an ɛn fut dɛn muv fayn ɛn kɔrɛkt wan, ɛn i de ɛp wi fɔ balans. If i pwɛl, di kɔdineshɔn nɔ de igen.
- Thalamus: Dis na wan tin we tan lɛk eg. I de dip insay di bren, na di tu say dɛn. I tan lɛk wan sɛnta usay ɔl di muvmɛnt ɛn sɛns infɔmeshɔn we de kam na wi bɔdi de pas. If i dɔn pwɛl, i kin mek pɔsin shek ɛn i kin mek i nɔ ebul fɔ muv.
Na sɔm pan di tin dɛn we kin apin we dɛn pat ya na di bren kin pwɛl:
- Jεnεtik kכndishכn dεm εn mכtεshכn dεm.
- Traumatik bren injuri.
- Infεkshכn dεm.
- Pɔyzin dɛn.
- di mεtabolik dizכrd dεm we de de we dεn bכn am כ divεlכp leta.
- Stroke ɛn blɔd vesel sik dɛn.
- Di sayd ɛfɛkt dɛn we sɔm mɛrɛsin dɛn kin gɛt.
Sɔm muvmɛnt dizayd kin kɔmɔt frɔm wan patikyula kɔz. Bɔt bɔku tɛm, sɔm tin dɛn kin kam wit dɛn tin ya. Wi nɔr stil no wetin kin mek sɔm kayn muvmɛnt prɔblɛm.
Aw fɔ no if pɔsin gɛt prɔblɛm wit aw pɔsin de muv?
Bikɔs di prɔblɛm dɛn we kin mek pɔsin muv kin kɔmpleks ɛn bɔku tɛm dɛn kin falamakata ɔda tin dɛn, bɔku tɛm yu mɛdikal tim go du sɔm tɛst dɛn fɔ no if yu gɛt di sik. Di fɔs tin we yu fɔ du na fɔ aks yu wan ditayli kwɛstyɔn, du yu bɔdi ɛgzam, ɛn du nyurolɔjik ɛgzam.
Dipen pan yu sayn dɛm, dɛn kin du dɛn tɛst ya:
- Blɔd tɛst: Fɔ no sɔm prɔblɛm dɛn we de mek pɔsin muv, ɔ fɔ chɛk fɔ ɔda tin dɛn we kin mek pɔsin muv.
- Ilɛktromayografi (EMG): Chɛk di wɛlbɔdi fɔ di mɔsul dɛn ɛn di nɛv dɛn we de kɔntrol dɛn.
- Ilɛktroɛnsɛfalogram (EEG): Luk di ilɛktrik aktiviti we di bren de du.
- Lumbar pancture: Eksamin di sεribrospεnal fכluid.
- Muscle biopsy: Fכ no difrεns bitwin di nεv εn mכsul prכblεm dεm.
- Nεv kכndukshכn stכdi: I de mכsu di spid we ilektrikal kכrant de travul tru wan nεv bifo i rich wan mכsul.
Dɔktɔ dɛn kin yuz imej tɛst bak fɔ no if pɔsin gɛt prɔblɛm wit di we aw pɔsin de muv. Dɛn tin ya kin luk pan di bren, di spɛshal kɔd, ɔ di nerv dɛm. Ɛgzampul dɛn:
- CT skan (CT skan - Kɔmpyuta tomografi) .
- MRI skan (Magnetik rɛsɔnans imej) .
Wetin na di tritmɛnt fɔ di prɔblɛm dɛn we kin mek pɔsin muv?
Di tritmɛnt fɔ muvmɛnt prɔblɛm kin difrɛn difrɛn wan fɔ di prɔblɛm. Bɔrku muvmɛnt prɔblɛm nɔr kin ebul fɔ wɛl ɔl. So, di men gol fɔ tritmɛnt na fɔ kɔntrol di sayn dɛm. Bɔt sɔm prɔblɛm dɛn we kin mek pɔsin muv, lɛk di wan dɛn we kin kam wit mɛrɛsin (Parkinsonism), kin mɛn.
Na sɔm tritmɛnt dɛn ya:
- Mɛrɛsin: Bɔku kayn mɛrɛsin de wae kin ɛp fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin nɔr de muv. Fɔ ɛgzampul, tin dɛn we de mek yu mɔsul rilaks kin ɛp fɔ mek yu gɛt spasticity. Dopaminergic mεdikeshכn kin εp wit Pakinsin sik εn rεstεs lεg sεndrכm. Di mɛrɛsin wae de mek pɔrsin nɔr de wɔri kin ɛp fɔ gɛt dystonia. Mɛrɛsin dɛn de bak we de fɔ ɛni wan pan di sik dɛn.
- Fizik tritmɛnt: Dis kin ɛp fɔ mek di bɔdi de muv fayn fayn wan. Di wan dɛn we de mɛn yu bɔdi kin ɛp fɔ kɔntrol di sik dɛn we kin mek i nɔ izi fɔ muv, lɛk fɔ fil pen, fɔ stif, ɛn fɔ nɔ fil fayn.
- Occupational therapy: Dis kin ɛp fɔ mek yu ebul fɔ du di wok dɛn we yu de du ɛvride. Wan ɔkupeshɔn tɛrapist kin ɛp yu fɔ tinap, sidɔm, muv rawnd sef wan, ɛn yuz difrɛn tin dɛn fɔ du yu wok.
- Di tin dɛn we de ɛp yu fɔ muv: Yu kin yuz tin dɛn lɛk ken, waka, ɛn wilchia fɔ muv rawnd sef wan ɛn fɔ mek yu gɛt mɔ indipɛndɛns.
- Tɛrapi fɔ tɔk: Dis kin ɛp fɔ mek yu ebul fɔ tɔk, fɔ lan langwej, ɛn fɔ swɛla.
- Saykotɛrapi: Dis kin min fɔ no ɛn ɛp fɔ chenj di filin, tink, ɛn bihayvya we nɔr fayn. Bɔrku tɛm wae pɔrsin nɔr de muv kin kam wit mɛntɛl hεlth prɔblɛm lεk pwɛl hat ɛn wɔri hat. Saykotɛrapi kin ɛp fɔ dis.
- Botulinum toxin (Botox®) injεkshכn: If yu gεt εither `(Dystonia)` כ `(Spasticity),` dεn injεkshכn ya kin εp fכ rilaks di mכsul dεm.
- Dip bren stimulashɔn: Dis na ɔpreshɔn we dɛn kin du pan pipul dɛn we gɛt siriɔs Pakinsin sik, dystonia, ɛn ɔda tin dɛn we kin shek. I kin ridyus di muvmɛnt dɛn we pɔsin nɔ want.
- Klinik trial: Dis na wan kayn risach wae de stɔdi nyu tɛst ɛn tritmɛnt fɔ sɔm kayn mɛrɛsin. Sɔntɛm wan klinik trial de we yu kin tek pat pan.
Us kayn ɛkspiriɛns pɔrsin wae gɛt dis maynia sik kin gɛt fɔ bia wit?
Nɔto ɔlman wae gɛt dis maynia sik kin afɛkt di sem we. De bɛst tin fɔ du na fɔ tɔk to de spɛshal pipul dɛm wae de du risach ɛn trit yu sik.
Yu go nid fɔ gɛt ɛp frɔm wan tim we gɛt dɔktɔ dɛn. Dɛn tin ya kin bi:
- Di wan dɛn we de stɔdi bɔt nyurolɔji
- Nyurosɔjɔn dɛn
- Fisiotɛrapist dɛn
- Ɔkupeshɔn tɛrapist dɛn
- Di wan dɛn we de mɛn pipul dɛn we de tɔk
- Sayɛnsman dɛn we de stɔdi bɔt pɔsin in maynd
Pipul dɛn lɛk dat kin de insay.
Aw a go kia fɔ misɛf ɛn mi pikin?
If yu ɔ yu pikin gɛt prɔblɛm wit di we aw yu de muv, i impɔtant fɔ go to di bɛst dɔktɔ fɔ mek yu liv yu layf fayn fayn wan.
I kin fayn bak fɔ mek yu ɛn yu famili jɔyn sɔpɔt grup usay yu go mit pipul dɛn we dɔn gɛt di sem kayn ɛkspiriɛns.
Ustɛm a fɔ go to dɔktɔ?
If yu notis ɛni chenj na di we aw yu kin muv, ɔ if yu gɛt prɔblɛm we de afɛkt di tin dɛn we yu de du ɛvride, go to dɔktɔ wantɛm wantɛm. Di kwik we yu dɔktɔ no se yu gɛt prɔblɛm wit yu muvmɛnt, na di mɔ yu go bigin fɔ trit yu kwik kwik wan.
If yu dɔn gɛt prɔblɛm wit aw yu de muv, go to dɔktɔ ivin pan dɛn kayn tin ya:
- We yu mɛdikal tim dɔn mek apɔntinmɛnt fɔ yu: We yu go na dɛn apɔntinmɛnt ya, dat kin ɛp yu mɛdikal tim fɔ wach aw yu sik ɛn mek ɛni chenj we nid fɔ apin to yu tritmɛnt.
- If yu notis chenj na yu sik: Dɛn chenj ya kin bi rili impɔtant infɔmeshɔn fɔ di mɛdikal tim we de wach yu sik ɛn trit yu.
- If yu notis di sayd ɛfɛkt dɛm frɔm yu tritmɛnt ɔ chenj na di ɛfɛktiv we yu tritmɛnt de du: I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu, ɔr di ɛfɛktiv fɔ yu mɛrɛsin kin go dɔŋ as tɛm de go. If yu tritmɛnt nɔr de woke, ɔr yu gɛt sɔm kayn sayd ɛfɛkt wae de mɔna yu, tɛl yu wɛl bɔdi tim.
Yu mɛdikal tim kin tɛl yu bɔt di sayn dɛm wae yu fɔ no mɔr bɔt, ɛn bak ustɛm yu fɔ go to dɔktɔ kwik kwik wan.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
If dɛn no se yu gɛt wan prɔblɛm we de mek yu muv, dat kin mek yu at pwɛl. Dat na nɔmal tin. Bɔt mɛmba se nɔto yu wangren de. Yu wɛlbɔdi tim kin ɛp yu fɔ fɛn tritmɛnt plan we go fayn fɔ yu. I impɔtant fɔ mek shɔ se yu gɛt di sɔpɔt we yu nid, ɛn fɔ de pe atɛnshɔn pan yu wɛlbɔdi biznɛs. Ɛn nɔ fɔgɛt se yu wɛlbɔdi tim de ɔltɛm fɔ sɔpɔt yu. If yu gɛt di rayt tritmɛnt ɛn mɛnejɛmɛnt, yu kin liv gud layf wit dɛn sik ya. Nɔ fred, gɛt maynd!
` Muvmɛnt dizayd, Pakinsin sik, impɔtant trem, nyurolɔjik sik, bren dizayd, abnɔmal muvmɛnt, mɔsul prɔblɛm











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