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Joe and Charlie,

I stand corrected, and rightly so. I am long enough in the tooth to know
better than to throw out vague, unsubstantiated comments on matters of
importance.  My apologies to anyone I may have confused.

But if I may be allowed one 'quibble' I believe Joe's statement in regard to
movement and dystonia (see below), and obviously intended to simplify and
explain the distinction between dystonia and dyskinesia, unfortunately only
confuses the issue further.  I believe the correct distinction between the
two (in terms of movement) is that with dyskinesia each movement is of short
duration, is repeated frequently and often goes in many directions whilst
with dystonia any movement is sustained throughout the episode and goes in
the same direction throughout the episode. If I can use the foot dystonia
familiar to many as an example.  The toes curl inward, and the foot arches
upward drawing the toes towards the heel. This movement of toes towards heel
is distinctly a movement and only stops because of the physical inability of
the foot to bend enough.  However   the pull of the muscles continues in the
same direction for the duration of the episode.  Likewise in the case of the
toe curling.

In the case of the leg dystonia I described in my earlier post, the twisting
movement of the leg is always clockwise and is sustained throughout the
entire episode. For the record this activity has been observed by the
neurologist who supervised both my pallidotomy and my recent DBS.  He is a
movement specialist and has no doubt whatsoever that the activity is
dystonia.
You may quibble in turn <grin> that the movements involved in the foot
dystonia are small and insignificant (I don't believe they are - but that
argument could be raised) but in no way could the same argument be made
about a twisting motion that moves a foot through 90 degrees and tries to do
the same to the hip joint.

Dennis

> But
> careful reading will reassure you that movement is *not* a major
> feature of dystonia. No doubt some quibblers may object, but I think
> it's more productive to keep "dystonia" distinct from "dyskinesia".
> Dystonia has other causes than only PD, but in PD dyskinesia, the
> difference will help people understand what you're talking about.