Parkinson’s disease features

TRAP

  • Tremor – usually hands (pill-rolling, 3-6Hz), present at rest, worsened by anxiety, improves on action
  • Rigidity – lead-pipe rigidity. Cogwheeling = tremor + rigidity
  • Akinesia – reduced facial expression, monotonous speech, abnormal gait/stance, ‘slowed down’
  • Postural instability
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