Milkmaid’s grip!!!
“motor impersistence of the hand”
Philippus Aureolus Theophrastus Paracelsus Bombastus von Hohenheim (1493–1541)
(Paracelsus)
first coined the term Chorea Sancti Viti
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1/
Pathophysiology
“combination of chorea & motor impersistence”
Motor impersistence
- inability to maintain tetanic muscle contraction
- positioning & compensatory repositioning
- independent of chorea
- linearly progressive (marker of disease severity?)
- frontal lobe
2/
Examples of motor impersistence
- Milkmaid’s grip
- inability to maintain eye closure
- ‘Jack in the box’ tongue
3/
Milkmaid’s grip – definition
“alternating squeezing and releasing of the finger like a milking motion, when asked to maintain a constant, firm grip of examiner’s fingers”
- fluctuating pressure on handshake
4/
Milkmaid’s grip – features
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
5/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Medchrome
6/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: allornonelaw
7/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Pakistan Academy of Pediatrics
8/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Pediatrics By Dr.Anand
9/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: shailesh Patil
10/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
youtube.com/shorts/tAg0Ohr… via: Dr Khan Medics
11/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Doctor Sajid Vlog
12/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
youtube.com/shorts/8-uN5Dp… via: pediatric videos
13/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
youtube.com/shorts/Z43DViI… via: Dr Gauhar Mahmood Azeem
14/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
youtube.com/shorts/eXhQe8y… via: Medicine classroom
15/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: Nicolas Laing
16/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: RHDAustralia
17/
Milkmaid’s grip
“alternating squeezing and releasing of the finger when asked to maintain a constant grip”
- chorea
- motor impersistence
- positioning & compensatory repositioning
via: RHDAustralia
18/
Milkmaid's grip
neuronland.blogspot.com/2022/12/neurot…
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