Movement can be measured more precisely than by eye
Movement disorders clinic · Restore
Recognising the conditions
What patients most often come in with. If you recognise yourself in one of these descriptions, that's a reason for precise diagnostics, not for waiting.
Trembling hands
At rest or during movement — the character of the trembling points to different causes.
Movements have slowed
Buttons, laces, smaller handwriting, less arm swing while walking.
Your gait has changed
Shorter steps, shuffling, poorer balance, episodes of “freezing”.
Your voice has grown quieter
People ask you to repeat, speech is more monotone — a movement disorder affects the voice too.
Not only movement
Sleep problems, a reduced sense of smell, mood swings often appear before the tremor.
Differentiation
What it can be mistaken for
The same complaint can have different causes behind it. Each one needs its own kind of help, so the first step is always precise diagnostics.
Essential tremor
The most common cause of trembling hands — a separate condition with a different prognosis and treatment.
Medication and thyroid
A number of drugs and hyperthyroidism produce a movement pattern resembling parkinsonism; this is reversible.
Atypical syndromes
Multiple system atrophy, progressive supranuclear palsy — a different course, important to recognise early.
Screening
Two screenings by situation
A short test doesn't make a diagnosis — it shows whether there's a reason to book a visit and where to start the conversation with a doctor.
No diagnosis yet
A diagnosis is already in
Diagnostics
How we diagnose
First, an objective baseline picture. The board selects the combination of methods individually.
MDS-UPDRS
An international scale with a numeric rating of motor and non-motor features over time.
Tremor analysis
EMG, the frequency and pattern of the trembling — an objective measure instead of “by eye”.
Non-motor profile
Sleep, orthostatic blood pressure, cognition, mood — the full picture, not just movement.
Treatment
How we treat
Treatment on three pillars of one programme under constant supervision; the plan is adjusted as the condition changes.
Choosing therapy
A starting regimen and correction of motor fluctuations as the condition changes.
Rehabilitation
Work on the amplitude of movement, gait, balance and voice.
Neuromodulation
TPS, micropolarisation (tDCS), vagus nerve stimulation (taVNS) as part of the protocol.
Support
This is a programme, not a one-off prescription
Every case goes through the full cycle — led by a personal programme manager.
Consultation
Complaints, history, video of movements; a provisional work-up route.
Assessment
MDS-UPDRS, tremor analysis, non-motor profile.
Protocol
Therapy, rehabilitation and neuromodulation in one programme.
Follow-up
Repeat scales show the change in numbers; fluctuations are corrected.
Questions
Frequently asked questions
Trembling hands — is that Parkinson's already?
Not necessarily. The most common cause of trembling hands is essential tremor, a separate condition. The character of the tremor, non-motor signs and scales help tell them apart.
Why scales and EMG if the diagnosis is “obvious”?
To have a starting point in numbers: without it there is no objective way to judge whether the therapy is working.
Does rehabilitation really change anything?
Yes. Work on the amplitude of movement, gait and voice gives a measurable effect and sustains the result of therapy.
What are motor fluctuations and why are they corrected separately?
They are swings in the condition through the day as the medication acts; adjusting the regimen and timing smooths them out.
How often are repeat visits needed?
Depending on the stage — from once every few months to more frequent checks while therapy is being adjusted.
Can I send a video of the tremor before booking?
Yes, it helps us get oriented before the first consultation.
Booking
Movement disorder assessment
Book a consultation about a movement disorder — or send a video of the tremor for a preliminary look. A coordinating doctor will clarify the details and offer the nearest time.