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Slowness of movement (bradykinesia) and muscle rigidity in Parkinson’s

Slowness of movement (bradykinesia) and muscle stiffness (rigidity) are both typical motor symptoms of Parkinson’s.

Everybody with Parkinson’s bradykinesia

Bradykinesia, or slowness of movement, is one of the main symptoms of Parkinson’s. This means it takes more time and effort for a person to complete daily tasks, which can result in fatigue.

When experiencing slowness of movement, a person with Parkinson’s may notice the following:

  • Lack of spontaneous activity e.g. arm swing diminishes
  • Fine motor coordination is reduced e.g. handwriting becomes smaller
  • Changes in walking such as short, shuffling steps
  • Episodes of freezing or periods of immobility
  • Difficulty turning over in bed or rising from a chair
  • It takes longer to do things.

Managing bradykinesia

Some people with Parkinson’s find physiotherapy helps to improve their symptoms. A physiotherapist can recommend exercises and techniques to help with mobility.

Medications for Parkinson’s can also help improve movement and reduce slowness.

Parkinson’s and rigidity

Rigidity or stiff or inflexible muscles is one of the main symptoms of Parkinson’s, alongside tremor and slowness of movement. Not everyone will experience all of these symptoms.

In Parkinson’s, rigidity in a person is often most noticeable when they move a joint through a circular movement. The movement often feels as if the joint is moving through a number of cogs, known as ‘cogwheel rigidity’.

Some people also experience a constant resistance to motion throughout the entire range of movement, known as ‘lead pipe rigidity’.

Rigidity can stop muscles from stretching and relaxing. It can cause:

  • Stiff muscles
  • Inflexible muscles
  • Pain and muscle cramps
  • Fixed ‘mask-like’ facial expression
  • Inability to swing arm or arms when walking
  • Difficulties getting out of chairs, turning over in bed and turning around
  • Difficulties with fine movements such as writing or doing up buttons
  • Postural change
  • Fatigue.

Managing rigidity

Consult your GP or specialist for medications that can help with rigidity.

Useful tips

Below are tips for avoiding postural hypotension:

  • Regular exercise and stretching
    Can help you to strengthen muscles and improve flexibility and mobility
  • Physiotherapy
    May help with muscle cramps treatment
  • Speech and language therapy
    May help you with exercises to keep facial muscles flexible. Seeing a therapist soon after diagnosis may make treatment more effective, too
  • Complementary therapies
    Acupuncture or taking a magnesium supplement have been helpful for some people in reducing rigidity.

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Being diagnosed with Parkinson’s is a personal experience but no one has to face Parkinson’s alone. Support and information can make a significant and positive difference to the lives of those living with Parkinson’s, their families and carers.

Please note: Fight Parkinson’s uses the phrase Parkinson’s rather than Parkinson’s Disease to reflect the community’s preference. Parkinson’s Disease is used only when necessary such as in medical, research or government contents, or in direct quotes.