Uncoordinated movement is due to a muscle control problem that causes an inability to coordinate movements. It leads to a jerky, unsteady, to-and-fro motion of the middle of the body (trunk) and an unsteady gait (walking style). It can also affect the limbs.
The medical name of this condition is ataxia.
Lack of coordination; Loss of coordination; Coordination impairment; Ataxia; Clumsiness; Uncoordinated movement
Smooth graceful movement requires a balance between different muscle groups. A part of the brain called the cerebellum manages this balance. If this does not happen properly, ataxia often results.
Ataxia can severely affect daily living activities.
Diseases that damage the cerebellum, spinal cord, or peripheral nerves can interfere with normal muscle movement. The result is large, jerky, uncoordinated movements.
Brain injuries or diseases that can cause uncoordinated movements include:
Poisoning or toxic effects caused by:
Other causes include:
Physical therapy that includes swimming, stretching, walking, and balancing exercises can help with coordination and slow the damage. A home safety evaluation by a physical therapist may be helpful.
Take measures to make it easier and safer to move around at home. For example, get rid of clutter, leave wide walkways, and remove throw rugs or other objects that might cause slipping or falling. Make sure there is adequate lighting at night.
People with this condition should be encouraged to take part in normal activities. Family members need to be patient with a person who has poor coordination. Take time to show the person ways to do tasks more easily. Take advantage of the person's strengths while avoiding their weaknesses.
Ask the health care provider whether walking aids, such as a cane or walker, would be helpful.
People with ataxia are prone to falls. Talk with the provider about measures to prevent falls.
Family support is important. It helps to openly discuss your feelings. Self-help groups are available in many communities.
Contact your provider if:
In an emergency, you will first be stabilized so that symptoms do not get worse.
The provider will perform a physical exam, which may include:
Medical history questions may include:
Tests that may be ordered include:
You may need to be referred to a specialist for diagnosis and treatment. If a specific problem is causing the ataxia, the problem will be treated. For example, if a medicine is causing coordination problems, the medicine may be changed or stopped. Other causes may not be treatable. The provider can tell you more.
Jankovic J, Lang AE. Diagnosis and assessment of Parkinson disease and other movement disorders. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 24.
Okun MS, Lang AE. Other movement disorders. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 382.
Reviewed By: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.