Fine motor control
Fine motor control is the coordination of muscular, bone (skeletal), and neurological functions to produce small, precise movements. The opposite of fine motor control is gross (large, general) motor control.
Fine motor control refers to the ability to make slight, precise movements, such as using the fingers to pick up and handle small objects. It had been believed that improvements in fine motor control continued only until ages 8 to 10.
Fine motor control
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Gross motor control
Loss of fine motor control in the face and neck that prevents efficient chewing and swallowing
Inability to close the lips together properly, allowing food to spill out of the mouth
Irregular diaphragm spasm, increasing the risk of inhaling rather than swallowing food ...
This category includes problems with the muscles of the mouth that do not allow the child sufficient fine motor control over the muscles to produce all speech sounds. The third category of phonological disorder is phonological disorder of an unknown cause.
Decreased fine motor control coordination and tremor may cause difficulties with writing, keyboard operation, or manipulation of small objects. Soft, monotonous speech may impair communication skills.
Loss of coordination or loss of fine motor control (ability to perform complex movements)
Poor gag reflex, swallowing difficulty, and frequent choking ...
Possibly more stiffness and loss of fine motor control (finger dexterity) than weakness (hand grip)
Brain imaging with CT or MRI
Myelopathies (involving upper or lower motor neuron dysfunction or both) ...
Inability to lift arms and hands completely, or numbness and tingling
Difficulty with fine motor control (eg, buttoning a shirt)
Muscle weakness in legs, difficulty walking
Loss of bladder control ...
The motor disorder may range from difficulties with fine motor control to severe spasticity (see MUSCLE SPASTICITY) in all limbs. Spastic diplegia (Little disease) is the most common subtype, and is characterized by spasticity that is more prominent in the legs than in the arms.
Spastic — A condition in which the muscles are rigid, posture may be abnormal, and fine motor control is impaired.
Spasticity — Increased mucle tone, or stiffness, which leads to uncontrolled, awkward movements.
Lack of coordination
Difficulty walking (for example, one foot or leg may drag)
Difficulty with fine motor control (for example, difficulty with writing or buttoning a shirt)
Difficulty speaking, swallowing or eating
Pain in shoulder and arms
Tingling or numbness in arms and legs
Trouble walking or balancing
Problems flexing neck
Problems with fine motor control (eg, buttoning a shirt)
Bowel or bladder problems
Weakness below waist or in all four limbs ...
These activities can include all kinds of activities of daily life like getting dressed, making a sandwich or getting to a doctor's appointment and so forth. Tasks requiring fine motor control (buttoning, using utensils, for example) are particularly slow.
Motor symptoms include a loss of fine motor control leading to clumsiness, poor balance and tremors. Behavioral changes may include apathy, lethargy and diminished emotional responses and spontaneity.
Physical therapy can improve fine motor control and overall body strength. Occupational and speech-language therapy can help breathing, speech, and swallowing difficulties. Therapy for infants and young children may also include sensory stimulation programs.
The system that depends on vestibular function, vision, and proprioception to maintain posture, navigate in one's surroundings, coordinate motion of body parts, modulate fine motor control, and initiate the vestibulooculomotor reflexes.
See also: Trauma, Palsy, Weakness, Prevention, Injury