Secondary Movement Symptoms:

• Decreased arm swing when walking.
• Difficult turning over in bed and difficulty getting out of bed, deep chair or a car seat.
• Dysarthria (slurring of speech) and hypophonia (soft, sometimes breathy and hoarse voice).
• Increased drooling at night
• Dyskinesia, involuntary, erratic writhing movements of the face, arms, legs, or trunk.
• Dystonia, sustained or repetitive cramping, twisting, or tightening.
• Facial masking (hypomimia), a serious or mad facial “masking” appearance, and decreased blink rate.
• Festination, short, rapid steps during walking.
• Freezing, a sensation of being stuck in place, especially when beginning to step, turning, or navigating through narrow passages.
• Masked face (hypomimia), resulting from the combination of bradykinesia and rigidity.
• Micrographia, small handwriting due to bradykinesia.
• Shuffling gait, accompanied by shorter steps and often a stooped posture.
• Stooped posture, often accompanied by shorter steps (shuffling gait) and trouble walking.
• Soft speech (hypophonia), soft and sometimes hoarse voice.

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