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Movement Disorders / Tourette's Syndrome
Tourette's Syndrome is characterized by a multitude of tics that can be motor or vocal. Their onset is usually in early childhood from 5-8 years of age. There are three types of tics: simple, complex and internal. Each type is either a motor tic or vocal/phonic tic. Below is a list of common tics of Tourette's Syndrome:
TYPE OF TIC
SIMPLE
MOTOR
Eye blinking
Eye rolling
Shoulder shrugs
Head shrugs
Brushing or tossing hair out of eyes
Mouth opening
Arm extending
Facial grimaces
Nose twitching
Lip-licking
Squinting

VOCAL & PHONIC
Throat clearing
Grunting
Yelling or screaming
Sniffing
Barking
Snorting
Coughing
Spitting
Squawking
Humming
Whistling
Honking
Laughing
COMPLEX
MOTOR
Pulling at clothes
Touching people
Touching objects
Smelling fingers
Smelling objects
Jumping or skipping
Poking or jabbing
Punching
Kicking
Hopping
Kissing self or others
Flapping arms
Twirling around
Tensing muscle groups
Thrusting movements of groin or torso
Twirling hair
Walking on toes
Copropraxia:
- Sexually touching self
- Sexually touching others
- Obscene gestures
Echo Phenomena:
- Others’ actions
- One’s own actions
Self-injury behaviors

VOCAL & PHONIC
Making animal-like sounds
Unusual changes in pitch or volume of voice
Stuttering
Echo Phenomena:
- Own words or sounds
- Others’ words or sounds
Copropalia:
- Oscenities
- Socially taboo phrases
INTERNAL
MOTOR
Breathing tics
Bladder tics
Bowel tics
*Note: this list is not all-inclusive. Furthermore, any behavior or symptom may have alternative explanations in a child who has TS and other diagnoses such as Obsessive-Compulsive Disorder and/or Attention Deficit Hyperactivity Disorder. Differentially diagnosing any one symptom cannot be made without further study or information. Teachers or school personnel should contact the child’s parents and treating professionals for assistance and guidance.
Leslie Packer PhD.

Dr. Brendan Stack and Dr. Tony Sims wrote a case study report in 2009 showing that an Oral appliance treating TMJ Disorders can affect even discontinue the symptoms thereby eliminating the need for surgery or medication. To read their study click here. Please call our office if you need any guidance in your choice of care and how we may best help you.
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