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Extra Movements in Healthy People: Challenging the Definition and Diagnostic Practice of Tic Disorders

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The occurrence of motor/vocal tics, that is, “extra movements” and/or “extra vocalizations,” is the leading diagnostic criterion for tic disorders. We show that extra movements are common also in healthy… Click to show full abstract

The occurrence of motor/vocal tics, that is, “extra movements” and/or “extra vocalizations,” is the leading diagnostic criterion for tic disorders. We show that extra movements are common also in healthy controls, so that a surplus of movements per se is not indicative of the presence of a tic disorder. This questions the usefulness of Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria for tic disorders in clinical practice. Apparently, it is not solely a surplus of movements that defines tic disorders. Instead, movement characteristics and patterns seem to play a crucial role. ANN NEUROL 2023;93:472–478

Keywords: practice; tic disorders; healthy people; movements healthy; people challenging; extra movements

Journal Title: Annals of Neurology
Year Published: 2022

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