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Two Cases of Moving Toes Syndrome with Clinical Characteri

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Segment 1. Painful Leg Moving Toes. The segment demonstrates asynchronous movements of the left toes at rest. The movements occur in different directions (abduction/adduction of the fifth toe, flexion/extension of the remaining toes). The patient was subsequently asked to tap with the right hand; distraction and, on occasion, entrainment of the left toe movements were observed. In the final section of this segment, distraction with up and down movements of the opposite foot abolished the left toe movements and tapping with the opposite foot caused entrainment at low frequencies. Segment 2. Painless Leg and Moving Toes. The segment demonstrates repetitive involuntary movements of the right toes (flexion/extension and abduction/adduction) with the right foot at rest. Purposeful movements of the affected foot and pressing on the floor suppressed the involuntary movements. Subsequently, distraction with left foot motion (up–down) stopped right toe movements. In the final section of this clip, right hand tapping caused entrainment of the toe movements and distraction with left hand tapping abolished the toe movements.

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