Asymmetry of neuroleptic-induced rigidity: development of quantitative methods and clinical correlates

Psychiatry Res. 1989 Dec;30(3):275-84. doi: 10.1016/0165-1781(89)90019-x.

Abstract

Twenty-six medicated schizophrenic patients and 14 normal controls underwent laboratory assessment for the presence and asymmetry of neuroleptic-induced rigidity to evaluate the sensitivity, reliability, and validity of a quantitative procedure. Measures of muscle stiffness were made in the upper extremities. Results indicated that 65% of the patients exhibited pathological rigidity. Moreover, 76% of these patients exhibited asymmetric rigidity, while the remaining 24% exhibited bilateral symptoms. Newly treated patients exhibited a greater laterality of rigidity toward the right side compared with patients who were on stable treatment regimens for at least 3 months. Since parkinsonism reflects dopamine receptor blockade by neuroleptic medication, probably in the striatum, we suggest that the lowered susceptibility of the right striatum to drug-induced parkinsonism supports the hypothesis that striatal dopaminergic activity may be asymmetric and more marked in the right striatum among recently treated patients.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Age Factors
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Dyskinesia, Drug-Induced / diagnosis*
  • Functional Laterality / drug effects*
  • Humans
  • Middle Aged
  • Motor Skills / drug effects
  • Muscle Rigidity / chemically induced*
  • Neurologic Examination / instrumentation
  • Psychotic Disorders / drug therapy*
  • Schizophrenia / drug therapy*

Substances

  • Antipsychotic Agents