Synkinetic

Synkinetic is an adjective used in neurology and rehabilitation to describe movements that are involuntarily linked or co-activated due to shared or misrouted neural control of muscles. It is closely related to synkinesis, a phenomenon where nerve regrowth after injury causes unintended co-activation of muscle groups during voluntary movement. Etymologically, synkinetic combines Greek syn- “together” and kinēsis “movement.”

In clinical practice, synkinetic movements are often observed during recovery from facial nerve palsy or other cranial nerve injuries, but can also appear after peripheral nerve damage elsewhere. They can complicate motor rehabilitation because intended actions trigger secondary movements, such as smiling causing eye closure, or moving one part of the mouth causing the other.

Diagnosis is typically clinical, supported by patient history and observation; electromyography or nerve conduction studies may document patterns of co-activation. Management focuses on reducing unwanted movements and retraining normal motor patterns. This may involve targeted physical therapy, neuromuscular retraining techniques, botulinum toxin injections to reduce excessive activity in specific muscles, or, in some cases, surgical approaches to alter innervation.

The term is relatively specialized and may be used interchangeably with synkinesis in some contexts, though some clinicians reserve synkinetic for broader junctions of involuntary, linked movements across muscle groups. Outside clinical neurology and rehabilitation, the word is rarely used in common language, and when encountered it is usually within technical discussions of motor control and recovery processes.

See also: synkinesis, neuromuscular reeducation, facial nerve palsy, motor rehabilitation.

---