WE MOVE Case-based Learning (CBL) modules provide an environment that allows for participative learning – a well-recognized tool to facilitate the adult learning experience. This self-paced, private learning environment encourages physicians to employ a problem-solving approach, walking step-by-step through the case history, family history, and symptomatology of the patient featured in the case. WE MOVE CBL modules illustrate the diagnostic process and varied approaches to treatment utilized by the thought leader who submitted the case, an invaluable experience for physicians looking to expand their expertise in the diagnosis and treatment of movement disorders.

The depth of the WE MOVE CBL learning technology allows each case to highlight treatment of certain aspects of the condition or the efficacy of a given treatment regimen at different stages of disorder progression – further enriching the physician's learning experience. For therapies requiring specific expertise in administration (e.g., injectable therapies), video footage of the therapeutic procedure itself enhances the depth of the experience. Co-location of WE MOVE CBL modules within the MDVU creates an unrivaled learning environment for physician education. WE MOVE CBL modules are available at no charge to physicians, 24 hours a day, seven days a week.

• Using Subcutaneous Injections of Apomorphine to Control Off Periods in Parkinson's Disease

The patient is a 76-year-old man with a 26 year history of Parkinson's disease who developed prominent motor fluctuations. He was treated with levodopa-carbidopa, amantadine, pramipexole, and entacapone. Despite these various adjunctive medications, he continued to have severely disabling spontaneous off events characterized by profound bradykinesia. During these events, he was non-ambulatory.

• Intermittent Apomorphine Injection Therapy in an Advanced Parkinson's Disease Patient with Early Morning Delayed-On

This is a 74-year-old man with a nine year history of Parkinson's disease, initially treated with a dopamine agonist, who has had motor fluctuations, dyskinesias, and painful early-morning leg cramping for three years. In an effort to reduce his total daily dosages of pramipexole and levodopa, he began injecting apomorphine.

• The Role of Dantrolene Sodium—No Bonus for Clonus

Patient was referred by an occupational therapist who indicated that she was unable to introduce functional training activities such as reaching forward because the patient developed intense, disruptive clonus of the whole left upper extremity.

• Knee Spasticity

Patient is a 48-year-old man with spastic right hemiparesis (residual from traumatic injury during a fall), moderate expressive aphasia, and seizure disorder. The patient's chief complaint is that he has experienced great difficulty with ambulation because of increased abnormal movements of the right lower extremity. During the stance phase, there are "knee wobbles" that affect the right lower extremity. This becomes more apparent as patient becomes fatigued.