Clumsiness

You might think of yourself as clumsy if you often bump into furniture or drop things. Clumsiness is defined as poor coordination, movement, or action.

In healthy people, it can be a minor issue. But, at the same time it can increase your risk for accidents or serious injuries, like concussions.

A 2009 review of studies on connections between motor control and age-related brain differences found evidence that issues with the nervous and neuromuscular systems contribute to motor performance difficulties in older adults.

This suggests that brain function, from how information is processed to telling your body how to move, plays a role in coordination.

Most people will have moments of clumsiness, and it’s usually not anything to worry about. But if you have sudden, ongoing issues with coordination, or if it seriously interferes with your health, it could be a symptom of an underlying condition.

A sudden onset of clumsiness can occur if you’re distracted or unaware of your surroundings. But often, sudden issues with coordination paired with another symptom can suggest a serious, underlying health condition.

Stroke

A stroke occurs when a blood clot forms in the brain and decreases blood flow (ischemic stroke) or when a weakened blood vessel bursts in your brain and decreases blood flow (hemorrhagic stroke). This deprives your brain of oxygen and brain cells begin to die.

During a stroke, some people experience paralysis or muscle weakness, which can cause poor coordination and stumbling.

But sudden clumsiness doesn’t always mean a stroke. With a stroke, you’ll likely have other symptoms too. These include:

  • slurred speech
  • pins and needles sensations in your arms or legs
  • muscle weakness or numbness
  • headache
  • vertigo

You may see similar symptoms during a transient ischemic attack (TIA), or a ministroke. A TIA also reduces blood flow to the brain. These attacks usually only last a few minutes and don’t cause permanent brain damage.

However, see a doctor immediately if you or someone you know is exhibiting symptoms of a stroke.

Seizures

Some seizures can also cause symptoms that look like sudden clumsiness.

This is often the case with complex partial, myoclonic, and atonic seizures, or drop attacks. Myoclonic and atonic seizures cause someone to suddenly fall, as if they’re tripping. This symptom isn’t considered clumsiness.

In complex partial seizures, there’s a pattern of actions and symptoms. A person will typically stare blankly while in the middle of an activity. Then, they’ll start doing a random activity like:

  • mumbling
  • fumbling or picking at their clothing
  • picking at objects

Complex partial seizures may only last a few minutes, and the person will have no memory of what happened. The next time a seizure occurs, the same actions will typically be repeated.

Visit a doctor immediately if you suspect you or someone you know has had a seizure or is experiencing one.

Anxiety and stress

Your nervous system, which controls muscle movement, may function abnormally if you’re suddenly anxious or stressed. This can cause your hands to shake or impair how you see your surroundings and do tasks. As a result, you’re more likely to bump into objects or people.

If you have anxiety, practicing your coping methods may help you relax and improve issues with coordination.

Drugs and alcohol

If you drink too much alcohol or use drugs, you may also experience clumsiness due to intoxication. Intoxication, which impairs brain function, usually involves one or two symptoms, which may not always include uncoordinated movements.

Symptoms of intoxication might include:

  • bloodshot eyes
  • a change in behavior
  • a strong smell of alcohol
  • slurred speech
  • vomiting

You may have difficulty maintaining your balance or coordinating steps while trying to walk when intoxicated. This can result in injuring yourself or getting a concussion if you fall.

Withdrawal can also cause clumsiness.

Aging can go hand in hand with issues with coordination.

In a study of hand movements, results showed that younger and older adults use different mental representations of the space around their bodies. While younger adults focused their reference frame on the hand, older adults use a reference frame centered on their whole body. This change can affect how older adults plan and guide their movements.

Clumsiness can also begin as a subtle problem and gradually worsen. If you or someone you know has ongoing issues with coordination along with other symptoms, bring the problem to a doctor’s attention. There may be an underlying neurological disorder.

Brain tumor

A malignant or benign growth on the brain can also affect balance and coordination. If you have a brain tumor, you may also experience the following symptoms:

  • unexplained nausea and vomiting
  • vision problems
  • personality or behavior changes
  • hearing problems
  • seizures
  • weakness or numbness
  • strong headaches

A doctor can conduct an MRI or a brain scan to check for growths on your brain.

Parkinson’s disease

Parkinson’s disease affects the central nervous system and can impair motor systems. Early symptoms can be subtle, but may include hand tremors or hand twitching that can cause issues with coordination. Other signs and symptoms include:

  • loss of smell
  • trouble sleeping
  • constipation
  • soft or low voice
  • masked face, or blank stare

Your doctor will be able to recommend a treatment and refer you to a specialist if they give you a diagnosis for Parkinson’s disease.

Alzheimer’s disease

Alzheimer’s disease slowly damages and kills brain cells. Someone with Alzheimer’s disease often has difficulty with memory, has trouble completing familiar tasks, and may have issues with coordination. The risk of Alzheimer’s disease increases after the age of 65.

If you or a loved one develops these symptoms in middle age, and if they don’t improve, talk to a doctor.

Other causes

Uncoordinated movements can also occur when you’re not getting enough sleep. Exhaustion can affect balance, causing you to drop things. Or you may find yourself bumping into things. Getting at least 8 hours of sleep each night allows your brain and body to rest.

Health issues that affect joints and muscles, such as arthritis, and medications such as anti-anxiety, antidepressants, and anticonvulsant drugs can also cause similar symptoms.

Trouble with coordination in children isn’t unusual as toddlers learn how to stand and walk. Growth spurts can also contribute as your child gets used to their growing body.

Children who have trouble paying attention may also be more uncoordinated if they’re less aware of their surroundings.

If you feel your child’s clumsiness isn’t improving or is worsening, talk to your doctor. Issues with coordination in children can also be caused by:

Your doctor will be able to provide treatment options, depending on the cause.

Dyspraxia

Dyspraxia, or developmental coordination disorder (DCD), is a condition that affects your child’s coordination. Children with DCD usually have delayed physical coordination for their age. This isn’t due to learning disabilities or a neurological disorder.

You can improve the symptoms of DCD by practicing movements, breaking activities into smaller steps, or using tools like special grips on pencils.

As pregnancy progresses, your changing body may throw off your center of gravity and affect your balance. There’s also a greater risk of stumbling or bumping into things if you’re unable to see your feet.

Other factors that can affect your coordination are changes in hormones, fatigue, and forgetfulness.

Slowing down when moving, and asking for help if you’ve dropped something, are good ways to avoid accidents or injuries during a pregnancy.

Diagnosing the exact cause of issues with coordination can be difficult. Clumsiness is a symptom of many conditions. If your coordination seems to worsen or additional symptoms appear, make an appointment with your doctor.

Your doctor will ask about your medical history and other symptoms. They may also need to run several tests to help diagnose the condition.

Improving coordination involves treating the underlying condition. Your doctor may recommend medication, like an anti-inflammatory medication for arthritis, or exercising more to reduce joint pain and stiffness.

You may also find it helpful to slow down and take in your surroundings before performing certain tasks.