Purposeless Groaning in Parkinson's Disease (Audio) Purposeless groaning in Parkinsonism. Due to frontal subcortical dysfunction → Perseveration & Disinhibition. No Rx as of now, except Reassurance Dr. Boby Varkey Maramattom @bobvarkey #Purposeless #Groaning #Parkinsons #Parkinsonism #PD #Disease #Audio #clinical #video #physicalexam #neurology