Tic
Complex motor tics are typically more purposeful-appearing and of a longer nature. They may involve a cluster of movements and appear coordinated. Examples of complex motor tics are pulling at clothes, touching people, touching objects, echopraxia (repeating or imitating another person's actions) and copropraxia (involuntarily performing obscene or forbidden gestures).
Manual transmission
A manual transmission, also known as a manual gearbox, a standard transmission or colloquially in some countries (e.g. the United States) as a stick shift, is a type of transmission used in motor vehicle applications. It uses a driver-operated clutch, usually engaged and disengaged by a foot pedal or hand lever, for regulating torque transfer from the engine to the transmission; and a gear selector that can be operated by hand or foot.