Gait abnormalities in psychogenic movement disorders.
Identifieur interne : 001A16 ( Ncbi/Curation ); précédent : 001A15; suivant : 001A17Gait abnormalities in psychogenic movement disorders.
Auteurs : Jong Sam Baik [Canada] ; Anthony E. LangSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- complications : Movement Disorders, Psychophysiologic Disorders.
- etiology : Gait Disorders, Neurologic.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Humans, Male, Middle Aged, Statistics, Nonparametric.
Abstract
An abnormal gait is not uncommon in patients with medically unexplained neurological symptoms, including those with other psychogenic movement disorders (PMDs). Previous studies have not evaluated the gait characteristics of patients with a variety of PMDs and there are no reports comparing PMDs with and without gait disturbances. We were interested in determining how those with and without additional involvement of gait differed and how PMD patients differed from those with a pure psychogenic gait disorder (PGD) in the absence of another PMD. We investigated gait features in a large series of patients with PMD (n = 279), dividing them into two groups (Group I with a normal gait and Group II with an abnormal gait). Group I included those with PMD with a normal gait and no change in the PMD while walking (I-1), and those with a change in PMD while walking, but not affecting gait (I-2). Group II was divided into those with PMD with additional abnormal gait (II-1) and those with pure psychogenic gait disorder without other abnormal movements (II-2). Excessive slowing of movement was more common in PMD patients with an abnormal gait (Group II) compared to those without (Group I). Slowness of gait was the most common feature in patients with PMD combined with a PGD (II-1) and buckling of the knee pattern was the most common type of pure PGD (II-2), followed by astasia-abasia.
DOI: 10.1002/mds.21283
PubMed: 17216648
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Gait abnormalities in psychogenic movement disorders.</title><author><name sortKey="Baik, Jong Sam" sort="Baik, Jong Sam" uniqKey="Baik J" first="Jong Sam" last="Baik">Jong Sam Baik</name><affiliation wicri:level="1"><nlm:affiliation>Movement Disorders Center, Toronto Western Hospital, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Center, Toronto Western Hospital, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1002/mds.21283</idno><idno type="RBID">pubmed:17216648</idno><idno type="pmid">17216648</idno><idno type="wicri:Area/PubMed/Corpus">002923</idno><idno type="wicri:Area/PubMed/Curation">002923</idno><idno type="wicri:Area/PubMed/Checkpoint">002805</idno><idno type="wicri:Area/Ncbi/Merge">001A16</idno><idno type="wicri:Area/Ncbi/Curation">001A16</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Gait abnormalities in psychogenic movement disorders.</title><author><name sortKey="Baik, Jong Sam" sort="Baik, Jong Sam" uniqKey="Baik J" first="Jong Sam" last="Baik">Jong Sam Baik</name><affiliation wicri:level="1"><nlm:affiliation>Movement Disorders Center, Toronto Western Hospital, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Center, Toronto Western Hospital, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Female</term><term>Gait Disorders, Neurologic (etiology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (complications)</term><term>Psychophysiologic Disorders (complications)</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Movement Disorders</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Statistics, Nonparametric</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">An abnormal gait is not uncommon in patients with medically unexplained neurological symptoms, including those with other psychogenic movement disorders (PMDs). Previous studies have not evaluated the gait characteristics of patients with a variety of PMDs and there are no reports comparing PMDs with and without gait disturbances. We were interested in determining how those with and without additional involvement of gait differed and how PMD patients differed from those with a pure psychogenic gait disorder (PGD) in the absence of another PMD. We investigated gait features in a large series of patients with PMD (n = 279), dividing them into two groups (Group I with a normal gait and Group II with an abnormal gait). Group I included those with PMD with a normal gait and no change in the PMD while walking (I-1), and those with a change in PMD while walking, but not affecting gait (I-2). Group II was divided into those with PMD with additional abnormal gait (II-1) and those with pure psychogenic gait disorder without other abnormal movements (II-2). Excessive slowing of movement was more common in PMD patients with an abnormal gait (Group II) compared to those without (Group I). Slowness of gait was the most common feature in patients with PMD combined with a PGD (II-1) and buckling of the knee pattern was the most common type of pure PGD (II-2), followed by astasia-abasia.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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