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Related Experiment Videos

Psychogenic gait disorders.

Lewis Sudarsky1

  • 1Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.

Seminars in Neurology
|June 23, 2006
PubMed
Summary
This summary is machine-generated.

Psychogenic gait disorders, often linked to anxiety and depression, present unique diagnostic challenges. Early recognition and intervention are key, as prolonged symptoms can lead to long-term disability.

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Area of Science:

  • Neurology
  • Psychiatry
  • Movement Disorders

Background:

  • Psychogenic disorders of posture and gait are a significant manifestation in 8-10% of patients with psychogenic movement disorders.
  • Anxiety and depression are frequently observed psychological factors in functional gait disorder.
  • The cautious gait and fear of falling are specific presentations requiring detailed consideration.

Purpose of the Study:

  • To review the history and common presentations of psychogenic gait disorders.
  • To discuss diagnostic features, including incongruous neurological signs and observational cues.
  • To outline an approach to patient management and review prognosis and outcome studies.

Main Methods:

  • Review of the historical context of psychogenic gait disorders.

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  • Description of common clinical presentations, including somatoform disorders and malingering.
  • Analysis of diagnostic recognition features and potential pitfalls, particularly in older adults with organic balance issues.

    • Main Results:

    • Diagnosis is often possible through characteristic features and gait observation, with incongruous neurological signs being common.
    • The cautious gait can be mistaken for organic balance impairment in older patients.
    • While some patients experience dramatic cures or respond to psychological and rehabilitation therapies, persistence beyond 6-12 months often indicates an unfavorable prognosis.

    Conclusions:

    • Psychogenic gait disorders require careful diagnosis, distinguishing them from organic conditions.
    • Optimal management remains challenging, with early intervention correlating with better outcomes.
    • Long-term disability is a risk for patients with persistent symptoms, underscoring the need for timely and appropriate care.