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[Psychomotor disadaptation syndrome].
P Manckoundia1, F Mourey, B Tavernier-Vidal
1Service de médecine interne gériatrique, hôpital de Champmaillot, CHU, BP 87909, 2, rue Jules-Violle, 21079 Dijon cedex, France. patrick.manckoundia@chu-dijon.fr
La Revue De Medecine Interne
|October 27, 2006
Summary
Psychomotor disadaptation syndrome involves impaired posture and gait due to subcortical-frontal lesions. This condition requires multidisciplinary management for aging individuals and those with chronic illnesses.
Area of Science:
- Neurology
- Geriatrics
- Rehabilitation Medicine
Context:
- The psychomotor disadaptation syndrome, previously known as psychomotor regression syndrome, is a clinical condition affecting postural function, gait, and psychomotor automatisms.
- It arises from alterations in posture and motor programming linked to subcortical-frontal lesions.
Purpose:
- To describe the psychomotor disadaptation syndrome.
- To present current findings on its pathophysiology and therapeutic strategies.
- To highlight the recent name change from "psychomotor regression syndrome" to "psychomotor disadaptation syndrome".
Summary:
- Characterized by postural impairments (e.g., retro-propulsion), gait disturbances, neurological signs (akinesia, hypertonia), and psychological issues (fear of movement, cognitive slowing, anhedonia).
- Occurs when the body fails to compensate for factors reducing motor reserves, including aging, chronic illnesses (degenerative/vascular), and acute functional/organic factors impacting cerebral perfusion.
- Management necessitates a multidisciplinary approach involving medical, physiotherapeutic, and psychological interventions.
Impact:
- Provides a comprehensive overview of a complex neurological and geriatric syndrome.
- Emphasizes the need for integrated care models to address the multifaceted nature of the condition.
- Sets the stage for future research into the syndrome's prevalence and detailed physiopathology.
