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Evaluating the Function of the Foot Core System in the Elderly
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Functional Movement Disorders in Elderly.

Anjali Chouksey1, Sanjay Pandey1

  • 1Department of Neurology, Govind Ballabh Pant Postgraduate Institute of Medical Education and Research, New Delhi, IN.

Tremor and Other Hyperkinetic Movements (New York, N.Y.)
|August 16, 2019
PubMed
Summary
This summary is machine-generated.

Functional movement disorders (FMDs) are uncommon in the elderly. This study found tremor, dystonia, and surprisingly, tics and choreoballism in older adults, often linked to social or physical triggers.

Keywords:
Functionalelderlyentrainmentmovement disorderstremor

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Area of Science:

  • Neurology
  • Geriatrics
  • Psychiatry

Background:

  • Functional movement disorders (FMDs) are infrequently documented in elderly individuals.
  • This study focuses on FMDs with onset in patients over 60 years old.

Purpose of the Study:

  • To investigate the characteristics of FMDs in the elderly population.
  • To identify phenomenology, triggers, and psychiatric history in elderly FMD patients.

Main Methods:

  • Retrospective chart review of elderly patients diagnosed with FMD.
  • Analysis of patient demographics, symptom duration, phenomenology, and associated factors.

Main Results:

  • 18 elderly patients (onset >60 years) with FMD were identified.
  • Tremor was the most common symptom (61.1%), followed by dystonia (38.8%).
  • Tics and choreoballism, previously unreported in elderly FMD, were observed in two patients each. Social and physical factors preceded FMD onset in most patients.

Conclusions:

  • FMDs can occur in the elderly, with tremor being the most frequent presentation.
  • Uncommon phenomenologies like tics and choreoballism can be seen in elderly FMD patients.
  • Identifying social and physical triggers is crucial in managing elderly patients with FMD.