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[Psychomotor disadaptation syndrome].

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Psychomotor disadaptation syndrome (PDS) involves gait and balance issues due to sub-cortico-frontal lesions. Management requires a multidisciplinary approach involving various healthcare professionals.

Keywords:
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Area of Science:

  • Geriatrics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Psychomotor disadaptation syndrome (PDS), initially termed 'psychomotor regression syndrome', was identified three decades ago.
  • PDS is also known as sub-cortico-frontal dysfunction syndrome, reflecting its pathophysiology.
  • The syndrome involves decompensation of posture, gait, and psychomotor automatisms due to sub-cortico-frontal lesions.

Purpose of the Study:

  • To describe the pathophysiology and clinical features of PDS.
  • To outline the contributing factors to PDS development.
  • To emphasize the necessity of a multidisciplinary management approach for PDS.

Main Methods:

  • Clinical description and historical overview of PDS.
  • Identification of etiological factors contributing to PDS.
  • Discussion of multidisciplinary care strategies.

Main Results:

  • PDS is characterized by backward disequilibrium, gait disorders, and neurological signs like akinesia and impaired postural responses.
  • Psychological symptoms include fear of standing/walking (acute) or bradyphrenia and anhedonia (chronic).
  • PDS results from reduced functional reserves due to sub-cortico-frontal alterations, exacerbated by aging, chronic illness, and acute events impacting cerebral blood flow.

Conclusions:

  • PDS management necessitates a comprehensive, multidisciplinary team including physicians, physiotherapists, psychologists, nurses, and care assistants.
  • Understanding the pathophysiology of sub-cortico-frontal lesions is key to effective PDS care.
  • Early identification and intervention are crucial for managing PDS and improving patient outcomes.