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Psychomotor disadaptation syndrome: a scoping review
Antonella Merendino1, France Mourey2, Thomas Renoncourt1,2
1Pôle Personnes Âgées, Hospital of Champmaillot, Dijon Bourgogne University Hospital, Dijon, France.
European Geriatric Medicine
|March 13, 2025
Summary
Psychomotor disadaptation syndrome (PDS) is poorly recognized globally, despite its increasing incidence in frail older adults. Geriatric professionals must be aware of PDS to manage its associated posture, gait, and neurological disorders effectively.
Area of Science:
- Geriatric Medicine
- Neurology
- Public Health
Background:
- Psychomotor disadaptation syndrome (PDS) presents with posture, gait, psycho-behavioral, and neurological disorders, increasing fall risk in older adults.
- PDS, formerly psychomotor regression syndrome, is linked to subcortical-frontal lesions and frailty in aging.
- Geriatric professionals require awareness of PDS due to its association with aging-related frailty.
Purpose of the Study:
- To conduct a scoping review of psychomotor disadaptation syndrome (PDS).
- To identify and assess the recognition of all PDS aspects in existing literature.
- To search for epidemiological studies related to PDS.
Main Methods:
- A comprehensive literature search was performed across PubMed, Science Direct, and Google Scholar.
- Keywords included "psychomotor disadaptation syndrome," "psychomotor regression syndrome," and related terms for older adults.
- Forty-five articles were selected from 456 shortlisted for inclusion based on predefined criteria.
Main Results:
- Psychomotor disadaptation syndrome (PDS) is underrecognized globally, with most studies originating from France.
- Abroad, only "post-fall syndrome," "retropulsion," and "fear of falling" are described, often not as a distinct syndrome.
- Post-fall syndrome is the most recognized aspect of PDS, appearing in 14 studies; no epidemiological studies were found.
Conclusions:
- The incidence of PDS is expected to rise with the growing population of frail older adults.
- Enhanced awareness of PDS among geriatric healthcare professionals is crucial for timely diagnosis and management.
- Recognizing PDS as a distinct syndrome is essential for effective intervention in geriatric care.
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