功能性运动和步态障碍:年龄问题?
Gilbert Kanyinda Kayombo1, Tatiana Witjas2, Camille Comet2
1Department of Neurology and Movement Disorders, Timone University Hospital, Marseille, France; Department of Neuropsychiatry, University Clinics of Mbujimayi, Mbujimayi, Democratic Republic of the Congo.
Journal of psychosomatic research
|November 26, 2025
概括
老年人更有可能在功能神经障碍 (FND) 中经历功能步行障碍 (FGD). 这项研究强调了FND表型中的与年龄相关的差异,影响了患者的治疗结果和康复需求.
科学领域:
- 神经学 神经学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 功能神经障碍 (FND) 是普遍存在的,并显著影响患者的生活质量.
- 功能性运动障碍 (FMD) 和功能性步态障碍 (FGD) 是FND谱的关键组成部分.
- 了解FND表型对于有效的患者管理至关重要.
研究的目的:
- 描述口和病的临床特征.
- 在FND表型中识别与年龄相关的模式.
- 探索FND,年龄和临床结果之间的关联.
主要方法:
- 从2016年到2024年,在三个神经中心对68名FND患者进行了回顾性审查.
- 标准化数据收集,包括人口统计和临床结果.
- 分析患者数据,分类为口病,黄病和混合表型.
主要成果:
- 在老年患者中 (平均年龄为63.0岁) 与口炎 (平均年龄为47.2岁) 相比,FGD的流行率更高.
- 震是最常见的口病 (70.3%),而阿斯塔西亚-阿巴西亚主导着FGD (57.1%).
- 较高的随访损失 (53%) 与缺乏康复有关;20.6%的情况有所改善,26.5%的情况稳定.
结论:
- 发病年龄在FND显着与表型相关,FGD在老年人中更常见.
- 社会对衰老和流动性的看法可能会影响FGD的流行率.
- 有针对性的康复策略对于改善FND患者的治疗结果至关重要.
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