Psychomotor disadaptation syndrome. A new clinical entity in geriatric patients.
Psychomotor Disadaptation Syndrome (PDS) is characterized by backward disequilibrium in a sitting and standing position, reactional hypertonia, an alteration of postural reactions, gait modifications, and fear of falling. PDS may be the result of a loss of postural reserves, reaching a frailty threshold that does not allow subjects to maintain an adequate functional level. This clinical picture may be associated with frontal-subcortical dysfunction in which microangiopathy could play a key role. PDS may be triggered by numerous factors, such as cardiovascular and metabolic diseases, falls, and bed rest. In addition to medical and neurological evaluations, a specific rehabilitation program is one of the most important aspects of the management of patients showing PDS.
Mourey
France
F
Centre Hospitalier Regional et Universite de Dijon, France.
Manckoundia
P
P
Martin-Arveux
I
I
Tavernier-Vidal
Beatrice
B
Pfitzenmeyer
Pierre
P
D000368:Aged; D000375:Aging / Q000502:physiology; D005684:Gait; D006801:Humans; D004856:Postural Balance; D011187:Posture; D011596:Psychomotor Disorders / Q000175:diagnosis / Q000628:therapy; D012678:Sensation Disorders / Q000175:diagnosis / Q000628:therapy; D013577:Syndrome