title: Identifying patterns of psychogenic gait by video-recording.
abstract: OBJECTIVE
  Psychogenic gait is common in patients with medically unexplained neurological symptoms and provides significant challenges to healthcare providers. Clinicians may arrive at a correct diagnosis earlier if distinctive positive signs are identified and acknowledged. This study aims to offer a tool for identifying patterns of psychogenic gait based on positive signs in clinical settings.
  
  
  METHODS
  A video study with assessment of inter-rater reliability.
  
  
  METHODS
  Thirty consecutive patients diagnosed with psychogenic gait disturbance by neurologist before inclusion.
  
  
  METHODS
  In a gait laboratory patients were first categorized into 3 categories by 2 of the authors. Another rater was given both oral and written guidance and the next 3 raters only written information. Inter-rater reliability was estimated between the first and the 4 other ratings.
  
  
  RESULTS
  The main finding was that psychogenic gait could be categorized into 3 categories. These were: limping of 1 leg, limping of 2 legs; and truncal imbalance. Inter-rater reliability of the classification in the various categories was high.
  
  
  CONCLUSIONS
  The present study provides the clinician with 3 well-described patterns to examine for if a psychogenic gait disorder is suspected, thereby simplifying detection.
authors: Research Department, Vestfold Hospital Trust, Clinic Physical Medicine and Rehabilitation, Stavern, Norway. Anika.Jordbru@rehabilitering.net
authors: Anika Aakerøy
authors: AA
authors: Jordbru
authors: Liv Marit
authors: LM
authors: Smedstad
authors: Vegard Pihl
authors: VP
authors: Moen
authors: Egil Wilhelm
authors: EW
authors: Martinsen
mesh_terms: D000293:Adolescent; D000328:Adult; D003291:Conversion Disorder / Q000175:diagnosis*; D005260:Female; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D014741:Video Recording; D055815:Young Adult