Here I review current evidence regarding the diagnosis, pathophysiology and management of functional gait disturbance with an emphasis on how to make a positive diagnosis and how to select the most appropriate treatment approach.

2016年2月12日 · Four signs of gait impairment have been documented in the course of examining patients with clinically definite functional (psychogenic) movement disorders: “huffing and puffing” during standing and walking, manipulation-resistance dorsiflexion of the first toe, fixed plantar flexion and inversion, and marked discrepancy between ambulation ...

Functional movement disorders (FMD), previously referred to as “psychogenic” movement disorders, are characterized by abnormal movements, postures or spasms, such as shaking (irregular tremor) or jerks (tic-like or myoclonic-like movements) involving any part of the face, neck, trunk or limbs.

2023年8月3日 · Functional movement disorder (FMD) is a subtype of functional neurological symptom disorder (conversion disorder) in which the primary manifestation is tremor, dystonia, gait disorder, or other abnormal movement.

Psychogenic dystonia (47%) was the most common manifestation, followed by tremor (40%) and gait disorder (13%). In 40% of patients, a single movement was present, whereas in 60%, multiple movement types were observed.

The aim of this article is to point out that an incongruity of gait disorder (either in relation to the presenting movement disorder or incongruity with any type of organic gait disorder) is a useful clue in diagnosing psychogenic movement disorders.

Psychogenic disorders of posture and gait are common and are the major manifestation in 8 to 10% of patients with psychogenic movement disorders. The colorful history of these disorders is reviewed. Anxiety and depression are the commonest psychological accompaniments of functional gait disorder in …

2020年6月1日 · For several reasons, the term functional gait disorder is preferred over psychogenic gait disorder. First, psychological distress is not always evident, 6 and functional gait disorders are often diagnosed in the absence of obvious precipitating stressors.

Psychogenic gait is a psychogenic motor disorder (PMD) that affects the ability to walk and is characterized by symptoms that are not explained by neurological disease. Diagnostic criteria for PMDs were first published by Fahn & Williams in 1988 (1).

2014年5月26日 · Psychogenic movement disorders (PMDs) are diagnostically challenging. 1, 2 An early diagnosis appears crucial for the outcome. 3 Typical clues from history include sudden onset, spontaneous remissions, psychiatric comorbidity, and secondary gain.