精神运动性适应障碍综合征:范围综述。

IF 3.5 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Antonella Merendino, France Mourey, Thomas Renoncourt, Sofia Da Silva, Mélanie Dipanda, Fabrice Larosa, Alain Putot, Patrick Manckoundia
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引用次数: 0

摘要

背景:精神运动不适应综合征(PDS)的临床特征包括姿势、步态、心理行为和神经系统障碍,这些障碍会增加跌倒的风险。精神运动性退化综合征于1986年被描述,在对其病理生理学理解的改进后,包括皮质下额叶病变的突出作用,被重新命名为PDS。由于衰老过程中的虚弱会导致PDS的出现,因此老年专业人员需要意识到它的存在。目的:对PDS的范围进行综述。此外,我们检索了流行病学研究并评估了PDS的所有方面是否得到认可。方法:研究从三个电子数据库(PubMed、Science Direct和谷歌Scholar)中检索,使用以下术语:精神运动不适应综合征、精神运动退行综合征、额叶-皮层下功能障碍综合征、向后失衡、后退、跌倒后综合征、反应性高张力、轴向运动障碍和老年人。结果:456篇入围文章中,45篇符合纳入标准。我们的研究结果表明,人们对PDS知之甚少,尤其是在法国以外,法国发表了最多关于该综合征的研究。在国外,只描述了三个方面(跌倒后综合症、后退和害怕跌倒)。通常,它们不被认为属于一种真正的综合症,而是一种迹象的关联。在14项研究中发现的跌倒后综合症是PDS中最著名和研究最多的方面。没有流行病学研究。结论:随着年老体弱人群的增多,PDS的发病率必然会上升。提高老年医学和医疗辅助专业人员对半死症的认识至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychomotor disadaptation syndrome: a scoping review.

Background: Clinical features of psychomotor disadaptation syndrome (PDS) include posture, gait, psycho-behavioral, and neurological disorders, which increase the risk of falling. Psychomotor regression syndrome, described in 1986, was renamed PDS following improvements in its pathophysiological understanding, including the preeminent role of subcortical-frontal lesions. Because frailty in aging contributes to the appearance of PDS, the geriatric professionals need to be aware of its existence.

Purpose: This article aims to provide a scoping review on PDS. Moreover, we searched for epidemiological studies and assessed whether or not all the aspects of PDS are recognized.

Methods: The studies were retrieved from three electronic databases (PubMed, Science Direct, and Google Scholar) using these terms: psychomotor disadaptation syndrome, psychomotor regression syndrome, frontal-sub-cortical dysfunction syndrome, backward disequilibrium, retropulsion, post-fall syndrome, reactional hypertonia, axial akinesia, and older adults.

Results: Out of 456 shortlisted articles, 45 met the inclusion criteria. Our results show that PDS is poorly known, especially outside of France, which had the largest number of published studies on this syndrome. Abroad, only three aspects have been described (post-fall syndrome, retropulsion, and fear of falling). Often, they are not recognized as belonging to a real syndrome, but rather an association of signs. Post-fall syndrome, found in 14 studies, is the best known and most studied aspect of PDS. There were no epidemiological studies.

Conclusion: With the increasing number of frail older adults, there will be an inevitable growth in the incidence of PDS. Raising awareness about PDS among medical and paramedical geriatrics professionals is essential.

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来源期刊
European Geriatric Medicine
European Geriatric Medicine GERIATRICS & GERONTOLOGY-
CiteScore
6.70
自引率
2.60%
发文量
114
审稿时长
6-12 weeks
期刊介绍: European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine. The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.
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