Lepage S, Gillain S, Petermans J
Université de Liège, Belgique.
Rev Med Liege. 2012 Feb;67(2):75-80.
Psychomotor disadaptation syndrome is a typical geriatric clinical syndrome. It includes postural disorders such as body retropulsion, specific gait disorders, with axial akinesia and hypertonia, and psychobehavioral disorders akin to those found in depression. The diagnosis is essentially based on clinical observation rather than on iconographic data. This syndrome causes falls which induce a fear of falling. The old patient has a tendency to put himself down, to withdraw from society and to lose autonomy. This article briefly describes the physiopathology of the syndrome, recalls the diagnostic tools, and makes some suggestions regarding the care of patients suffering from this clinical entity.
精神运动适应不良综合征是一种典型的老年临床综合征。它包括姿势障碍，如身体后倾、特定的步态障碍，伴有轴性运动不能和张力亢进，以及类似于抑郁症中出现的心理行为障碍。诊断主要基于临床观察而非影像学数据。该综合征会导致跌倒，进而引发跌倒恐惧。老年患者有自我贬低、退出社会和丧失自主性的倾向。本文简要描述了该综合征的病理生理学，回顾了诊断工具，并对患有这种临床病症的患者的护理提出了一些建议。
