Diagnostic Assessment of Movement Disorders and Psychomotor Deficiency in Residual Schizophrenia
DOI:
https://doi.org/10.3889/oamjms.2014.038Keywords:
schizophrenia residual type, movement disorders, psychomotor deficiency, clinical assessment.Abstract
Movement disorders and motor deficiency is highly represented among patients in Schizophrenia – residual type (DSM IV): 37% of patients examined in our research had psycho‑motor disturbances. Dominant disturbances are the following: disturbed tonus among 65% of patients, abnormal postural reactions among 90%, abnormal voluntary movements among 75%, disturbed speech among 85%, disturbed static and dynamic postures among 90%. Involuntary movements are present among 20% of patients.
Classic neurological diagnostics offers general assessment of the motor status. Standardized clinical motor scales only register the presence and intensity of the motor disturbance. Rehabilitation treatment requires individual and up to date functional diagnostics of the motor deficiency.
We would like to stress that psychiatric patients in psychotic, (prepsychotic) and postpsychotic states, besides being mentally ill, also suffer from serious movement disorders (psychomotor disturbances and deficits) which put them into the category of disabled persons, who besides requiring psychiatric (neuropsychiatric) treatment, also require systematic psychomotor and speech rehabilitation.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Kaplan HI, Sadock BJ, Grebb JA. Synopsis of Psychiatry, 7th Edition. Williams & Wilkins: Baltimore, 1994.
Ilankovic N, Ilankovic V. The Restorative Psychiatry, VIII World Congress of Psychiatry, Athens, 1989.
American Psychiatric Association. Diagnostic and Statistic Manual of Mental Disorders (DSM III R), 3rd ed. Revised APA, 1987.
Crow TJ. The Two syndrome Concept: Origins and Current Status, Schizophr. Bull. 1985;11:471. DOI: https://doi.org/10.1093/schbul/11.3.471
Ilankovic N, Jasovic Gasic M, Jasovic A. [Cerebral Pathology and Psychosis], Engrami. 1988; 1 2:19 25.
Manschreck T et al. Disturbed Voluntary Motor Activity in Schizophrenic Disorder. Psychological Medicine. 1982;12:73 84. DOI: https://doi.org/10.1017/S0033291700043300
Manschreck T et al. Psychopathology of Motor Behaviour in Schizophrenia. Progr In Exp Personality Research. 1983; 12:53 99.
Rogers D et al. The Motor Disorders of Severe Psychiatric Illnesses: A Conflict of Paradigms. British Journal of Psychiatry. 1985;142:1471 4.
Rogers D et al. The Motor Disorder of Mental Handicap: An Overlap With Motor Disorders of Severe Psychiatric Illnesses. British Journal of Psychiatry. 1991;158:97 102. DOI: https://doi.org/10.1192/bjp.158.1.97
Timotijevic I, Paunovic VR. [Instruments of Clinical Assessment in Psychiatry]. Naucna Knjiga: Beograd, 1992.
Ilankovic N et al. [Tardive Dyskinesia (TD) Prevention, Diagnostics, Treatment]. Engrami. 1990; 1 2.
Ilankovic V, Ilankovic N. [Schizophrenia An Illness of the Soul and/or Body Motor Deficiency in Schizophrenia, Assessment and Treatment]. CIBIF Medicinski fakultet: Beograd, 1995.
Boks MP, Liddle PF, Burgerhof JG, Knegtering R, Bosch RJ. Neurological soft signs discriminating mood disorders from first episode schizophrenia. Acta Psychiatr Scand. 2004; 110(1):29-35. DOI: https://doi.org/10.1111/j.1600-0447.2004.00298.x
Ilankovic V, Ilankovic N. Restorativna kineziterapija (4. izdanje). Medicinski fakultet - Fasper, Univerzitet u Beogradu: Beograd, 2013.
Ilankovic N, Ilankovic V. Restaurativna psihijatrija. Medicinski fakultet: Beograd, 2001.
Ilankovic V, Ilankovic N. Psihomotorni razvoj deteta (4. izdanje). Medicinski fakultet - Fasper, Univerzitet u Beogradu: Beograd, 2013.
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0
