Distúrbios de movimento psicogênicos (DMP) são problemas de movimento de origem mental. Isso significa que eles não são causados por nenhuma doença física conhecida no cérebro, como danos na sua estrutura (tipo um machucado ou tumor) ou desequilíbrios na sua química. Em vez disso, esses distúrbios são a forma como um problema de saúde mental subjacente se manifesta, ou podem ser casos em que a pessoa está fingindo os sintomas. A maioria dos casos de DMP se encaixa na categoria de diagnóstico psiquiátrico conhecida como "transtorno conversivo", especificamente a que afeta os movimentos.
Introdução
O que você precisa saber de cara
Distúrbios de movimento psicogênicos (DMP) são problemas de movimento de origem mental. Isso significa que eles não são causados por nenhuma doença física conhecida no cérebro, como danos na sua estrutura (tipo um machucado ou tumor) ou desequilíbrios na sua química. Em vez disso, esses distúrbios são a forma como um problema de saúde mental subjacente se manifesta, ou podem ser casos em que a pessoa está fingindo os sintomas. A maioria dos casos de DMP se encaixa na categoria de diagnóstico psiquiátrico conhecida como "transtorno conversivo", especificamente a que afeta os movimentos.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 3 características clínicas mais associadas, ordenadas por frequência.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Alterações do movimento psicogênicas
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Publicações mais relevantes
Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.
Peripherally induced movement disorders (PIMD) are hyperkinetic movement disorders that can occur after injury to a part of the body. This study aimed to identify PIMD in the stomatognathic system following dental or oral surgical procedures. A total of 229 patients with PIMD (144 women and 85 men; mean age: 53.4 years) triggered by oral surgical or dental interventions were evaluated retrospectively. The average latency between the procedures and onset of PIMD was 14.3 days. Oral surgery (40.2%), including tooth extraction, trauma treatment, and other surgical procedures, was the most frequent trigger of PIMD. This was followed by general dental treatment, including periodontal, endodontic, and restorative procedures (36.7%), prosthetic treatment (19.7%), and orthodontic treatment (3.5%). PIMD consisted of oromandibular dystonia (73.8%), functional (psychogenic) movement disorders (11.4%), orolingual dyskinesia (7.9%), and hemimasticatory spasms (5.7%). These results suggest that even minor alterations in normal anatomy or physiology after dental procedures may result in PIMD in predisposing patients. Dental professionals should be aware that although infrequently, PIMD can develop after various dental treatments. If such symptoms precipitate, the attending physician should properly explain them to the patient and provide appropriate treatment or consultation with a movement disorder specialist.
An Individualized Yoga Intervention for People with Functional Neurological Disorder: Case Series.
Functional neurological disorder (FND) is a heterogeneous condition of neurological symptoms that cannot be linked to a specific neurological cause. Yoga combines movement, breathing, and meditation and has established mind-body effects for people who are managing both psychological and neurological conditions. This case series describes key components of a yoga program for people with FND, evaluating feasibility, acceptability, and efficacy via self-report surveys, clinical assessments, and postintervention interview. Four individuals with FND participated in 45-minute, one-to-one virtual yoga sessions, two times a week for 8 weeks. We measured outcomes in four domains (healthcare utilization, FND symptoms, quality of life and self-efficacy, and function and mobility) at baseline, week 4, and week 8. Assessments included the Psychogenic Movement Disorders Rating Scale, timed up-and-go test, Patient Health Questionnaire-15, Brief Illness Perceptions Questionnaire, 36-Item Short Form Health Survey, and University of Washington Self-Efficacy Scale. Four participants completed at least 8 sessions, and two completed the full intervention (16 sessions). There were no adverse events. Two participants reported positive changes after yoga and improved on all clinical assessments (timed up-and-go test and Psychogenic Movement Disorders Rating Scale). Postintervention interview analysis revealed three themes: negative diagnosis experience, perceived health effects of yoga, and session format preferences. This was an exploratory case series describing a yoga intervention that was associated with some benefits for people with FND (decreased FND symptom severity and increased function, perceived health, quality of life, and self-efficacy). A larger case series is warranted to understand how to best select individuals who would benefit from the program.
THE EFFICACY OF HIGH-FREQUENCY REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) ON FUNCTIONAL (PSYCHOGENIC) MOVEMENT DISORDERS.
Functional MRI connectivity of the primary motor cortex in functional dystonia patients.
Functional movement disorders include a wide spectrum of clinically documented movement disorders without an apparent organic substrate. To explore the functional connectivity (FC) of the primary motor (M1) cortex in functional dystonia (FD) patients relative to healthy controls, with a focus on different clinical phenotypes. Forty FD patients (12 fixed [FixFD]; 28 mobile [MobFD]) and 43 healthy controls (14 young FixFD-age-matched [yHC]; 29 old MobFD-age-matched [oHC]) underwent resting state fMRI. A seed-based FC analysis was performed using bilateral M1 as regions of interest. Compared to controls, FD patients showed reduced FC between left M1 and left dorsal anterior cingulate cortex, and between right M1 and left M1, premotor/supplementary motor area (SMA), dorsal posterior cingulate cortex (PCC), and bilateral precuneus. Relative to yHC, FixFD patients showed reduced FC between M1 and precuneus bilaterally. Compared to oHC, MobFD patients revealed reduced FC between right M1 and left M1, premotor/SMA, dorsal-PCC, bilateral primary sensory cortices and parieto-occipital areas, and increased FC of right M1 with right associative visual cortex and bilateral ventral-PCC. FixFD patients, relative to MobFD, showed lower FC between the right M1 and right associative visual area, and bilateral precuneus and ventral-PCC. This study suggests an altered brain FC of the motor circuit with areas involved in emotional processes and sense of agency in FD. FixFD patients showed FC abnormalities mainly in areas related to sense of agency, while MobFD in regions involved in sensorimotor functions (reduced FC) and emotional processing (increased FC).
In Patients With Functional Movement Disorders, Is Specialized Physical Therapy Effective in Improving Motor Symptoms?: A Critically Appraised Topic.
Functional movement disorders (FMD, aka psychogenic movement disorders) are very common and frequently chronic and disabling. Despite this, there is a paucity of evidence-based treatment to manage and alleviate these conditions. Specialized physical therapy (PT), involving sequential motor relearning and redirecting attention, has shown promise as a therapeutic intervention for motor symptoms. The objective of this study was to critically assess current evidence regarding specialized PT compared with usual care in improving motor symptoms among patients with FMD. This was addressed through the development of a structured critically appraised topic. This included a clinical scenario with a clinical question, literature search strategy, critical appraisal, results, evidence summary, commentary, and bottom-line conclusions. Participants included consultant and resident neurologists, a medical librarian, and content experts in the fields of physical medicine and rehabilitation, physical and occupational therapy, psychiatry, and psychology. A randomized controlled feasibility trial was identified and selected for critical appraisal. This study randomized 60 patients with FMD to a 5-day specialized outpatient PT program or to general outpatient PT referral, and measured patient-reported and clinician-measured outcomes. At 6 months, 72% of patients in the intervention group had a good outcome compared with 18% of control group patients. Patients in the specialized outpatient PT program had significantly better outcomes in 3 Short-Form 36 (SF36) domains (d=0.46 to 0.79) and multiple other scales of physical and social function as well as clinician-measured outcomes. The intervention resulted in 0.08 additional quality-adjusted life years in a cost-effective manner. Current evidence suggests that in patients with FMD, specialized PT improves motor symptoms in a clinically significant, sustained, and cost-effective manner. This promising intervention warrants further investigation and replication.
Publicações recentes
THE EFFICACY OF HIGH-FREQUENCY REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) ON FUNCTIONAL (PSYCHOGENIC) MOVEMENT DISORDERS.
Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.
An Individualized Yoga Intervention for People with Functional Neurological Disorder: Case Series.
In Patients With Functional Movement Disorders, Is Specialized Physical Therapy Effective in Improving Motor Symptoms?: A Critically Appraised Topic.
A Case of Chronic Functional Parkinsonism Treated Over 10 Years for the Diagnosis of Juvenile Parkinsonism.
📚 EuropePMC103 artigos no totalmostrando 80
THE EFFICACY OF HIGH-FREQUENCY REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) ON FUNCTIONAL (PSYCHOGENIC) MOVEMENT DISORDERS.
Psychiatria DanubinaPeripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.
Oral and maxillofacial surgeryAn Individualized Yoga Intervention for People with Functional Neurological Disorder: Case Series.
International journal of yoga therapyIn Patients With Functional Movement Disorders, Is Specialized Physical Therapy Effective in Improving Motor Symptoms?: A Critically Appraised Topic.
The neurologistA Case of Chronic Functional Parkinsonism Treated Over 10 Years for the Diagnosis of Juvenile Parkinsonism.
Turk psikiyatri dergisi = Turkish journal of psychiatryIncreased Incidence of Functional (Psychogenic) Movement Disorders in Children and Adults Amid the COVID-19 Pandemic: A Cross-sectional Study.
Neurology. Clinical practiceFunctional MRI connectivity of the primary motor cortex in functional dystonia patients.
Journal of neurologyOpinions and clinical practice of functional movement disorders: a nationwide survey of clinicians in China.
BMC neurologyIdentification and initial treatment of involuntary psychogenic movement (conversion) disorder in a 25-year-old male patient.
Clinical case reportsSuccessful Treatment of a Paroxysmal Kinesigenic Dyskinesia Patient with Carbamazepine-Induced Stevens-Johnson Syndrome Using Oxcarbazepine Monotherapy: A Case Report.
Case reports in neurologyAre functional movement disorder phenotypes or age at onset correlated with perfectionism or history of abuse?
Clinical parkinsonism & related disordersNew-Onset Movement Disorders Associated with COVID-19.
Tremor and other hyperkinetic movements (New York, N.Y.)A single-center series of 482 patients with functional motor disorders.
Journal of psychosomatic researchFunctional motor phenotypes: to lump or to split?
Journal of neurologySuggestibility as a valuable criterion for laboratory-supported definite functional movement disorders.
Clinical neurophysiology practiceFunctional (Psychogenic) Movement Disorders Presenting During Sleep.
Tremor and other hyperkinetic movements (New York, N.Y.)Video electroencephalogram combined with electromyography in the diagnosis of hyperkinetic movement disorders with an unknown cause.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyA Case of Psychogenic Myoclonus Responding to a Novel Transcranial Magnetic Stimulation Approach: Rationale, Feasibility, and Possible Neurophysiological Basis.
Frontiers in human neuroscienceA case of abdominal functional myoclonus analyzed by movement related cortical potentials.
Brain & development[Functional movement disorders in children and adolescents].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsClinical Characteristics of Functional Movement Disorders in the Stomatognathic System.
Frontiers in neurologyOpinions and clinical practices related to diagnosing and managing functional (psychogenic) movement disorders: changes in the last decade.
European journal of neurologyGender Differences in Functional Movement Disorders.
Movement disorders clinical practiceFunctional gait disorders, clinical phenomenology, and classification.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyShared demographics and comorbidities in different functional motor disorders.
Parkinsonism & related disordersClinical and neural responses to cognitive behavioral therapy for functional tremor.
NeurologyInternal Versus External Frame of Reference in Functional Movement Disorders.
The Journal of neuropsychiatry and clinical neurosciencesPsychogenic (Functional) Movement Disorders.
Continuum (Minneapolis, Minn.)Hiding in Plain Sight: Functional Neurological Disorders in the News.
The Journal of neuropsychiatry and clinical neurosciencesA physical therapy programme for functional motor symptoms: A telemedicine pilot study.
Parkinsonism & related disordersFunctional Speech and Voice Disorders: Case Series and Literature Review.
Movement disorders clinical practicePathogenesis and pathophysiology of functional (psychogenic) movement disorders.
Neurobiology of diseaseOnabotulinumtoxinA and cognitive behavioral therapy in functional dystonia: A pilot randomized clinical trial.
Parkinsonism & related disordersPrevalence of restless legs syndrome in functional movement disorders: a case-control study from the Czech Republic.
BMJ openQuality of life in functional movement disorders is as altered as in organic movement disorders.
Journal of psychosomatic researchPsychogenic movement disorders in children and adolescents: an update.
European journal of pediatricsNeuroimaging Applications in Functional Movement Disorders.
International review of neurobiologyAbnormal postural behavior in patients with functional movement disorders during exposure to stress.
PsychoneuroendocrinologyExposure and Response Prevention for Comorbid Symptoms of Obsessive-Compulsive Disorder and Psychogenic Movement Disorder.
The primary care companion for CNS disordersAcute hyperkinetic movement disorders in Italian paediatric emergency departments.
Archives of disease in childhoodMultidisciplinary clinic for functional movement disorders (FMD): 1-year experience from a single centre.
Journal of neurology, neurosurgery, and psychiatryPsychogenic Movement Disorders in Adults and Children: A Clinical and Video Profile of 58 Indian Patients.
Movement disorders clinical practiceThe most promising advances in our understanding and treatment of functional (psychogenic) movement disorders.
Parkinsonism & related disordersFunctional (psychogenic) stereotypies.
Journal of neurologyA Simplified Version of the Psychogenic Movement Disorders Rating Scale: The Simplified Functional Movement Disorders Rating Scale (S-FMDRS).
Movement disorders clinical practicePsychodynamic Psychotherapy for Functional (Psychogenic) Movement Disorders.
Journal of movement disordersExaminer manoeuvres 'sensory tricks' in functional (psychogenic) movement disorders.
Journal of neurology, neurosurgery, and psychiatryClinical decision-making in functional and hyperkinetic movement disorders.
NeurologyHyperkinetic psychogenic movement disorders remain a diagnosis at first sight.
NeurologyPsychogenic Movement Disorders and Dopamine Transporter Scans: Still a Clinical Diagnosis?
PsychosomaticsFunctional voice disorders: Clinical presentations and differential diagnosis.
Handbook of clinical neurologyPsychogenic (functional) parkinsonism.
Handbook of clinical neurologyPsychogenic Explanations of Physical Illness: Time to Examine the Evidence.
Perspectives on psychological science : a journal of the Association for Psychological ScienceLetter regarding article 'Freezing of gait associated with a corpus callosum lesion'.
Journal of clinical movement disordersMovement Disorders Presenting in Childhood.
Continuum (Minneapolis, Minn.)Childhood-Onset Movement Disorders: A Clinical Series of 606 Cases.
Movement disorders clinical practiceImpaired resting vagal tone in patients with functional movement disorders.
Parkinsonism & related disordersAre Patients with Psychogenic Movement Disorders More Likely to be Healthcare Workers?
Movement disorders clinical practicePsychogenic nonepileptic seizures and movement disorders: A comparative review.
Neurology. Clinical practiceNon-Invasive Brain Stimulation in Conversion (Functional) Weakness and Paralysis: A Systematic Review and Future Perspectives.
Frontiers in neuroscienceClinical signs in functional (psychogenic) gait disorders: a brief survey.
Journal of clinical movement disordersPsychogenic Ophthalmologic Movement Disorders.
The Journal of neuropsychiatry and clinical neurosciencesGender and Age Determinants of Psychogenic Movement Disorders: A Clinical Profile of 73 Patients.
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiquesPsychogenic movement disorder in human T-lymphotropic virus type 1 associated myelopathy.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious DiseasesCranial functional (psychogenic) movement disorders.
The Lancet. NeurologyPsychogenic speech disorder--a case report.
Psychiatria DanubinaElectrophysiological evaluation of psychogenic movement disorders.
Parkinsonism & related disordersFunctional (psychogenic) movement disorders - Clinical presentations.
Parkinsonism & related disordersSpeech and voice disorders in patients with psychogenic movement disorders.
Journal of neurologyA biological measure of stress levels in patients with functional movement disorders.
Parkinsonism & related disordersFunctional (psychogenic) movement disorders associated with normal scores in psychological questionnaires: A case control study.
Journal of psychosomatic researchSensory Attenuation Assessed by Sensory Evoked Potentials in Functional Movement Disorders.
PloS oneDiagnostic performance of the "Huffing and Puffing" sign in psychogenic (functional) movement disorders.
Movement disorders clinical practicePhenotype-specific diagnosis of functional (psychogenic) movement disorders.
Current neurology and neuroscience reportsParoxysmal non-kinesigenic dyskinesia, post-streptococcal syndromes and psychogenic movement disorders: a diagnostic challenge.
BMJ case reportsFunctional or psychogenic movement disorders: an endless enigmatic tale.
Frontiers in neurologyRepetitive transcranial magnetic stimulation plus standardized suggestion of benefit for functional movement disorders: an open label case series.
Parkinsonism & related disorders[Psychogenic movement disorders].
Tijdschrift voor psychiatrieRecognizing uncommon presentations of psychogenic (functional) movement disorders.
Tremor and other hyperkinetic movements (New York, N.Y.)Alexithymia in Neurological Disease: A Review.
The Journal of neuropsychiatry and clinical neurosciencesAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.
- An Individualized Yoga Intervention for People with Functional Neurological Disorder: Case Series.
- THE EFFICACY OF HIGH-FREQUENCY REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) ON FUNCTIONAL (PSYCHOGENIC) MOVEMENT DISORDERS.
- Functional MRI connectivity of the primary motor cortex in functional dystonia patients.
- In Patients With Functional Movement Disorders, Is Specialized Physical Therapy Effective in Improving Motor Symptoms?: A Critically Appraised Topic.
- A Case of Chronic Functional Parkinsonism Treated Over 10 Years for the Diagnosis of Juvenile Parkinsonism.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:71519(Orphanet)
- MONDO:0019114(MONDO)
- GARD:18914(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55788490(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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