Dataset Information
Diagnostic performance of the "Huffing and Puffing" sign in psychogenic (functional) movement disorders.
Ontology highlight
ABSTRACT: Objective
To determine the diagnostic value of effort-associated behaviors ("huffing and puffing" spectrum) in patients with psychogenic movement disorders.Methods
Three blinded clinicians rated presence, severity, and duration of effort-associated features during standing and walking tasks on edited videos of 131 patients with psychogenic gait disorders and 37 patients with organic gait disorders.Results
Huffing, grunting, grimacing, and breath holding were the most common effort-associated behaviors in patients with psychogenic gait disorders, with a combined prevalence of 44% and disproportionate to the severity of gait impairment compared to organic gait disorders. The presence of "huffing and puffing"-type behaviors yielded a relatively low sensitivity but high specificity for the diagnosis of psychogenic movement disorders, increasing the odds of diagnosis 13-fold (95%, CI: 4.2-43.8) compared to organic gait disorders.Conclusions
Demonstration of effort-associated behaviors during standing and walking strongly supports the psychogenic nature of disorders when gait is involved.
SUBMITTER: Laub HN
PROVIDER: S-EPMC4422503 | biostudies-literature | 2015 Mar
REPOSITORIES: biostudies-literature
Publications
Diagnostic performance of the "Huffing and Puffing" sign in psychogenic (functional) movement disorders.
Movement disorders clinical practice 20150301 1
<h4>Objective</h4>To determine the diagnostic value of effort-associated behaviors ("huffing and puffing" spectrum) in patients with psychogenic movement disorders.<h4>Methods</h4>Three blinded clinicians rated presence, severity, and duration of effort-associated features during standing and walking tasks on edited videos of 131 patients with psychogenic gait disorders and 37 patients with organic gait disorders.<h4>Results</h4>Huffing, grunting, grimacing, and breath holding were the most comm ...[more]