Abbasis: types and characteristics of this disability

There are different disorders or injuries that can hinder or hinder a person’s ability to walk.

One of those we can find is the abbey. Then we will find out what are the characteristics of this pathology, how it can come from and what are the possible treatments that can be applied to achieve improvement.

    What is the abbey?

    Abbey is a medical disorder that refers to a lack of ability in the subject who suffers to coordinate the movements necessary to be able to walk, Which would be a form of ataxia. As a result, the action of standing or taking measurements becomes difficult, if not impossible, depending on the severity of the abrasion in the subject.

    Those who can walk do so in an erratic and awkward manner, being very likely to fall to the ground, as the inability to coordinate means that the person needs a titanic effort to go through several steps in a row, if at all. .

    One of the problems that causes this condition to prevent the patient from walking is that the steps taken do not correspond to a general trend in terms of distance, so that sometimes shorter and sometimes longer steps are taken. move forward steadily, causing you to lose your balance frequently.

    Sometimes the abscess can be associated with another movement deficit called astasia, And this implies a lack of the subject’s ability to remain vertically, i.e. standing, without outside help (someone who cares about him or something to lean on).

    organic causes

    The abrasion results from damage to certain areas of the brain and can have a variety of origins. This can be caused, for example, by a strokeThat is to say a stroke, which would leave without oxygen a part of the brain involved in the movements necessary for walking.

    It can also be caused by a condition known as hydrocephalus, Which changes the pressure levels of the brain by an excess of cerebrospinal fluid surrounding this organ, and can therefore also damage some of its tissues, generating different pathologies depending on the affected area. One of them would be the abbey.

    Another disease that could end up causing difficulty in coordinating the stages is Parkinson’s disease, one of the most well-known neurological conditions. In the event of progressive degeneration of neuronal tissue, there may come a time when it hurts at critical points in the brain that allow us to walk, Beginning to suffer, from that moment, from abuse.

    There are lesser-known diseases, such as Guillain-Barré syndrome, which are also sometimes responsible for triggering the disorder in question. In this case, we would speak of an autoimmune disease, which gradually causes paralysis of the limbs, making it more and more difficult for the person to walk, apart from many other symptoms such as loss of feeling.

    However, in the case of Guillain-Barré syndrome, the healing ability of the patient is very good. Overall, up to 90% of people affected by this disorder improve and recover almost completely about twelve months after the onset of symptoms.

    Another reason that can generate an abbey would be any damage affecting the cerebellum, and more specifically in the part of the vermis, A tissue that connects the two hemispheres of the cerebellum itself, and is involved in the conscious proprioceptive processes of the individual.

      phobias

      We have toured many illnesses and injuries of an organic nature that could lead, among many other symptoms, to an abrasion. However, these are not the only ways that a person can have serious problems getting up and walking.

      And it is necessary not to lose sight of the psychological part of the subject and the power of certain irrational fears, such as phobias. In this way, there are different types of phobias that directly or directly affect a person’s ability to move around. using his feet.

      Basophobia

      One of them would be basophobia or basiphobia, a phobia consisting of a terrible fear of tripping and falling while we are walking, which blocks the subject in such a way that he can force him to sit or lie down all the time so as not to see this fear coming true that frightens him, which would be another form abrasion.

      It mostly occurs in the elderly, Who have already started to suffer from a degenerative process and do not feel safe to walk, as they fear the consequences of a possible fall, which could lead to serious injuries such as a fractured hip or other bones.

      It is also possible to have acquired this phobia due to an actual fall, which weakened the subject’s processing ability so much that their brain established not walking as a method to stop suffering such damage. This is a very common origin in various types of phobias (having suffered real damage and therefore avoiding the behavior that led to that first incident at all, so you never feel something like that again)

      Ecstasyphobia

      Another fear very similar to the previous one would be stasisiphobia, which instead of walking, it refers to the very fact of standingSo that would limit the other behavior, because of course you can’t walk if you’re not standing.

      In addition to staphylobia, other terms can also be found to refer to this same phobia which causes abrasion by psychological factors. Some of them would be ambulophobia, stasiphobia or stasophobia.

      There is basophobia

      Additionally, stasisiphobia can present in conjunction with basophobia, in what is called the clinical term stasobasophobia, a type of multiple phobia in which both behaviors would be affected.

      On the one hand, the person would be unable to stand up, due to the terror of the idea. But in addition, he could not consider walking, because this action, by itself, also causes fears in the person, which therefore she is unable to perform any task that involves moving her legs.

      type

      In abasias that have an organic base behind, there is a broad typology according to the implications of this restriction of movement of the legs. Let’s find out about the different types that we can meet.

      1. Barely tactical

      On the one hand we would find the atactic abbey, the one in which the subject experiences a lack of certainty while moving.

      2. Abia coreica

      Chorea abrasion, on the other hand, is said to be triggered by chorea (involuntary movements) that affects a person’s lower limbs.

      3.paralytic abrasion

      We would also find a paralytic type abscess, Caused by an inability of the patient to move the leg muscles and hence to suffer from an inability to walk.

        4. Asian spasticity

        This type of abrasion, the spastic, would produce when a dysfunction of the organism causes the leg muscles (at least these, because they are the ones that concern us) to stay tight all the time, Therefore making it difficult for the voluntary movement of the same.

        5.Asian spasmodic

        Spasmodic abrasion is similar to the previous type, but in this case muscles do not need to be constantly tenseBut the person would suffer from involuntary spasms which would contract and release them at random.

        6. Trembling Abbey

        In the case of a trembling abrasion, all the muscles involved in the movements necessary for taking steps would suffer from constant tremors, which would make walking difficult for the individual. This modality is also known as scraping abrasion.

        7. Abasia with astasia

        We have already argued before that abrasion can appear only as the difficulty of moving the legs to walk, but it can also lead to astasia, so that the individual would not even have the ability to stand up and stand up. but with great difficulty.

        This type of abrasion is also called Blocq disease., Known by this name for being a disorder first described by French physician Paul Blocq in the late 19th century.

        In this case, we would be talking about a type of ataxia that would lose the automatic ability we have to perform the movements involved in the act of walking, but the funny thing is that being supported he could move his legs and different muscle groups without any problem.

        In this case, the origin of the pathology would be in the substantia nigra of the basal ganglia, as we had already anticipated in the list of possible causes of certain types of abrasion.

        Bibliographical references:

        • Munford, PR, Paz, G. (1978). Differential care in the treatment of astasia-abasia. Journal of Behavioral Therapy and Experimental Psychiatry. Elsevier.
        • Okun, MS, Koehler, PJ (2007). Paul Blocq and astasia abasia (psychogenic). Official Journal of Movement Disorders.
        • Sinel, M., Eisenberg, MS (1990). Two unusual alterations in gait: astasia abasia and camptocormia. Archives of physical medicine and rehabilitation.
        • Stickler, GB, Cheung-Patton, A. (1989). Astasia-Abasia: prognosis of the conversion reaction. Clinical pediatrics.

        Leave a Comment