Dissociative motor disorders — occupational dyskinesia

V.S. Tkachyshyn
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Abstract

Occupational dyskinesia is a functional damage to the central nervous system, characterized by an impaired coordination of precise movements that are necessary to perform certain operations. The disease develops gradually and manifests in employees with a long work experience. At the same time, other motor functions are preserved. There are convulsive, paretic, ataxic, trembling, neuralgic and mixed clinical forms of this pathology at the present stage. In the initial period, the diagnosis of occupational dyskinesia causes certain difficulties associated with the spread of symptoms exclusively to one action. It is also difficult to verify the presence of dyskinesia itself, which is described by a patient. Treatment should be started as early as possible, as it is effective only at the initial stage of the disease. A complete and sufficiently long cessation of professional activity is necessary. Treatment is long and comprehensive. Preventive measures involve the correct organization of work with an even distribution of professional workload. Since occupational dyskinesia is diagnosed late, at the stage of already developed clinical manifestations, the prognosis for recovery is doubtful. The professional prognosis is unfavorable. Patients need reorientation and retraining for related professions.
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分离性运动障碍--职业性运动障碍
职业性运动障碍是中枢神经系统的功能性损伤,其特征是执行某些操作所需的精确动作的协调性受损。这种疾病是逐渐发展的,多见于工作年限较长的员工。与此同时,其他运动功能得以保留。在现阶段,这种病症有抽搐型、瘫痪型、共济失调型、颤抖型、神经痛型和混合型临床表现。在初期阶段,职业性运动障碍的诊断会遇到一些困难,因为症状仅局限于一个动作。此外,根据患者的描述,也很难确认是否存在运动障碍。应尽早开始治疗,因为只有在疾病的初期阶段治疗才有效。必须完全和足够长时间地停止职业活动。治疗是长期而全面的。预防措施包括正确安排工作,平均分配职业工作量。由于职业运动障碍的诊断时间较晚,在临床表现已经出现的阶段,其康复预后值得怀疑。职业预后也不乐观。患者需要重新定位并接受相关职业的再培训。
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