What Causes a Person to Walk Bent Over

Review

. 2010 Aug;19(8):1229-37.

doi: 10.1007/s00586-010-1370-five. Epub 2010 Mar 19.

Camptocormia: the bent spine syndrome, an update

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• PMID: 20300781
• PMCID: PMC2989190
• DOI: ten.1007/s00586-010-1370-5

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Review

Camptocormia: the bent spine syndrome, an update

Thibaut Lenoir  et al. Eur Spine J. 2010 Aug .

Free PMC article

Abstract

Camptocormia, also referred to as bent spine syndrome (BSS) is defined as an abnormal flexion of the torso, appearing in standing position, increasing during walking and abating in supine position. BSS was initially considered, especially in wartime, equally a psychogenic disorder. It is now recognized that in addition to psychiatric syndromes, many cases of reducible BSS take a somatic origin related to a number of musculo-skeletal or neurological disorders. The majority of BSS of muscular origin is related to a chief idiopathic axial myopathy of belatedly onset, appearing progressively in elderly patients. Diagnosis of axial myopathy beginning described by Laroche et al. is based upon CT/MRI examination demonstrating massive fatty infiltration of paravertebral muscles. The non-specific histological aspect includes an extensive endomysial fibrosis and fat tissue with irregular degenerated fibers. Weakness of the paravertebral muscles can be secondary to a broad multifariousness of diseases generating diffuse pathologic changes in the muscular tissue. BSS tin exist the predominant and sometimes revealing symptom of a more than generalized muscular disorder. Causes of secondary BSS are numerous. They must be carefully assessed and ruled out before considering the diagnosis of master centric myopathy. The principal etiologies include on the 1 hand inflammatory myopathies, muscular dystrophies of late onset, myotonic myopathies, endocrine and metabolic myopathies, and on the other hand neurological disorders, principally Parkinson's affliction. Camptocormia in Parkinsonism is caused by axial dystonia, which is the hallmark of Parkinson'due south disease. There is no specific pharmacologic treatment for primary axial myopathy. Full general activity, walking with a cane, physiotherapy, and exercises should be encouraged. Handling of secondary forms of BSS is dependent upon the diverseness of the disorder generating the muscular pathology. Pharmacologic and general management of camptocormia in Parkinson's disease merge with that of Parkinsonism. Levodopa handling, commonly active on tumor rigidity and akinesia, has poor or negative effect on BSS.

Figures

Fig. 1

Clinical photo showing the flexed posture (a) abating when lying down (b)

Fig. ii

CT-scan of an idiopathic bent spine (L5 level): fatty infiltration of spinal muscles with constant muscle book

Fig. three

Spinal muscle biopsy showing intense endomysial eolith of fibrosis (green) and fat infiltration. We can as well observe irregular distribution of involuted muscle fibers. (Trichrome, original magnification ×100)

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Source: https://pubmed.ncbi.nlm.nih.gov/20300781/

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