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Since astasis itself is more a symptom than a disease, it is more often seen associated with other signs and symptoms. People who have astasis often experience
- Odd gyrations
- Tightrope balancing deficits (in which a person attempts to balance on a tightrope in order to test balance and motor coordination)
- Near falling deficits (which is a test in which the patient is slightly pushed in order to check their ability to regain posture)
- Exaggerated effort deficits (which is an overcompensation test used to determine motor coordination ability)
- Atypical postures and weakness
- Paralysis
- Jumping fits (in which motor control is partially or totally lost)
- Tremors
One study described a patient with astasis as lying in bed with a normal body posture. When the patient was sitting, he tilted his body to the left. When he was asked to stand up, the patient rotated his trunk axis to the left (left shoulder going backwards), and tilted his body to that same side, showing resistance to passive correction of posture in both of these planes. He was unable to stand and fell backwards and towards the left.
Weakness of the triceps surae muscle has been seen in many patients who have been diagnosed with astasis. This weakness can be caused by a myopathy to that muscle group. The bilateral triceps surae muscle, made up of the gastrocnemius and the soleus, is essential to maintain a straight posture while standing. This indicates that weakness to this muscle is the cause of the swaying and impaired posture in patients with astasis. This weakness is seen regardless of whether somatosensory feedback from the legs is impaired, suggesting it is one of the main causes of astasia without abasia.
Abasia (from Greek: "a-", without and "basis", step) is the inability to walk owing to impairment in motor coordination.
The term covers a spectrum of medical disorders such as:
- choreic abasia: caused by chorea of the legs
- paralytic abasia: caused by paralysis of the leg muscles
- spastic abasia: caused by spastic stiffening of the leg muscles
- trembling abasia: caused by trembling of the legs
Abasia is frequently accompanied by astasis, an inability to stand, see Astasia-abasia.