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Physical therapy management for conversion disorder: case series.

Debra Ness1

  • 1Mayo Clinic, Rochester, Minnesota, MN, USA. ness.debra@mayo.edu

Journal of Neurologic Physical Therapy : JNPT
|April 11, 2007
PubMed
Summary
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Physical therapy effectively treats conversion disorder, a condition causing unexplained sensory and motor deficits. Behavioral modification and progressive exercises led to full symptom resolution and return to daily activities for three patients.

Area of Science:

  • Neurology
  • Psychiatry
  • Physical Therapy

Background:

  • Conversion disorder involves unexplained sensory and motor dysfunctions.
  • Effective management is crucial, yet physical therapy's role is often overlooked.
  • Limited reports detail specific physical therapy principles for conversion disorder.

Observation:

  • Three female patients (18, 20, 34 years old) with conversion disorder were treated in an inpatient rehabilitation setting.
  • Treatment utilized behavioral modification and shaping techniques.
  • Abnormal movements were ignored; correct movements were reinforced with feedback.

Findings:

  • All patients demonstrated complete symptom resolution.
  • Patients regained independent mobility, living, and returned to work or school.

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Implications:

  • Physical therapy offers a viable treatment for conversion disorder.
  • Behavioral modification and progressive exercise are effective strategies.
  • This approach can improve patient outcomes and functional independence.