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Physiotherapy for functional motor disorders: a consensus recommendation.

Glenn Nielsen1, Jon Stone2, Audrey Matthews3

  • 1Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, UK Therapy Services, The National Hospital for Neurology and Neurosurgery, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|November 30, 2014
PubMed
Summary
This summary is machine-generated.

Physiotherapy is an effective treatment for functional motor disorder (FMD). Recommendations for FMD physiotherapy focus on a biopsychosocial approach, addressing beliefs and movement patterns for better patient outcomes.

Keywords:
NEUROPSYCHIATRYREHABILITATIONSOMATISATION DISORDER

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Psychiatry

Background:

  • Functional motor disorder (FMD) presents with weakness and paralysis, often managed by physiotherapists.
  • Existing literature lacks detailed physiotherapy protocols and evidence-based guidelines for FMD.
  • There is a need for structured recommendations for physiotherapy in FMD management.

Purpose of the Study:

  • To develop consensus-based recommendations for physiotherapy treatment in functional motor disorder.
  • To provide a framework for physiotherapy interventions based on current evidence and expert experience.

Main Methods:

  • A consensus meeting was convened involving experienced physiotherapists, neurologists, and neuropsychiatrists.
  • Recommendations were formulated based on a synthesis of existing evidence and clinical expertise in treating FMD.

Main Results:

  • Recommended physiotherapy for FMD should adopt a biopsychosocial etiological framework.
  • Treatment strategies include addressing illness beliefs, self-directed attention, and abnormal movement patterns.
  • Key interventions involve education, movement retraining, and self-management within a supportive context, with specific examples provided.

Conclusions:

  • Physiotherapy plays a crucial role in the multidisciplinary care of FMD patients.
  • Specific physiotherapy techniques show promise for FMD and warrant prospective evaluation.
  • Optimizing referral, treatment, and discharge processes is essential for comprehensive FMD management.