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[Functional motor disorders can be treated successfully].

Ugeskrift for laeger·2019

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[Functional neurological movement disorders].

Peter Arlien Søborg¹, Lis Albrechtsen, Hans Henrik Olsen

¹Peter.Arlien-Soeborg@regionh.dk.

Ugeskrift for Laeger

|December 21, 2017

Summary

Functional movement disorders are common neurological conditions with poor prognosis if untreated. Intense, multidisciplinary programs show promising effects, but treatment capacity is lacking.

Area of Science:

Neurology
Neuroscience
Movement Disorders

Background:

Functional movement disorders (FMDs) are characterized by motor dysfunctions not explained by neurological examination.
These disorders have a high prevalence (10-15%) in neurological patient groups.
Current understanding lacks explanatory hypotheses from neurological imaging, and untreated FMDs have a poor prognosis.

Purpose of the Study:

To review the treatment effects of intense, multidisciplinary programs for functional movement disorders.
To assess the current treatment capacity for FMDs in Denmark.

Main Methods:

Review of heterogeneous treatment studies focusing on intense, multidisciplinary programs for FMDs.
Analysis of treatment capacity within the Danish healthcare system.

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Main Results:

Heterogeneous studies indicate good and promising treatment effects from intense, multidisciplinary programs for FMDs.
There is a significant gap between promising treatment outcomes and actual treatment capacity in Denmark.

Conclusions:

Intense, multidisciplinary treatment programs show potential for improving outcomes in functional movement disorders.
Urgent need to increase treatment capacity in Denmark to address the prevalence and prognosis of FMDs.