Functional Neurological Disorder Responds Favorably to Interdisciplinary Rehabilitation Models
Xavier F Jimenez1, Alix Aboussouan2, Joseph Johnson1
1Neurological Institute, Cleveland Clinic, Cleveland, OH.
Psychosomatics
|August 11, 2019
Summary
Interdisciplinary chronic pain rehabilitation programs significantly improved functioning in patients with Functional Neurological Disorder (FND). This approach reduced pain, depression, anxiety, and stress while enhancing physical capabilities.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Psychiatry
Background:
- Functional Neurological Disorder (FND) presents significant treatment challenges and incurs high healthcare costs.
- The efficacy of interdisciplinary chronic pain rehabilitation programs (iCPRPs) specifically for FND has not been previously evaluated.
Purpose of the Study:
- To determine the impact of iCPRPs on functional outcomes in patients diagnosed with FND.
Main Methods:
- A retrospective analysis of patient data from an Institutional Review Board-approved registry was conducted.
- Subjective (disability, depression, anxiety, stress) and objective (physical function tests) measures were collected pre- and post-iCPRP.
- Paired t-tests were used to compare pre- and post-intervention scores.
Main Results:
- Forty-nine FND patients demonstrated statistically significant improvements across all measured outcomes.
- Subjective scores for pain-related disability, depression, anxiety, and stress showed marked reductions (P < 0.001).
- Objective measures indicated significant enhancements in physical functioning, including timed up and go, stair climbing, and 6-minute walk tests.
Conclusions:
- Preliminary findings suggest that iCPRPs are a viable treatment model for FND.
- The study supports the integration of interdisciplinary care for improving FND patient outcomes.
- Further clinical investigation is warranted to explore broader implications.
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