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The Combined Use of Transcranial Direct Current Stimulation and Robotic Therapy for the Upper Limb

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Published on: September 23, 2018

[Functional motor disorders can be treated successfully].

Peter Arlien-Søborg¹, Hans Henrik Olsen, Lis Albrechtsen

¹peter.arlien-soeborg@regionh.dk.

Ugeskrift for Laeger

|October 1, 2019

Summary

Functional neurological disorders, involving motor symptoms linked to psychological stress, can be effectively treated. A combination of physiotherapy and psychological intervention rapidly restored function in an 18-year-old gymnast.

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Structured Motor Rehabilitation After Selective Nerve Transfers

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Area of Science:

Neurology
Psychiatry
Rehabilitation Medicine

Background:

Functional neurological disorders (FNDs) present with motor impairments often triggered by psychological stress.
This case involves an 18-year-old female gymnast experiencing significant motor dysfunction after a severe fall.
The patient had undergone prior physical rehabilitation and was treated for comorbid depression.

Observation:

The patient was admitted to a specialized neurology department for treatment.
Initial mobility was severely limited, requiring assistance for basic activities like pool entry.
Treatment involved a multidisciplinary approach combining physiotherapy and psychological interventions.

Findings:

Significant functional recovery was observed within three weeks of combined treatment.
The patient regained the ability to walk and ride a bicycle normally.
Symptom resolution was maintained at a three-month follow-up assessment.

Implications:

This case highlights the efficacy of integrated physiotherapy and psychological treatment for FNDs.
Early and comprehensive intervention can lead to rapid and sustained recovery in young FND patients.
Further research into combined treatment modalities for functional neurological disorders is warranted.