Related Experiment Video
Updated: May 2, 2026
09:10
Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
Published on: February 22, 2020
8.6K
Factors Influencing Triage to Rehabilitation in Functional Movement Disorder
Gabriela S Gilmour1,2,3, Laura K Langer4, Haseel Bhatt1,4,5
1Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, ON, Canada.
Movement Disorders Clinical Practice
|February 22, 2024
Summary
Functional movement disorder (FMD) rehabilitation engagement depends on factors like movement type and patient traits. A tailored triage approach is key, with 90% of engaged patients showing improved outcomes.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Individualized treatment is crucial for functional movement disorder (FMD).
- Factors influencing engagement in FMD rehabilitation remain underexplored.
- Specialized FMD clinics can investigate treatment suitability and triage.
Purpose of the Study:
- To outline an approach for triaging patients to FMD rehabilitation.
- To identify factors associated with successful triage to FMD therapy.
Main Methods:
- Retrospective chart review of 158 patients with FMD.
- Integrated assessment by movement disorders neurology and psychiatry.
- Logistic regression to identify predictors of rehabilitation triage.
Main Results:
- 42% of patients were triaged to FMD therapy.
- Therapy candidates had constant movement disorders, gait/tremor issues, hyperarousal, readiness for change, and people-pleasing traits.
- Patients not triaged had diagnostic disagreement, dissociation, low self-agency, and cluster B traits.
- 90% of patients undergoing rehabilitation showed improved outcomes.
Conclusions:
- Rehabilitation engagement in FMD depends on factors distinct from diagnosis.
- A triage and treatment planning step is recommended for FMD.
- Transdisciplinary assessment and collaborative care are essential for effective FMD treatment.
Keywords:
functional movement disorderfunctional neurological disordermultidisciplinary treatmentrehabilitationtriageMore Related Videos
Related Concept Videos
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:20Exercise and Cardiovascular Response
6.7K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
6.7K
01:17Factors Affecting Renal Clearance: Renal Impairment
587
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
587