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Updated: Jun 20, 2026
09:34
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
22.0K
Long-Term Outcome of Motor Functional Neurological Disorder After Rehabilitation
Thibault Schneider1, Beatrice Leemann2,3, Nicolas Nicastro2,3
1Division of Neurorehabilitation, Department of Clinical Neurosciences, Geneva University Hospitals, Geneva, Switzerland. thibault-geoffrey.schneider@hcuge.ch.
Journal of Clinical Neurology (Seoul, Korea)
|September 3, 2024
Summary
Inpatient rehabilitation significantly improves outcomes for functional neurological disorder (FND) patients, with long-term benefits observed. Absence of comorbid psychiatric disorders predicts a good outcome in FND rehabilitation.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Psychiatry
Background:
- Functional neurological disorder (FND) presents with neurological symptoms inconsistent with disease.
- Understanding long-term outcomes of FND rehabilitation is crucial.
Purpose of the Study:
- To determine the long-term outcome of FND patients undergoing inpatient rehabilitation.
- To identify predictors of a good outcome in FND rehabilitation.
Main Methods:
- Retrospective study of 30 FND patients.
- Multidisciplinary graded exercise program with physiotherapy, occupational therapy, and psychological support.
- Functional Independence Measure (FIM) scale assessed at admission, discharge, and 36-month follow-up.
Main Results:
- Significant improvement in FIM scores from admission to discharge (p<0.001).
- Sustained FIM scores at discharge and 36-month follow-up (p=0.54).
- Absence of comorbid psychiatric disorders predicted a good long-term outcome (OR=10.7, p=0.039).
Conclusions:
- Intensive inpatient rehabilitation is effective for motor FND.
- Favorable long-term results suggest sustained benefits.
- Further research with larger cohorts is needed to standardize management protocols.
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