2015
DOI: 10.1007/s00415-014-7631-1
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Outcomes of a 5-day physiotherapy programme for functional (psychogenic) motor disorders

Abstract: Patients with functional motor disorder (FMD) are commonly seen by physiotherapists and there is growing evidence to support a physical rehabilitation approach. There are, however, few descriptions in the literature of the content of successful physiotherapy treatment. This prospective cohort study reports the practicalities and outcomes of a pilot 5-day physiotherapy programme. Patients were referred from a specialist movement disorders clinic. The treatment consisted of education and movement retraining, wit… Show more

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Cited by 110 publications
(96 citation statements)
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“…For example, a recent randomised trial of 3 weeks of inpatient physical rehabilitation for patients with functional gait disorder of 9 months duration showed a mean 7-point change in a 15-point functional mobility scale compared with controls 49. Another prospective study of 47 patients with a 5-year history of symptoms undergoing similar physically oriented 5-day physical treatment (with no formal psychological treatment) recorded a good outcome in 55% at follow-up 50. Cognitive-behavioural therapy was shown to be a promising treatment for patients with dissociative (non-epileptic) attacks in a randomised-controlled trial with a number needed to treat of 5, and there is a UK multicentre trial ongoing (http://www.codestrial.org).…”
Section: Stepped Care For Functional Neurological Disordersmentioning
confidence: 99%
“…For example, a recent randomised trial of 3 weeks of inpatient physical rehabilitation for patients with functional gait disorder of 9 months duration showed a mean 7-point change in a 15-point functional mobility scale compared with controls 49. Another prospective study of 47 patients with a 5-year history of symptoms undergoing similar physically oriented 5-day physical treatment (with no formal psychological treatment) recorded a good outcome in 55% at follow-up 50. Cognitive-behavioural therapy was shown to be a promising treatment for patients with dissociative (non-epileptic) attacks in a randomised-controlled trial with a number needed to treat of 5, and there is a UK multicentre trial ongoing (http://www.codestrial.org).…”
Section: Stepped Care For Functional Neurological Disordersmentioning
confidence: 99%
“…TENS (transcutaneous electrical nerve stimulation, producing a tingling sensation) has been tested as a potential treatment for patients with functional sensory loss to improve sensory awareness [82 && ,86]. Physiotherapy showed improvement of symptoms in 55% of patients at 3 months of follow-up [87]. Another randomized controlled study of physical rehabilitation in FMD reported symptom improvement in 72% of the intervention group (only 18% of the control group) [88 & ].…”
Section: Treatment and Outcomementioning
confidence: 99%
“…Treatment options for cranial functional movement disorders are based on case series, case reports, and expert opinion consensus rather than randomised controlled trials, although much better treatment evidence is now emerging for functional motor disorders [49][50][51][52] and non-epileptic seizures [53][54][55] . .…”
Section: General Conceptsmentioning
confidence: 99%