Which factors predict outcome from specialist physiotherapy for functional motor disorder? Prognostic modelling of the Physio4FMD intervention

Journal of Psychosomatic Research, Journal Year: 2025, Volume and Issue: 190, P. 112056 - 112056

Published: Feb. 11, 2025

Language: Английский

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Functional dysphagia: Developing a framework for assessment and treatment

International Journal of Speech-Language Pathology, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 16

Published: March 11, 2025

Purpose Functional dysphagia is complex, affecting physical health as well wellbeing. In this expert opinion paper with associated exemplar case series, we propose a framework for understanding functional dysphagia.

Language: Английский

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Tolerating Uncertainty as a Transdiagnostic Construct and Treatment Target in Functional Motor Disorder

Neurorehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: March 20, 2025

Background Intolerance of Uncertainty (IU) has never been explored in functional motor disorder (FMD) or any neurological but perceptions control are theoretically relevant. Objective To evaluate if IU changes people with FMD completing intensive 1-week retraining treatment, and change associates outcome. Methods A consecutive cohort 45 patients completed a outpatient treatment. At program beginning end, self-rated using the Scale-12 (IUS-12) four impairment measures. Paired t-tests analyzed outcomes. Linear regressions association strength between Results improved treatment (p < 0.001). Pre- to post-treatment was 32/45 (71%), stable 5/45 (11%), worsened 8/45 (18%). Age, symptom duration, phenotype did not predict improvement. Self-rated function across measures Program positively predicted outcome on 3 4 Conclusions improves rehabilitation, even without explicit psychological focus regardless age phenotype. Improving positive outcomes suggesting an important target FMD.

Language: Английский

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Cost Utility of Specialist Physiotherapy for Functional Motor Disorder (Physio4FMD)

Neurology Clinical Practice, Journal Year: 2025, Volume and Issue: 15(3)

Published: April 3, 2025

Functional motor disorder (FMD), a motor-dominant variant of functional neurologic disorder, is disabling condition associated with high health and social care resource use poor employment outcomes. Specialist physiotherapy presents possible treatment option, but there limited evidence for clinical effectiveness cost-effectiveness. Physio4FMD multicenter randomized controlled trial specialist FMD compared as usual (TAU). The aim the analysis was to conduct based on economic evaluation TAU. Eleven centers in England Scotland participants 1:1 or TAU (referral community physiotherapy). Participants completed EuroQoL EQ-5D-5L, Client Service Receipt Inventory, Work Productivity Activity Impairment Questionnaire at baseline, 6 months, 12 months. mean incremental cost per quality-adjusted life year (QALY) over months calculated from wider societal perspective. probability cost-effectiveness 95% CIs were using bootstrapping. included 247 (n = 141 physiotherapy, n 106 TAU). participant £646 (SD 72) £272 374) Including costs treatment, adjusted £3,814 (95% CI £3,194-£4,433) £3,670 £2,931-£4,410) TAU, £143 £-825 £1,112). There no significant difference QALYs 12-month duration (0.030, -0.007 0.067). QALY £4,133 an 86% being cost-effective £20,000 threshold. When broader such loss productivity taken into consideration, dominant (incremental cost: £-5,169, £-15,394 £5,056). costs. that particularly when are account. International Standard Randomised Controlled Trial registry, ISRCTN56136713.

Language: Английский

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Biomarkers and Rehabilitation for Functional Neurological Disorder

Published: July 23, 2024

Functional neurological disorder, or FND, is widely misunderstood, particularly when considering recent research that suggests the illness has a biological rather than psychiatric basis. Nonetheless, long-held view FND purely disorder without basis, even contrived (malingered) illness, remains pervasive both in modern medical care and general society. This because involves an intermittent course of involuntary disability rapidly alternates with improved control. turn caused shaming, low self-efficacy, social isolation patients. Little examined numerous biomarkers are shared between canonical disorders encouraging outcomes can follow conventional rehabilitation, modified for this disorder. review summarizes current on physical rehabilitation results. General healthcare providers would benefit their patients through understanding recourses support treatment provided review.

Language: Английский

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Progress in physical therapy for functional motor disorder

The Lancet Neurology, Journal Year: 2024, Volume and Issue: 23(7), P. 650 - 651

Published: May 17, 2024

Language: Английский

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Cognitive function in people with functional seizures

The Lancet Neurology, Journal Year: 2024, Volume and Issue: 23(8), P. 759 - 761

Published: July 17, 2024

Language: Английский

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Opinions and experience of neurologists and neurology trainees in Saudi Arabia on functional neurological disorders: a survey based study

BMC Neurology, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 29, 2024

Functional Neurological Disorder (FND) is commonly encountered in clinical practice, causing functional impairment and poor quality of life. As there limited data from Saudi Arabia, our study aims to explore the experience opinions neurologists neurology trainees regarding FND.

Language: Английский

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Biomarkers and Rehabilitation for Functional Neurological Disorder

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(9), P. 948 - 948

Published: Sept. 7, 2024

Functional neurological disorder, or FND, is widely misunderstood, particularly when considering recent research indicating that the illness has numerous biological markers in addition to its psychiatric disorder associations. Nonetheless, long-held view FND a mental without basis, even contrived (malingered) illness, remains pervasive both current medical care and general society. This because involves intermittent disability rapidly involuntarily alternates with improved control. turn caused shaming, perceived low self-efficacy, social isolation for patients. Until now, biomarker reviews tended not examine features are shared canonical disorders. review, contrast, examines on biomarkers, particular their overlap disorders, along encouraging outcomes physical rehabilitation trials FND. These findings support perspective endorsed here unquestionably also associated many lie outside of central nervous system. results suggest entails multiple abnormalities distributed body. General healthcare providers would benefit patients through understanding recourses treatment provided this review.

Language: Английский

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How to Best Treat Functional Motor Disorders?

Neurology Today, Journal Year: 2024, Volume and Issue: 24(19), P. 10 - 14

Published: Oct. 3, 2024

Language: Английский

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