Physical therapy evaluation and treatment of functional movement disorders: A case series.
Background: Functional neurological disorder (FND) is prevalent in neurologic clinics. FND includes subtypes, such as Functional Movement Disorder (FMD), which involves movement-related symptoms. There is a lack of reproducible FMD treatment guidelines, especially in outpatient physical therapy (PT)...
| Publicado en: | Physiotherapy Theory & Practice Vol. 41; no. 11; pp. 2468 - 2480 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188855876&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188855876 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Nov2025 vid: 41 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188855876 185706341 188855876 188855876 10.1080/09593985.2025.2514126 188855876 ppf: 2468 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Physical therapy evaluation and treatment of functional movement disorders: A case series. aug: au: Mowry, Heather Perez, Erin Stillwell, Ashlea Shearin, Staci affil: Department of Physical Therapy, School of Health Professions, UT Southwestern Medical Center, Dallas, TX, USA sug: subj: Movement Disorders Rehabilitation Physical Therapy Methods Treatment Outcomes Evaluation Human Male Female Adult Aged Retrospective Design Record Review Case Studies Descriptive Statistics Gait Disorders, Neurologic Clinical Assessment Tools Patient-Reported Outcomes Outpatient Service Visual Analog Scaling Adult: 19-44 years Aged: 65+ years Male Female ab: Background: Functional neurological disorder (FND) is prevalent in neurologic clinics. FND includes subtypes, such as Functional Movement Disorder (FMD), which involves movement-related symptoms. There is a lack of reproducible FMD treatment guidelines, especially in outpatient physical therapy (PT). This case series aims to describe detailed interventions and outcomes for individuals with FMD in outpatient clinics. Case descriptions: Four patients with FMD, presenting with functional gait abnormality and tremors, participated in PT. Sessions lasted 45 min, once a week, with total number of visits based on individual progress. Interventions included mindfulness, gait training, tremor reduction strategies, motor retraining, and mirror feedback. Clinical outcomes: Our findings indicated meaningful improvements in objective measures. The Nine-Hole Peg Test improved by greater than 10 s on average, meeting or exceeding the minimal detectable change (MDC). Two patients improved on the Box and Blocks Test, exceeding the MDC of 5.5 blocks/minute. The Five Times Sit to Stand test showed an average improvement of 28.7 s, with all patients completing the test within the balance dysfunction cutoff. The change in gait speed for each patient exceeded the MCID of 0.1 to 0.2 m/s. Patient-reported outcomes, particularly in fatigue and pain (PROMIS-29®), demonstrated substantial improvements, with fatigue scores improving an average of 9.3 points. Conclusion: This case series highlights potential benefits of outpatient PT interventions in treating FMD. Detailed interventions can assist with treatment planning. The observed improvements in patients underscore the importance of intervention selection, paving the way for research to expand upon these promising outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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