Physical Rehabilitation of Motor Functional Neurological Disorders: A Narrative Review

Ayelet N. Kelmanson, Leonid Kalichman () and Iuly Treger
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Ayelet N. Kelmanson: Department of Physical Therapy, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel
Leonid Kalichman: Department of Physical Therapy, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel
Iuly Treger: Department of Rehabilitation, Soroka Medical Center, Beer Sheva 84105, Israel

IJERPH, 2023, vol. 20, issue 10, 1-9

Abstract: Functional Neurological Disorders (FNDs) are one of the most common and disabling neurological disorders, affecting approximately 10–30% of patients in neurology clinics. FNDs manifest as a range of motor, sensory, and cognitive symptoms that are not explained by organic disease. This narrative review aims to assess the current state of knowledge in physical-based rehabilitation for motor/movement FNDs in the adult population, with the goal of improving research and medical care for this patient population. To ensure optimal outcomes for patients, it is critical to consider several domains pertaining to FNDs, including which field of discipline they should belong to, how to investigate and test, methods for rating outcome measures, and optimal courses of treatment. In the past, FNDs were primarily treated with psychiatric and psychological interventions. However, recent literature supports the inclusion of physical rehabilitation in the treatment of FNDs. Specifically, physical-based approaches tailored to FNDs have shown promising results. This review utilized a comprehensive search of multiple databases and inclusion criteria to identify relevant studies.

Keywords: functional neurological disorders; functional motor disorders; conversion disorder; physical rehabilitation; medical care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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