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Neurology Minute

Specialist Physiotherapy for Functional Motor Disorder

Sep 6, 2024
In this insightful discussion, Dr. David Perez, a specialist in physiotherapy for functional motor disorder, teams up with Dr. Glenn Nielsen, an expert collaborator in treatment efficacy. They delve into a recent randomized control trial comparing specialist physiotherapy to standard treatments. While both methods led to patient improvement, the benefits of specialized physiotherapy emerged in secondary outcomes, highlighting its potential role in comprehensive care for functional motor disorder.
01:42

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Quick takeaways

  • Both specialist and usual physiotherapy were effective in improving physical functioning for individuals with functional motor disorder after 12 months.
  • Integration of physiotherapy within a multidisciplinary treatment plan is crucial for providing comprehensive care to patients with functional neurological disorders.

Deep dives

Comparing Treatment Approaches for Functional Motor Disorder

A randomized control trial involving 241 participants with functional motor disorder compared the effectiveness of specialist physiotherapy against treatment as usual physiotherapy. The primary outcome measured was the physical functioning domain of the SF36, and the results showed no significant difference between the two treatment groups after 12 months, indicating that both approaches were effective in improving physical functioning. However, the trial did reveal some secondary outcomes that favored specialist physiotherapy, suggesting that, while both types of treatment were beneficial, specialist physiotherapy may offer additional advantages in certain aspects. This highlights the need for a nuanced understanding of treatment options for individuals with functional motor disorder.

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