Integrated model of care for functional movement disorder: targeting brain, mind and body.

Rehabilitation functional movement disorder (FMD) integrated care physiotherapy telerehabilitation

Journal

Disability and rehabilitation
ISSN: 1464-5165
Titre abrégé: Disabil Rehabil
Pays: England
ID NLM: 9207179

Informations de publication

Date de publication:
09 Jul 2024
Historique:
medline: 9 7 2024
pubmed: 9 7 2024
entrez: 9 7 2024
Statut: aheadofprint

Résumé

To describe the therapy approaches and clinical outcomes of an integrated care model for patients with functional movement disorder (FMD). A retrospective chart review was conducted for all treated individuals with a primary diagnosis of FMD between January 2020 and July 2022. Patients received time-limited integrated therapy ( Forty-eight patients completed treatment (42% male; mean age, 48.5 ± 16.6 years, median symptom duration 30 months). The most common presentations were gait disorder, tremor and mixed hyperkinetic FMD. Common comorbidities included pain and fatigue. Three-quarters of patients had a comorbid psychiatric diagnosis. There was a significant reduction in S-FMDRS score following therapy (71%, These findings support that a time-limited integrated model of care is feasible and effective in treating patients with FMD. An integrated approach that draws from both mental health and physiotherapy-oriented strategies reframes functional movement disorder treatment targets and clinical outcomes, influences triage criteria, and produces new and innovative therapies.Successful outcomes depend on triaging suitable participants and individualized treatment plans that focus on functional goals.Virtual telerehabilitation in functional movement disorder is effective and offers the opportunity to work with patients in real-time in the environment where they most often experience functional neurological symptoms.

Autres résumés

Type: plain-language-summary (eng)
An integrated approach that draws from both mental health and physiotherapy-oriented strategies reframes functional movement disorder treatment targets and clinical outcomes, influences triage criteria, and produces new and innovative therapies.Successful outcomes depend on triaging suitable participants and individualized treatment plans that focus on functional goals.Virtual telerehabilitation in functional movement disorder is effective and offers the opportunity to work with patients in real-time in the environment where they most often experience functional neurological symptoms.

Identifiants

pubmed: 38978472
doi: 10.1080/09638288.2024.2373775
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-9

Auteurs

Haseel Bhatt (H)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Integrated Movement Disorders Program, Toronto Rehabilitation Institute, Toronto, ON, Canada.

Lindsey MacGillivray (L)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Integrated Movement Disorders Program, Toronto Rehabilitation Institute, Toronto, ON, Canada.
Centre for Mental Health, University Health Network, and the Department of Psychiatry, University of Toronto, Toronto, ON, Canada.

Gabriela S Gilmour (GS)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.

Keschey Marcelle (K)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Integrated Movement Disorders Program, Toronto Rehabilitation Institute, Toronto, ON, Canada.

Laura Langer (L)

KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.

Sarah C Lidstone (SC)

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Integrated Movement Disorders Program, Toronto Rehabilitation Institute, Toronto, ON, Canada.

Classifications MeSH