Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients

ABSTRACT Background: Motor functional neurological disorder (mFND) is a common and disabling condition. There are no evidence-based guidelines for treatment. Long-term outcome is often poor. This study describes the epidemiological profile, symptom pattern and outcome of patients admitted to the B...

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Main Authors: Renata Valladão THEUER, Simone Vilela Nunes Neves, Ana Paula Silva CHAMPS
Format: Article
Language:English
Published: Thieme Revinter Publicações
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020005012101&lng=en&tlng=en
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author Renata Valladão THEUER
Simone Vilela Nunes Neves
Ana Paula Silva CHAMPS
author_facet Renata Valladão THEUER
Simone Vilela Nunes Neves
Ana Paula Silva CHAMPS
author_sort Renata Valladão THEUER
collection DOAJ
description ABSTRACT Background: Motor functional neurological disorder (mFND) is a common and disabling condition. There are no evidence-based guidelines for treatment. Long-term outcome is often poor. This study describes the epidemiological profile, symptom pattern and outcome of patients admitted to the Belo Horizonte unit of the SARAH Network of Rehabilitation Hospitals from 1997 to 2018 with functional motor symptoms resulting from functional neurological disorder. Methods: This retrospective study reviewed data from 185 patients who met inclusion criteria for mFND. Diagnoses were made by multiple professionals in the presence of positive signs and excluding other neurological and systemic conditions. Results: 75.1% were women; 48.3% were receiving social security benefits. The youngest was 3 years old, the oldest 69. 23.8% were in wheelchairs, 77.2% had psychiatric disorders, 69.7% participated in rehabilitation programs and, among them, 70% improved. Conclusion: Participation in rehabilitation is beneficial for patients with mFND. Symptoms lasting for less than 30 days and aged less than 18 years had better outcomes (p<0.001).
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-00b879b4fa524facbdd69eb0704cc6682025-08-20T03:16:51ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-422710.1590/0004-282x20200009S0004-282X2020005012101Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patientsRenata Valladão THEUERSimone Vilela Nunes NevesAna Paula Silva CHAMPSABSTRACT Background: Motor functional neurological disorder (mFND) is a common and disabling condition. There are no evidence-based guidelines for treatment. Long-term outcome is often poor. This study describes the epidemiological profile, symptom pattern and outcome of patients admitted to the Belo Horizonte unit of the SARAH Network of Rehabilitation Hospitals from 1997 to 2018 with functional motor symptoms resulting from functional neurological disorder. Methods: This retrospective study reviewed data from 185 patients who met inclusion criteria for mFND. Diagnoses were made by multiple professionals in the presence of positive signs and excluding other neurological and systemic conditions. Results: 75.1% were women; 48.3% were receiving social security benefits. The youngest was 3 years old, the oldest 69. 23.8% were in wheelchairs, 77.2% had psychiatric disorders, 69.7% participated in rehabilitation programs and, among them, 70% improved. Conclusion: Participation in rehabilitation is beneficial for patients with mFND. Symptoms lasting for less than 30 days and aged less than 18 years had better outcomes (p<0.001).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020005012101&lng=en&tlng=endoenças do sistema nervosotranstorno conversivotranstornos do movimentoreabilitação
spellingShingle Renata Valladão THEUER
Simone Vilela Nunes Neves
Ana Paula Silva CHAMPS
Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
Arquivos de Neuro-Psiquiatria
doenças do sistema nervoso
transtorno conversivo
transtornos do movimento
reabilitação
title Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
title_full Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
title_fullStr Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
title_full_unstemmed Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
title_short Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients
title_sort rehabilitation for motor functional neurological disorder a follow up study of 185 patients
topic doenças do sistema nervoso
transtorno conversivo
transtornos do movimento
reabilitação
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2020005012101&lng=en&tlng=en
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AT simonevilelanunesneves rehabilitationformotorfunctionalneurologicaldisorderafollowupstudyof185patients
AT anapaulasilvachamps rehabilitationformotorfunctionalneurologicaldisorderafollowupstudyof185patients