Pringsheim, T; Edwards, M
(2017)
Functional movement disorders: Five new things.
Neurol Clin Pract, 7 (2).
pp. 141-147.
ISSN 2163-0402
https://doi.org/10.1212/CPJ.0000000000000350
SGUL Authors: Edwards, Mark John James
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Abstract
Purpose of review: Functional movement disorders (FMD) are commonly seen in neurologic practice, but are associated with poor outcomes. Recent years have seen a resurgence of interest in this area, with new developments in pathophysiologic understanding and therapeutic management. Recent findings: Individuals with FMD are a psychologically heterogeneous group, with many individuals having no detectable psychopathology on symptom screening measures, and possibly significant etiologically relevant life events only revealed through in-depth interviews. A randomized trial of specialist intensive physical rehabilitation compared to community-based neurophysiotherapy in FMD has demonstrated moderate to large effect sizes for both physical and social functioning outcomes. Experimental evidence suggests an impairment in the neural systems conferring a sense of agency over movement in individuals with FMD, and may explain why movements that appear voluntary are not experienced as such. Summary: The prognosis of individuals with FMD may be improved with greater access to appropriately organized care and treatment.
Item Type: | Article | ||||||||
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Additional Information: | © 2017 American Academy of Neurology | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Neuroscience (INCCNS) |
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Journal or Publication Title: | Neurol Clin Pract | ||||||||
ISSN: | 2163-0402 | ||||||||
Language: | eng | ||||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||||
PubMed ID: | 29185540 | ||||||||
Web of Science ID: | WOS:000398856700010 | ||||||||
Go to PubMed abstract | |||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/109499 | ||||||||
Publisher's version: | https://doi.org/10.1212/CPJ.0000000000000350 |
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