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Functional movement disorders: Five new things.

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
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)
Journal or Publication Title: Neurol Clin Pract
ISSN: 2163-0402
Language: eng
Dates:
DateEvent
April 2017Published
24 March 2017Published Online
23 January 2017Accepted
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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