A therapy-led, multidisciplinary programme for treatment-resistant functional fixed dystonia. Issue 7 (20th July 2020)

• Record Type: Journal Article
• Authors: Hsieh, Yvonne; Deshpande, Shaunak
• Is Part Of: BMJ case reports. Volume 13:Issue 7(2020)
• Publication Date: 2020-07-20
• Subjects: movement disorders (other than parkinsons) -- somatoform disorders -- physiotherapy (rehabilitation) -- cognitive behavioural psychotherapy; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-235213
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Functional neurological disorder (FND) describes various neurological symptoms that are not explained by an organic aetiology. The condition has a poor prognosis. Despite this, there is sparse research that informs clinical interventions for FND, particularly when treating functional fixed dystonia. Our article has outlined an intervention for a patient with a treatment-resistant functional fixed dystonia that was informed by a biopsychosocial model, which aimed to rehabilitate the patient's functional motor symptoms. This led to favourable outcomes including restoring full range of movement in the patient's right foot and improvements in routine outcome measurement scores. The patient also described the programme as life-changing and was able to re-engage in meaningful and purposeful activities.