Conversion motor paralysis disorder: overview and rehabilitation model

It is important to consider a differential diagnosis between paralysis on an organic basis and paralysis and disability due to psychological mechanisms in people with physical impairment secondary to trauma, without evidence of organic etiology. We review the most dramatic type of conversion disorde...

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Bibliographic Details
Published inSpinal cord Vol. 40; no. 7; pp. 327 - 334
Main Authors HERUTI, R. J, LEVY, A, ADUNSKI, A, OHRY, A
Format Journal Article
LanguageEnglish
Published London Nature Publishing 01.07.2002
Nature Publishing Group
Subjects
Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Behavior Therapy
Biological and medical sciences
Conversion Disorder - complications
Conversion Disorder - diagnosis
Conversion Disorder - rehabilitation
Diagnosis, Differential
Factitious Disorders - diagnosis
Humans
Malingering - diagnosis
Medical sciences
Miscellaneous
Multiple Sclerosis - diagnosis
Myasthenia Gravis - diagnosis
Paralysis - diagnosis
Paralysis - etiology
Paralysis - rehabilitation
Physical Therapy Modalities
Prognosis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Tropical medicine
Human
Neurosis
Nervous system diseases
Treatment
Motor system disorder
Models
Review
Paralysis
Rehabilitation
Conversion
Interdisciplinary field
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Summary:It is important to consider a differential diagnosis between paralysis on an organic basis and paralysis and disability due to psychological mechanisms in people with physical impairment secondary to trauma, without evidence of organic etiology. We review the most dramatic type of conversion disorder (CD)-'Conversion Motor Paralysis'. Recent important medical literature concerning the accepted treatment and rehabilitation management will be reviewed and discussed. The inter-disciplinary in-patient team management approach in a rehabilitation setting offers the benefits of a comprehensive assessment and treatment. The diagnosis is temporary and conditional, since there may be a long delay until the appearance of organic findings. A complete medical assessment is essential in order to rule out any possibility of an organic etiology. In as many as 25% to 50% of patients diagnosed as conversion, an organic medical diagnosis was found.
Bibliography:ObjectType-Article-2
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ISSN:1362-4393
1476-5624
DOI:10.1038/sj.sc.3101308