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 Bel...

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Published inArquivos de neuro-psiquiatria Vol. 78; no. 6; pp. 331 - 336
Main Authors THEUER, Renata Valladão, Neves, Simone Vilela Nunes, CHAMPS, Ana Paula Silva
Format Journal Article
LanguageEnglish
Published Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil Thieme Revinter Publicações Ltda 01.06.2020
Arquivos de Neuro-Psiquiatria
Academia Brasileira de Neurologia - ABNEURO
Academia Brasileira de Neurologia (ABNEURO)
Subjects
doenças do sistema nervoso
Epidemiology
Mental disorders
Neurological disorders
NEUROSCIENCES
Patients
PSYCHIATRY
reabilitação
Rehabilitation
transtorno conversivo
transtornos do movimento
Transtorno Conversivo
Doenças do Sistema Nervoso
Reabilitação
Conversion Disorder
Transtornos do Movimento
Rehabilitation
Movement Disorders
Nervous System Diseases
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Summary: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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ISSN:0004-282X
1678-4227
1678-4227
DOI:10.1590/0004-282X20200009