Caceres, Gabriella

Gorman, Sean

Guy, Lisette

Harrison, Simon

Hsieh, Yvonne

Jackson, Temeika

Petty, Demelza

Pick, Susannah

Wilson, Jennifer

English

Objectives: We report routinely collected outcome data from an 8-week outpatient rehabilitative therapy programme. The aims of the intervention were to (1) reduce symptom severity and (2) improve functional mobility in adults with functional neurological disorder (FND). Methods: The programme delivered individual physiotherapy, cognitive behavioural therapy (CBT) and self-management sessions, group physiotherapy, and psychoeducation. Outcome measures included the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI-II), Work and Social Adjustment Scale (WSAS), 10-Metre Walk Test (10MWT), Timed Up and Go (TUG), and Berg Balance Scale (BBS). Data were analysed retrospectively in accordance with routine service evaluation. Wilcoxon Signed-rank tests assessed changes in outcomes between week 1 and 8 for all patients completing treatment (n = 45). For patients who attended the three-month follow-up (n = 31), Friedman’s ANOVA assessed overall change in outcomes over time. Post-hoc Wilcoxon Signed-rank tests compared pairs of time-points (Weeks 1, 8, and 3-month follow-up). Results: Analyses of patients completing the programme revealed significant improvements in scores between week 1 and week 8. Excluding the BBS, there were statistically significant improvements in all outcomes between Week 1 and 8 and between Week 1 and 3-month follow-up.Discussion: This outpatient therapy programme provided effective treatment for FND. Patients reported reduced anxiety, depression, and functional impairment, as well as improved performance on most physiotherapy measures. <br/

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Routine outcomes and evaluation of an eight-week outpatient multidisciplinary rehabilitative therapy programme for functional neurological disorder

https://kclpure.kcl.ac.uk/portal/files/237138665/Guy_et_al._Accepted_JoN.docx

Routine outcomes and evaluation of an eight-week outpatient multidisciplinary rehabilitative therapy programme for functional neurological disorder

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