FND: Pathophysiology and Management Flashcards
What are functional disorders (systems level)?
where person experiences abnormal function in a system that can be demonstrated to be capable of normal function
What are the 2 possible data sources to guide action and perception?
sensory data (feedback)- “bottom up”
predictions about (future) sensory data (feedforward)-“top down”
our experience of our bodies and the world is
a fluid, changeable phenomenon mediated by a predictive system
sensation and movement are fundamentally ______ processes which can be directed by the spotlight of attention, but are not as “voluntary” as we think
Automatic
systems exist that allow us to _____ with automatic machinery of our bodies and experience ____ and ____ over our bodies
interface, ownership, control
2 phenomena in FND
attentional phenomena (hoover’s sign) and predictive phenomena
what are some stressful life events and maltreatment in conversion (functional neurological) disorder?
childhood emotional neglect, childhood sexual/physical abuse, adulthood emotional neglect, sexual abuse, physical abuse
What does neuro exam in FND diagnosis reflect?
proximal mechanism for production of physical signs (real thing but not end of job!)
What is the end goal of diagnostic assessment for FND?
formulation
What is formulation?
providing a personalised narrative understanding of current situation, how it cam about and what is keeping it going. takes time, patience, trust and multiple perspectives (health professionals, family members)
What are the health related costs after treatment
$444 intervention vs $968 usual care
What is neuromodulation
Use of noninvasive neurostimulation for rehab in functional movement disorders
e.g. TMS, virtual reality, EMDR, hypnosis
