Funtional Neurologic Disorders Flashcards
What is FND
Disorder of neutral network communication
What is the second most common neurologic diagnosis in neurology clinics
FND
Who does FND affect more
Women
What are the subtypes of FND (6)
- functional movement disorder (most common)
- Functional seizures
- Functional cognitive disorders
- Persistent perceptual postural dizziness (3PD or PPPD)
- Persistent post concussion symptoms (PPCS)
- Complex regional pain syndrome (CRPS
FND is diagnosed by ___ ___ signs
Rule in
What kind of diagnosis is FND
Positive - rule in
What are the pattern of signs and symptoms of FND
- Variable
- Distractible
- Entrainable
- Suppressible
T/F: FND is a purely psychiatric condition, or a condition that requires a
psychiatric history or comorbidity
False
T/F: FND is a diagnosis of exclusion
False
What is DSM - 5 criteria
- ≥1 symptoms of altered voluntary motor or sensory function
What is the hx of FND
• Waxing/waning
• Can have complete remission at times
• Altered types of movements
• Migration thru body
What are the variable testing of positive FND
- Entrainment test
- “Whack-a-mole” sign
- Varying frequency and/or direction of tremor
What are the external focus of testing for FND
- Hoover’s sign – weakness of hip extension/flexion that decreases with contralateral
activation - Change in performance with dual task
- Attention to body increases abnormal movement or weakness
What is Hoovers sign
Weakness of hip extenion/flexion that decreased with contralateral activation
What is FND a interface between
Neurology and psychiatry
What are some cor morbid diagnoses
- autism
- EDS/ hypermobilty
- chronic pain
What is FND confirmed by
Positive signs
What are the 6 aspects of neuro science
- physcial limitation
- autonomic
- lifestyle;e
- motor control
- senosry
- psychosocial
___ and ___ are impaired in people with FND
Agency and attention
What is a hallmark issue in FND
Misdirected attention
What are the key components for inpatient intensive rehab model
• Multi-disciplinary (main thing)
• Education
• Diagnosis
• Movement retraining
• Positive feedback
• Management plan
What are the 4 four areas of intervention for PT
- Education
- Retraining movement with diverted attention
- Demonstration that normal movement can occur
- Changing maladaptive behavior related to symptoms
What are the 5 things most common on self reported motor and non motor SYMTOMS in people with functional gait disorder
- Fatigue**
- Weakness*
- ↓ balance*
- Somatosensory symptoms**
- Cognitive symptoms
What is the recommended outcome measure in FND for core FND symptoms
Clinical global impressions
