Lecture 10: introduction to functional neurologic disorder

Question 1

also called conversion disorder or physical manifestation of distress that is physiological in nature

intersection of a neurological disorder and functional issue

typically triggered (predisposing factor) by traumatic event that led to symptoms - BUT NOT ALWAYS! - test
* think mva/sexual asult

can have w/o physiological component

sudden onset weakness of limb weakness, limb paralysis, gait disorder, tremor, etc..

fall risk
* however they rarely fall? they look like a massive fall risk. often recover from preturbces well

they have periods of remission - meaning they dont always have those physical manifestations
* can also be walking so absurdly

Question 2

etiology = unknown

rare

pt good for this diagnosis because were the experts at motor planning and learning stategies for movement

Question 3

what we do

Question 4

TEST w/ these pts we limit hands on tx
* they need to learn it for themselves not your cues touching them - this doesnt cause them to learn
* want pt control over movement patterns
* address maladaptive things - think if they’re walking funny break it down and figure out whats wrong
* gradually limit external support - think if they’re leaning on somnething

Question 5

also called functional movement disorders

abnormal invovlentary movements w/ no phhysiological etiology

patients benefit from intensive in patient rehab program - because it can untrain the psychological component

Question 6

other symptoms that go along w/ this

Question 7

knowledge check: what is a trigger for this - traumatic event

knowledge check: treatment strat: limit hands on tx
* do it themsleves - dont want external cueing