Functional Neurological Disorder Case Study: Difference between revisions
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== Abstract<br> == | == Abstract<br> == | ||
<span style="font-family: 'Times New Roman'; font-size: | <span style="font-family: 'Times New Roman'; font-size: 18px; background-color: transparent; line-height: 1.5em;">In patients diagnosed with conversion disorder, physical therapy can be an important part of a quicker recovery. During physical therapy the focus should be on what the patient is doing correctly and emphasis is placed upon the physical gains of the patient. The patient must be progressively challenged while integrating behavior modifications among functional mobility programs. Research shows the most productive interventions include gait training, strengthening, neuromuscular re-education and balance training, with a full recovery expected for most patients. Conversion disorder may also be referred to as functional gait disorder, hysterical paralysis, psychomotor disorder, conversion reaction, or chronic neurosis.</span> | ||
== Patient Characteristics == | == Patient Characteristics == |
Revision as of 21:10, 23 March 2015
Author/s[edit | edit source]
Whitney Greene, Kayla Foster, Scott Gwinn, Jesse Koerner from the Bellarmine University Physical Therapy Program's Pathophysiology of Complex Patient Problems Project.
Abstract
[edit | edit source]
In patients diagnosed with conversion disorder, physical therapy can be an important part of a quicker recovery. During physical therapy the focus should be on what the patient is doing correctly and emphasis is placed upon the physical gains of the patient. The patient must be progressively challenged while integrating behavior modifications among functional mobility programs. Research shows the most productive interventions include gait training, strengthening, neuromuscular re-education and balance training, with a full recovery expected for most patients. Conversion disorder may also be referred to as functional gait disorder, hysterical paralysis, psychomotor disorder, conversion reaction, or chronic neurosis.
Patient Characteristics[edit | edit source]
- Demographic Information: (occupation/vocation, gender, age, etc.)
- Left side of bodySevere weaknessParesthesiaDifficulty walking, loss of balance
Difficulty swallowing, “a lump in the throat”
Non-epileptic/pseudo seizures or convulsion
Episode of unresponsiveness
Slurred speech
Double vision
Hearing problems
Headache
- Medical diagnosis if applicable
- Co-morbidities
- Previous care or treatment
Examination[edit | edit source]
- Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, use relative dates i.e. years or months or days relative to onset of injury or start of treatment, patient/family goals)
- Self Report Outcome Measures
- Physical Performance Measures
- Objective : Physical Examination Tests and Measures
Clinical Impression[edit | edit source]
Summarization of Examination Findings[edit | edit source]
Working Diagnosis and Targeted Interventions
Intervention[edit | edit source]
- Phases of Interventions (e.g. protective phase, mobility phase, etc.)
- Dosage and Parameters
- Rationale for Progression
- Co-interventions if applicable (e.g. injection therapy, medications)
Outcomes[edit | edit source]
Findings Over time
Discussion[edit | edit source]
Summary Statement which should include related findings in the literature, potential impact on clinical practices
Related Pages[edit | edit source]
add links to related pages here
References[edit | edit source]
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