Isha Akulwar-Tajane
K. J. Somaiya College of Physiotherapy, India
Title: Functional neurological disorder: A scoping review
Biography
Biography: Isha Akulwar-Tajane
Abstract
Aim & Objectives: To summarize the available evidence so far and bring forth crucial queries for general neurologists and specialists dealing with functional neurological disorder (FND) patients; address medical and rehabilitation services; and highlight the research areas regarding management of FND.
Hypothesis: NA
Materials and Methods: A scoping review conducted according to PRISMAScR guidelines. Electronic database was searched using the MeSH terms -functional neurologic disorder, hysteria, conversion disorder, psychogenic or non-organic illness.
Result: Studies were subjected to ‘narrative review’ of the process-oriented data and simple quantitative analysis using descriptive statistics. Key themes were centered around– clinical and functional significance; challenges in diagnosis; treatment effectiveness; role of Physiotherapy, etc.
Conclusion: Functional neurological disorders is a common cause of persistent and disabling neurological symptoms; has poor psychosocial outcomes; and is a neglected source of disability. Encouraging studies support the potential reversibility of FND with specifically tailored treatments. Promising evidence has accumulated for the benefits of specific physical rehabilitation and psychological interventions alone or in combination, but clinical trial evidence remains limited. Further research is warranted to determine the dose and duration of various interventions; the value of combination treatments & multidisciplinary therapy; and the therapeutic modality best suited for each patient.