Sobell Department, UCL Institute of Neurology, London WC1N 3BG, UK.
J Neurol Neurosurg Psychiatry. 2012 Jun;83(6):655-8. doi: 10.1136/jnnp-2011-302147. Epub 2012 Apr 11.
Functional (psychogenic) motor symptoms are commonly encountered in clinical neurology. Physiotherapy has face validity as a treatment for such symptoms and, anecdotally, referral of patients with functional motor symptoms (FMS) to physiotherapy services is common practice by neurologists. Here the authors sought to explore exposure to and attitudes towards patients with FMS among neurophysiotherapists.
The authors used an internet survey to gather information on the knowledge and attitudes of patients with FMS among 1402 members of a UK neurophysiotherapy organisation.
The response rate was 61%. Most physiotherapists saw patients with FMS, and for 25% of respondents these patients made up over 10% of their workload. Respondents were moderately interested in treating these patients (ranking them sixth out of 10 neurological conditions), but had low self-judged knowledge. Most respondents felt physiotherapy had more to offer patients with FMS, but felt poorly supported by referring neurologists and by inadequate service structures.
Neurologists frequently refer patients with FMS to neurophysiotherapy services. Physiotherapists in general are interested in treating such patients and feel physiotherapy to be an appropriate treatment. However, inadequate service structures, knowledge and support from non-physiotherapy colleagues are judged to be barriers to provision of care.
功能性（心因性）运动症状在临床神经病学中很常见。物理疗法作为治疗这些症状的方法具有表面有效性，而且，神经病学家通常会将功能性运动症状（FMS）患者转介到物理治疗服务。作者在此探讨神经物理治疗师对 FMS 患者的接触和态度。
作者使用互联网调查，收集了英国神经物理治疗组织的 1402 名成员对 FMS 患者的知识和态度信息。
回复率为 61%。大多数物理治疗师会接诊 FMS 患者，对于 25%的受访者来说，这些患者占其工作量的 10%以上。受访者对治疗这些患者的兴趣中等（在 10 种神经疾病中排名第六），但自我评估的知识水平较低。大多数受访者认为物理疗法对 FMS 患者有更多的帮助，但他们感到神经科医生的转诊支持和服务结构不足。
神经病学家经常将 FMS 患者转介到神经物理治疗服务。一般来说，物理治疗师对治疗此类患者感兴趣，并认为物理治疗是一种合适的治疗方法。然而，服务结构不足、非物理治疗同行的知识和支持被认为是提供护理的障碍。
