一种以治疗为导向的、多学科的治疗方案，用于治疗抵抗性功能性固定性肌张力障碍。
A therapy-led, multidisciplinary programme for treatment-resistant functional fixed dystonia.
机构信息
Neuropsychiatry Outpatient, South London and Maudsley NHS Foundation Trust, Kent, UK
Neuropsychiatry Outpatient, South London and Maudsley NHS Foundation Trust, Kent, UK.
出版信息
BMJ Case Rep. 2020 Jul 20;13(7):e235213. doi: 10.1136/bcr-2020-235213.
Functional neurological disorder (FND) describes various neurological symptoms that are not explained by an organic aetiology. The condition has a poor prognosis. Despite this, there is sparse research that informs clinical interventions for FND, particularly when treating functional fixed dystonia. Our article has outlined an intervention for a patient with a treatment-resistant functional fixed dystonia that was informed by a biopsychosocial model, which aimed to rehabilitate the patient's functional motor symptoms. This led to favourable outcomes including restoring full range of movement in the patient's right foot and improvements in routine outcome measurement scores. The patient also described the programme as life-changing and was able to re-engage in meaningful and purposeful activities.
功能性神经障碍（FND）描述了各种无法用器质性病因解释的神经症状。该病症预后较差。尽管如此，目前针对 FND 的临床干预措施，尤其是治疗功能性固定性肌张力障碍的干预措施，研究甚少。我们的文章概述了一种针对治疗抵抗性功能性固定性肌张力障碍患者的干预措施，该干预措施基于生物心理社会模型，旨在使患者的功能性运动症状得到康复。这导致了有利的结果，包括患者右脚的运动范围完全恢复，常规结果测量评分也得到了改善。患者还表示该方案改变了她的生活，并能够重新参与有意义和有目的的活动。
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