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在住院康复环境中对功能性神经障碍进行物理治疗干预:病例系列。

Physical therapy interventions in an inpatient rehabilitation setting for functional neurological disorder: A case series.

机构信息

Physical Therapist, Advanced Clinician, Spaulding Rehabilitation Hospital, 300 1st Avenue, Charlestown 02129, MA, USA Tel.: +1 617 952 6347; Fax: +1 617 952 5964; E-mail:

出版信息

NeuroRehabilitation. 2022;50(2):209-218. doi: 10.3233/NRE-228004.

Abstract

BACKGROUND

Patients with functional neurological disorder (FND) experience a variety of symptoms that affect their functional mobility and quality of life. Physical therapy can help promote normal movement patterns and restore independence. Although consensus recommendations have been published, choosing specific interventions can be a challenge due to the heterogeneity of symptom presentation.

OBJECTIVE

This case series aims to detail specific interventions for three patients with FND who were admitted to an inpatient rehabilitation facility in Boston, MA, USA.

CASE REPORT

Each presented with gait disturbances as his or her primary symptom and received physical therapy at least five times per week during the inpatient stay, as well as treatment from a multidisciplinary team.

CONCLUSION

As emerging literature continues and the diagnosis is more widely accepted, specific symptom interventions may become more generalized and lead to better outcomes with this patient population.

摘要

背景

患有功能性神经障碍(FND)的患者会出现多种影响其功能移动性和生活质量的症状。物理疗法有助于促进正常运动模式的恢复和独立性。尽管已经发布了共识建议,但由于症状表现的异质性,选择具体的干预措施仍然具有挑战性。

目的

本病例系列旨在详细介绍三位患有 FND 的患者的具体干预措施,他们均入住了美国马萨诸塞州波士顿的一家住院康复机构。

病例报告

每位患者均以步态障碍为主要症状,并在住院期间每周至少接受五次物理治疗,同时还接受了多学科团队的治疗。

结论

随着新出现的文献不断增加,以及该诊断得到更广泛的认可,特定症状的干预措施可能会变得更加普遍,并为这一患者群体带来更好的结果。

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