Rehabilitation interventions for functional neurological disorder

Topic Status Incomplete

Rehabilitation interventions for the management of functional neurological disorder (FND)



Functional neurological disorder (FND) is a medical condition where there is a problem with the functioning of the nervous system. This can cause a wide range of symptoms, including limb weakness, seizures, walking difficulties, spasms, and sensory issues. These symptoms are similar to symptoms seen with structural or degenerative neurological disease, such as multiple sclerosis or Parkinson’s, but the mechanism behind FND is different.

Because people with FND can experience a broad range of symptoms, the management of FND is also broad. Management can include physiotherapy, psychological interventions like cognitive behavioural therapy (CBT), as well as multidisciplinary rehabilitation for refractory cases.

There is no recognised care pathway for FND. In Wales, people with FND who require access to treatment are considered via individual patient funding requests (IPFR). Key stakeholders have highlighted that an evidence summary of all the treatment options for FND and their effectiveness would help to guide IPFR decisions in this patient group. Health Technology Wales are therefore undertaking a full evidence review and will produce an Evidence Appraisal Report (EAR033) for this topic.

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