PMID- 32861224
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1440-1754 (Electronic)
IS  - 1034-4810 (Linking)
VI  - 57
IP  - 1
DP  - 2021 Jan
TI  - Psychologically informed physiotherapy as part of a multidisciplinary 
      rehabilitation program for children and adolescents with functional neurological 
      disorder: Physical and mental health outcomes.
PG  - 73-79
LID - 10.1111/jpc.15122 [doi]
AB  - AIM: Children and adolescents with functional neurological disorder (FND) present 
      with physical impairment and mental health comorbidities. Specialist 
      physiotherapy programs for treating FND have been developed over the last two 
      decades. This article reports outcome data from three cohorts of children treated 
      with a multidisciplinary rehabilitation intervention - the Mind-Body Program - in 
      which a psychologically informed physiotherapy intervention, known as the 
      wellness approach to physiotherapy, was a key component. METHODS: For three 
      cohorts of children (n = 57, n = 60 and n = 25, respectively) treated in the 
      Mind-Body Program, data about functional impairment and mental health concerns 
      were collected at presentation and at follow-up (4 years, 12 months and 
      18 months, respectively). RESULTS: Outcome data show that FND symptoms resolved 
      in 54/57 (95%), 51/60 (85%) and 22/25 (88%) of children in the three cohorts, and 
      that 31/57 (61%), 32/60 (53%) and 13/25 (52%) of children returned to full health 
      and to full-time school attendance. Changes in Global Assessment of Function 
      (GAF) were significant (t(54) = 21.60, P < 0.001; t(55) = 9.92, P < 0.001; t(24) 
      = 6.51, P < 0.001). Outcomes were less favourable for children with chronic FND 
      symptoms at presentation; those whose comorbid mental health disorders or other 
      (comorbid) functional somatic symptoms did not resolve; and those who 
      subsequently developed chronic mental health problems. CONCLUSIONS: 
      Implementation of a multidisciplinary rehabilitation intervention - with 
      psychologically informed physiotherapy as one of the key treatment components - 
      resulted in resolution of FND symptoms and return to health and well-being in the 
      large majority of patients.
CI  - (c) 2020 Paediatrics and Child Health Division (The Royal Australasian College of 
      Physicians).
FAU - Kasia, Kozlowska
AU  - Kasia K
AUID- ORCID: 0000-0002-9578-0753
AD  - Department of Psychological Medicine, The Children's Hospital at Westmead, 
      Sydney, New South Wales, Australia.
AD  - Discipline of Psychiatry and Discipline of Child and Adolescent Health, 
      University of Sydney Medical School, Sydney, New South Wales, Australia.
AD  - The Brain Dynamics Centre, Westmead Institute for Medical Research, Sydney, New 
      South Wales, Australia.
FAU - Nicola, Gray
AU  - Nicola G
AD  - Department of Physiotherapy, The Children's Hospital at Westmead, Sydney, New 
      South Wales, Australia.
FAU - Stephen, Scher
AU  - Stephen S
AD  - Discipline of Psychiatry and Discipline of Child and Adolescent Health, 
      University of Sydney Medical School, Sydney, New South Wales, Australia.
AD  - Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, United 
      States.
FAU - Blanche, Savage
AU  - Blanche S
AD  - Department of Psychological Medicine, The Children's Hospital at Westmead, 
      Sydney, New South Wales, Australia.
LA  - eng
PT  - Journal Article
DEP - 20200829
PL  - Australia
TA  - J Paediatr Child Health
JT  - Journal of paediatrics and child health
JID - 9005421
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Humans
MH  - *Nervous System Diseases
MH  - Outcome Assessment, Health Care
MH  - Physical Examination
MH  - Physical Therapy Modalities
OTO - NOTNLM
OT  - functional neurological disorder
OT  - paediatric rehabilitation
OT  - physical therapy
OT  - physiotherapy
OT  - psychogenic
OT  - somatoform/somatic
EDAT- 2020/08/30 06:00
MHDA- 2021/05/15 06:00
CRDT- 2020/08/30 06:00
PHST- 2020/04/26 00:00 [received]
PHST- 2020/07/16 00:00 [revised]
PHST- 2020/07/27 00:00 [accepted]
PHST- 2020/08/30 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/08/30 06:00 [entrez]
AID - 10.1111/jpc.15122 [doi]
PST - ppublish
SO  - J Paediatr Child Health. 2021 Jan;57(1):73-79. doi: 10.1111/jpc.15122. Epub 2020 
      Aug 29.