Introduction: for a proportion of patients with functional motor symptoms (FMS), specific physiotherapy has recently emerged as a promising treatment. Aim of the present study was to assess in a sample of patients with FMS the efficacy of a physical therapy-based telemedicine programme on the motor symptoms themselves and on some psychological variables such as anxiety, depression, alexithymia and quality of life. Materials and methods: eighteen patients were recruited. The programme consisted of 24 sessions: three face-to-face sessions (at week 0 (T0), 12 (T1)and 24 (T2))and 21 tele-sessions. Each session included education, movement retraining exercises and development of a management plan. All patients underwent the following assessment at T0, T1 and T2: Psychogenic movement disorders rating scale (PMDRS), assessment of depression, anxiety, alexithymia and quality of life. Self-assessment of outcome (CGI)was recorded at T1 and T2. Results: On the CGI improvement was reported by 66,7% of patients at T1 and 77,8% at T2. A significant improvement over the three time points was shown for PMDRS and for the following domains of the SF-36: general health, vitality, social functioning and mental health. Conclusion: the use of two innovative approaches for FMS (physiotherapy and telemedicine), combined together, might have a valuable role in the treatment of this neuropsychiatric condition.

A physical therapy programme for functional motor symptoms: A telemedicine pilot study / B. Demartini, F. Bombieri, D. Goeta, O. Gambini, L. Ricciardi, M. Tinazzi. - In: PARKINSONISM & RELATED DISORDERS. - ISSN 1353-8020. - (2019). [Epub ahead of print] [10.1016/j.parkreldis.2019.05.004]

A physical therapy programme for functional motor symptoms: A telemedicine pilot study

B. Demartini
Primo
;
D. Goeta;O. Gambini;
2019

Abstract

Introduction: for a proportion of patients with functional motor symptoms (FMS), specific physiotherapy has recently emerged as a promising treatment. Aim of the present study was to assess in a sample of patients with FMS the efficacy of a physical therapy-based telemedicine programme on the motor symptoms themselves and on some psychological variables such as anxiety, depression, alexithymia and quality of life. Materials and methods: eighteen patients were recruited. The programme consisted of 24 sessions: three face-to-face sessions (at week 0 (T0), 12 (T1)and 24 (T2))and 21 tele-sessions. Each session included education, movement retraining exercises and development of a management plan. All patients underwent the following assessment at T0, T1 and T2: Psychogenic movement disorders rating scale (PMDRS), assessment of depression, anxiety, alexithymia and quality of life. Self-assessment of outcome (CGI)was recorded at T1 and T2. Results: On the CGI improvement was reported by 66,7% of patients at T1 and 77,8% at T2. A significant improvement over the three time points was shown for PMDRS and for the following domains of the SF-36: general health, vitality, social functioning and mental health. Conclusion: the use of two innovative approaches for FMS (physiotherapy and telemedicine), combined together, might have a valuable role in the treatment of this neuropsychiatric condition.
Conversion disorders; Functional motor symptoms; Physiotherapy; Telemedicine
Settore MED/25 - Psichiatria
3-mag-2019
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/653631
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