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Innovations in treatment
Case report
A therapy-led, multidisciplinary programme for treatment-resistant functional fixed dystonia
  1. Yvonne Hsieh and
  2. Shaunak Deshpande
  1. Neuropsychiatry Outpatient, South London and Maudsley NHS Foundation Trust, Kent, UK
  1. Correspondence to Yvonne Hsieh; yvonnehsieh1{at}gmail.com

Abstract

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.

  • movement disorders (other than parkinsons)
  • somatoform disorders
  • physiotherapy (rehabilitation)
  • cognitive behavioural psychotherapy

https://doi.org/10.1136/bcr-2020-235213

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    Footnotes

    • Contributors YH assessed and treated the patient. She also co-wrote and edited the case study. SD co-wrote and edited the case study.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.