FND Physiotherapy Do's

Question 1

What type of physiotherapy approach is recommended for FND?

Answer 1

Limited “hands on” treatment.

Question 2

How should handling be approached during physiotherapy?

Answer 2

Facilitate rather than support.

Question 3

What mobility approach should be encouraged early in physiotherapy?

Answer 3

Early weight bearing and mobility.

Question 4

What does “on the bed strength” indicate in functional weakness?

Answer 4

It does not normally correlate with the ability to stand.

Question 5

What should be assessed when encouraging early weight bearing?

Answer 5

Risk.

Question 6

What is an important goal of physiotherapy in FND?

Answer 6

Foster independence and self-management.

Question 7

What type of rehabilitation is recommended for FND?

Answer 7

Goal-directed rehabilitation.

Question 8

What should goal-directed rehabilitation focus on?

Answer 8

Function and automatic movement rather than impairment and controlled movement with self-focused attention.

Question 9

What should be minimised during physiotherapy for FND?

Answer 9

Reinforcement of maladaptive movement patterns and postures.

Question 10

What cognitive and behavioural factors should be addressed in physiotherapy?

Answer 10

Unhelpful thoughts and behaviours.

Question 11

What long-term plan should be developed during physiotherapy?

Answer 11

A self-management and relapse prevention plan.