Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Neuro > Physical rehabilitation for Functional Neurological Disorder- 1 > Flashcards

Physical rehabilitation for Functional Neurological Disorder- 1 Flashcards

1
Q

What does FND stand for?

A

Functional Neurological Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does FMD stand for?

A

Functional Movement/Motor Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What FND used to describe?

A

-Used to describe when there is a problem with the function of the nervous system while the structure nervous system is still intact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does DSM 5 and ICD 11 stand for?

A
  • Conversion Disorder

- Dissociative Neurological Symptom Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are FND usually described?

A

-Using their phenomenology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 4 phenomenological symptoms?

A
  • Motor
  • Sensory
  • Functional
  • Cognitive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are examples of motor symptoms?

A

-Tremors, weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are examples of sensory symptoms?

A
  • Somatosensation- numbness or complete absence of sensation
  • Persistent Perceptual Postural Dizziness
  • Visual symptoms- functional blindness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are functional seizures also known as?

A

-dissociative seizures / non-epileptic attacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are typical presentations of FMD?

A 
▪ Weakness/paralysis 
▪ Tremor
▪ Gait Disturbance
▪ Jerks
▪ Dystonia
▪ Fixed Dystonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the criteria for stroke?

A
  • Facial asymmetry
  • Arm weakness
  • Speech problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is facial asymmetry due to in stroke?

A
  • Due to hypertonia
  • Loss of muscle tone
  • Weakness in facial muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most patients have a combination of neurological and what functional systems?

A
  • fatigue
  • persistent pain bladder
  • bowel problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the epidemiology of FND?

A
  • Incidence of FND 4-12 per 100,000 per year
  • Prevalence approx. 50 per 100,000
  • 60-75% female
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is prognosis of FND?

A
  • Poor
  • 40% same or worse at 7 years follow up
  • Most patients remain symptomatic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What about FND is unknown?

A

-The impact of appropriate treatment on prognosis is unknown

17
Q

What is FMD?

A
  • Disorder of sensorimotor processing

- Top-down expectations distort bottom-up somatosensory experiences

18
Q

What is FMD facilitated by?

A

-Facilitated by excessive attention directed towards the body

19
Q

What do functional motor symptoms require to manifest?

A

-Attention

20
Q

What drive functional symptoms?

A

-Expectations

21
Q

What are the biological risk factors?

A
  • History of illness
  • Disease
  • Hypermobility
22
Q

What are the psychological risk factors?

A
  • Adverse life events
  • Personality traits
  • Emotional disorder
23
Q

What are the social risk factors?

A
  • Neglect
  • Family dynamics
  • Illness models
24
Q

What are the biological triggering factors?

A
  • Injury or illness

- Physiological event

25
Q

What are the psychological triggering factors?

A
  • Acute panic attack

- Dissociative episode

26
Q

What are the social triggering factors?

A
  • Live events

- Social stressors

27
Q

What are the biological maintaining factors?

A
  • Neuroplasticity
  • Deconditioning
  • Neuroendocrine & immune changes
28
Q

What are the psychological maintaining factors?

A
  • Illness beliefs
  • Avoidance behaviour
  • Fear / anxiety
29
Q

What are the social maintaining factors?

A
  • Financial pressures
  • Employment issues
  • Excessive support
30
Q

What are the five Multidisciplinary care units in the UK?

A
  • Neurology and Neuropsychiatry
  • Psychology
  • Physiotherapy
  • Occupational Therapy
  • Speech & Language Therapy
31
Q

What are some of the outcomes of Multidisciplinary rehab?

A
  • Patients reported significant benfit that lasts up to a year
  • Many patients still symptomatic
32
Q

What the 6 components of physical rehab?

A 
▪ Education
▪ Movement retraining
▪ Address secondary problems e.g. pain, fatigue, etc
▪ Self management
▪ Vocational rehabilitation
▪ Follow up
33
Q

What are some of the outcomes of physical rehab?

A
  • Proportion with a “good” outcome 55 – 70%
  • Moderate to large effect size
  • Scores of mental health often do not change
  • Cost effective
  • Benefits sustained at follow up (1-2 years)
34
Q

What model does CBT utilise?

A
  • Use the model that involves an understanding of the thoughts, behaviour, bodily sensations and emotions in order to help patients understand their condition
35
Q

What are some examples of experimental treatments?

A
  • Transcranial Magnetic Stimulation
  • Biofeedback / EMG Biofeedback
  • Hypnosis
  • Therapeutic Sedation
  • Virtual Reality
36
Q

What is the purpose of movement and posture retraining?

A
  • To address maladaptive habitual postures

- To retrain movement patterns / tasks

Clinical Neuro (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions