FND Flashcards
(21 cards)
FND is the ___________ common neurologic disorder
affects what gender more?
second most common
Women 3:1
T or F: FND is a diagnosis of exclusion
F, it is diagnosed by “Rule in” signs
FND was coined when
2014
What are the 4 signs and symptoms of FND
Variable
Distractable - distraction improves performance
Entrainable- Can adapt to different external rhythms
Suppressible
T or F: FND is a wastebasket diagnosis
F, it is not a wastebasket diagnosis
not feigning or faking it, and it is also not a purely psychiatric condition
DMS-5 criteria for FND
1 or more symptoms of altered voluntary motor or sensory function
Clinical findings providing evidence of incompatibility between symptoms and pt’s recognized conditions
T or F: A psychiatric co-morbidity or prior stressful event is required for diagnosis
F, only rule in signs help with diagnosis
How will a pt’s history present with FND
Waxing/Waning of symptoms
complete remission at times
altered movement types
migration through body (moves to different body parts)
What tests are positive with hoover sign
Entrainment test- it changes rhythm with external stimulus
Whack a mole sign- if you stop the movement at one body area it moves to another
Hoover sign- hip ext with opposite hip flexion, but otherwise unable to use that hip
Drift without pronation
Monoplegic leg drag: weak leg dragged without circumduction (no compensation movements)
with FND, drawing attention to that body part will make the symptoms:
worse
Pt w/ regular pattern/rhythm
not distractable
slow onset
CNS or PNS patterns of sensory/motor loss
May change with medication
NOT FND
What co-morbid diagnosis often appear with FND
Autism
EDS/hypermobility
Chronic pain
_____ are abnormally strong and overt powers contradictory sensory information
Predictions
FND patients don’t adapt to sensory feedback. If they expect a ball to be heavy and then it is light, they’ll keep handling it as if it’s heavy anyway
_____ and ____ are impaired in people with FND
agency and attention
How is attention impaired in people with FND
Misdirected attention toon
They can’t ignore or habituate to sensory stimuli
T of F: people with FND have both higher awareness and reduced sensory awareness
T, they are more aware of introception, but also inaccurate. They can’t accurately rate their HR or postural sway
What is the key to FND therapy
Multi disciplinary rehab
What are the 4 recommendations for treating FND
Education
Retraining movement
Demonstrate that normal movement can occur
Change maladaptive behavior related to symptoms
When working with FND. We want to focus on _____ and not ______
Focus on function and not self
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