TY - JOUR T1 - Physiotherapy for functional motor disorders: a consensus recommendation JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 1113 LP - 1119 DO - 10.1136/jnnp-2014-309255 VL - 86 IS - 10 AU - Glenn Nielsen AU - Jon Stone AU - Audrey Matthews AU - Melanie Brown AU - Chris Sparkes AU - Ross Farmer AU - Lindsay Masterton AU - Linsey Duncan AU - Alisa Winters AU - Laura Daniell AU - Carrie Lumsden AU - Alan Carson AU - Anthony S David AU - Mark Edwards Y1 - 2015/10/01 UR - http://jnnp.bmj.com/content/86/10/1113.abstract N2 - Background Patients with functional motor disorder (FMD) including weakness and paralysis are commonly referred to physiotherapists. There is growing evidence that physiotherapy is an effective treatment, but the existing literature has limited explanations of what physiotherapy should consist of and there are insufficient data to produce evidence-based guidelines. We aim to address this issue by presenting recommendations for physiotherapy treatment.Methods A meeting was held between physiotherapists, neurologists and neuropsychiatrists, all with extensive experience in treating FMD. A set of consensus recommendations were produced based on existing evidence and experience.Results We recommend that physiotherapy treatment is based on a biopsychosocial aetiological framework. Treatment should address illness beliefs, self-directed attention and abnormal habitual movement patterns through a process of education, movement retraining and self-management strategies within a positive and non-judgemental context. We provide specific examples of these strategies for different symptoms.Conclusions Physiotherapy has a key role in the multidisciplinary management of patients with FMD. There appear to be specific physiotherapy techniques which are useful in FMD and which are amenable to and require prospective evaluation. The processes involved in referral, treatment and discharge from physiotherapy should be considered carefully as a part of a treatment package. ER -