Table 2

Studies describing pain scoring among patients with FND.

Author (year)Type(s) of FNDPatients with FND reporting/scoring painPatients in reference/control group reporting/scoring painRisk of bias (score on NOS)
Gelauff (2020)19 FMDProportion reporting pain=46/179 (26%)
Median SF-36 (lower=worse) pain=46/100 (IQR=22–80)
Moderate (6)
Pleizier (2017)28 FNSProportion reporting pain=154/195 (79%)
Mean SF-36 (lower=worse) pain=42.6/100 (SD=29.0); mean VAS pain=48.6/100 (SD=25.1); mean PCS=18.1/52 (SD=13.2)
Low (8)
Nielsen (2017)29 FMSProportion reporting slight to moderate pain=24/60 (40%); severe to extreme=28/60 (47%)
Mean SF-36 (lower=worse) pain=38.9/100 (SD=30.2)
Low (8)
Stone (2010)14 FWProportion reporting pain (other than affected limb)=68/107 (64%); back=39/107 (36%); affected limb=35/107 (33%); muscle=30/107 (28%); joint=29/107 (27%); neck=20/107 (19%)
Median SF-36 (lower=worse) pain=33/100 (IQR=22–44)
Other neurological weakness: other than affected limb=16/46 (35%); back=8/46 (17%); affected limb=9/46 (20%); muscle=6/46 (13%); joint=4/46 (9%); neck=1/46 (2%)Moderate (6)
Reuber (2007)30 FNSProportion reporting pain=~19/91 (>20%)
Mean SF-36 (lower=worse) pain=5.9/11 (SD=2.7)
Moderate (6)
Gandolfi (2022)35 FMDProportion reporting pain=44/64 (69%)
Mean BPI=19.3/40 (SD=13.5) intensity; 29.3/70 (SD=24.4) interference
Moderate (6)
Gandolfi (2021)36 FMDProportion reporting pain=26/33 (79%)
Mean BPI=19.21/40 (SD=11.92) intensity; 33.58/70 (SD=24.89) interference
Low (7)
Van der Feltz-Cornelis (2020)34 FNDProportion reporting pain=54/62 (87%)
Patients with BPI≥3 (‘pain of clinical significance’) = 52/62 (84%)
Moderate (6)
Serranová (2019)79 FMDProportion reporting lower limb pain=56/90 (62%)
Mean VAS pain in past 4 weeks=5.6/10 (SD=3)
Healthy controls=9/76 (12%)Low (7)
Sandri (2022)80 FMDProportion reporting moderate or severe pain=18/60 (30%)
Mean pain score=2.81/5 (SD=1.37)
Moderate (5)
Gelauff (2019)13 FMDMedian SF-36 (lower=worse) pain (107 patients): Baseline=33/100 (IQR=35) Follow-up (mean 14 years)=20/100 (IQR=20)Median SF-36 (lower=worse) pain (neurological controls): Baseline (38 patients)=50/100 (IQR=24) Follow-up (23 patients)=20/100 (IQR=20)Low (8)
Gelauff (2018)81 FMDMedian SF-36 (lower=worse) pain (181 patients)=46/100 (IQR=57)Moderate (5)
Zutt (2017)16 FJMedian SF-36 (lower=worse) pain (16 patients)=49/100 (IQR=52)Median SF-36 (lower=worse) pain (23 patients with cortical myoclonus)=80/100 (IQR=33)Moderate (6)
Kuyk (2008)31 FSMean SF-36 (lower=worse) pain (22 patients)=58.5/100Moderate (6)
Teodoro (2022)82 FCDMedian PainDETECT (19 patients)=6/38 (IQR=2–11)Median PainDETECT (23 healthy controls)=1/38 (IQR=0–5)Moderate (6)
Forejtová (2022)83 mFNDMedian PainDETECT (152 patients)=~6/10 (IQR=~4–8)Low (8)
Hanzlíková (2019)32 FMDMean pain scores (22 patients): Current=5.0/10 (SD=2.9); average=6.3/10 (SD=2.4); maximal=7.6/10 (SD=2.4)Mean pain scores (22 healthy controls): Current=0.1/10 (SD=0.3); average=1.9/10 (SD=2.0); maximal=1.0/10 (SD=1.1)Low (7)
Věchetová (2018)33 FMDMean pain scores (61 patients): Current=4.2/10 (SD=3); average=5.5/10 (SD=3); maximal=6.9/10 (SD=3)Mean pain scores (61 healthy controls): Current=0.9/10 (SD=1); average=1.4/10 (SD=2); maximal=2.7/10 (SD=3)Low (8)
Morgante (2018)84 FDMean pain scores (12 patients): Severity=4.8/10 (SD=2.0); duration=3 years (SD=1.3); disability=2.3/5 (SD=0.9)Mean pain scores (10 patients with idiopathic cervical dystonia): Severity=7.2/10 (SD=3.3); duration=3.9 years (SD=2.9 years); disability=2.6/5 (SD=1.6)Low (7)
  • BPI, Brief Pain Inventory; FD, functional dystonia; FJ, functional jerks; FMD, functional movement disorder; FMS, functional movement symptoms; FND, functional neurological disorder; FNS, functional neurological symptoms; FS, functional seizures; FW, functional weakness; mFND, motor FND; NOS, Newcastle-Ottawa Scale ; PCS, Pain Catastrophising Scale; SF-36, 36-Item Short Form Survey; VAS, Visual Analogue Scale.