ISRCTN56136713
Completed
未知
A randomised controlled trial of specialist Physiotherapy for Functional Motor Disorder (Physio4FMD)
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- St George's, University of London
- Enrollment
- 355
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
2019 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/31638942 protocol (added 23/10/2019) Results article in https://pubmed.ncbi.nlm.nih.gov/38768621/ (added 22/05/2024)
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. New or returning patients presenting to participating outpatient neurology clinics and neurology inpatients
- •2\. The patient has a clinically definite” diagnosis of FMD according to the Gupta and Lang diagnostic classification criteria (Gupta and Lang 2009\)\*
- •3\. Aged 18 or over
- •4\. Diagnostic investigations have come to an end
- •5\. The patient is accepting of the intervention
- •6\. Motor symptoms must be sufficient to cause significant distress or impairment in social, occupational or other important areas of functioning (subjectively described by the patient), independent of other comorbidities
- •\* Gupta A, Lang AE. Psychogenic movement disorders. Curr Opin Neurol 2009;22:430–6\. doi:10\.1097/WCO.0b013e32832dc169
Exclusion Criteria
- •1\. The recruiting neurologist deems the patient to have severe psychiatric co\-morbidity, including factitious disorder, self\-harm, anxiety and depression, which would interfere with the patient’s ability to participate in physiotherapy\*\*
- •2\. The patient has an organic diagnosis which explains the majority of their symptoms or disability
- •3\. pain, fatigue or dissociative seizures that would interfere with their ability to engage in the trial physiotherapy intervention
- •4\. Disability to the extent that the patient requires assistance for toileting
- •5\. The patient is unable to attend 9 sessions of physiotherapy over a 3 week period, within 6 weeks of initial neurology consultation
- •6\. Ongoing unresolved compensation claim or litigation
- •7\. The patient has no fixed address or is seeking rehousing through their council for disability access reasons
- •8\. Unable to understand English sufficiently to complete questionnaires
- •9\. The patient has a documented learning disability that prevents them from answering questionnaires independently
- •10\. The patient lacks capacity to give consent
Outcomes
Primary Outcomes
Not specified
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