Introduction

for a proportion of patients with functional motor symptoms (FMS), specific physiotherapy has recently emerged as a promising treatment. Aim of the present study was to assess in a sample of patients with FMS the efficacy of a physical therapy-based telemedicine programme on the motor symptoms themselves and on some psychological variables such as anxiety, depression, alexithymia and quality of life.

Materials and methods

eighteen patients were recruited. The programme consisted of 24 sessions: three face-to-face sessions (at week 0 (T0), 12 (T1) and 24 (T2)) and 21 tele-sessions. Each session included education, movement retraining exercises and development of a management plan. All patients underwent the following assessment at T0, T1 and T2: Psychogenic movement disorders rating scale (PMDRS), assessment of depression, anxiety, alexithymia and quality of life. Self-assessment of outcome (CGI) was recorded at T1 and T2.

Results

On the CGI improvement was reported by 66,7% of patients at T1 and 77,8% at T2. A significant improvement over the three time points was shown for PMDRS and for the following domains of the SF-36: general health, vitality, social functioning and mental health.

Conclusion

the use of two innovative approaches for FMS (physiotherapy and telemedicine), combined together, might have a valuable role in the treatment of this neuropsychiatric condition.

中文翻译：

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功能性运动症状的物理治疗计划：远程医疗试点研究

介绍

对于一部分有功能性运动症状 (FMS) 的患者，特定物理疗法最近已成为一种很有前景的治疗方法。本研究的目的是在 FMS 患者样本中评估基于物理治疗的远程医疗计划对运动症状本身和一些心理变量（如焦虑、抑郁、述情障碍和生活质量）的疗效。

材料和方法

招募了十八名患者。该计划包括 24 个会话：三个面对面的会话（在第 0 (T0)、12 (T1) 和 24 (T2) 周）和 21 个远程会话。每节课都包括教育、运动再培训练习和管理计划的制定。所有患者在 T0、T1 和 T2 时均接受以下评估：心因性运动障碍评分量表 (PMDRS)、抑郁、焦虑、述情障碍和生活质量的评估。在 T1 和 T2 记录结果的自我评估 (CGI)。

结果

66.7% 的患者在 T1 和 77.8% 的 T2 报告 CGI 改善。PMDRS 和 SF-36 的以下领域在三个时间点上都有显着改善：一般健康、活力、社会功能和心理健康。

结论

将两种创新的 FMS 方法（物理治疗和远程医疗）结合使用，可能在治疗这种神经精神疾病方面发挥重要作用。