The Rehabilitation Therapist's Role in the Treatment of Functional Neurological Disorder in Children and Adolescents

R I Med J (2013). 2024 Nov 1;107(11):19-23.

Abstract

Functional Neurological Disorder (FND) is a common condition encountered by rehabilitation therapists (physical therapists-PT, occupational therapists-OT, and speech and language pathologists-SLP) in pediatric practice. In an effort to bridge the knowledge and experience gap, PT, OT and SLP experts have published consensus recommendations for the rehab therapist's treatment of FND1-3 with additional research emphasizing a psychologically informed4,5 and wellness approach.6 This article highlights the unique role of each rehab discipline in treating FND, reviews functional diagnoses specific to PT, OT and SLP, and introduces a unique stepwise or ladder approach to treatment that can be utilized in the inpatient or outpatient setting.

Keywords: FND; Functional Neurological Disorder; Functional Seizures; Rehabilitation.

MeSH terms

  • Adolescent
  • Child
  • Conversion Disorder* / diagnosis
  • Conversion Disorder* / therapy
  • Humans
  • Occupational Therapists
  • Occupational Therapy / methods
  • Physical Therapists
  • Professional Role
  • Speech-Language Pathology