Abstract：
Functional neurological disorder (FND) is a heterogeneous condition of neurological symptoms that cannot be linked to a specific neurological cause. Yoga combines movement, breathing, and meditation and has established mind-body effects for people who are managing both psychological and neurological conditions. This case series describes key components of a yoga program for people with FND, evaluating feasibility, acceptability, and efficacy via self-report surveys, clinical assessments, and postintervention interview. Four individuals with FND participated in 45-minute, one-to-one virtual yoga sessions, two times a week for 8 weeks. We measured outcomes in four domains (healthcare utilization, FND symptoms, quality of life and self-efficacy, and function and mobility) at baseline, week 4, and week 8. Assessments included the Psychogenic Movement Disorders Rating Scale, timed up-and-go test, Patient Health Questionnaire-15, Brief Illness Perceptions Questionnaire, 36-Item Short Form Health Survey, and University of Washington Self-Efficacy Scale. Four participants completed at least 8 sessions, and two completed the full intervention (16 sessions). There were no adverse events. Two participants reported positive changes after yoga and improved on all clinical assessments (timed up-and-go test and Psychogenic Movement Disorders Rating Scale). Postintervention interview analysis revealed three themes: negative diagnosis experience, perceived health effects of yoga, and session format preferences. This was an exploratory case series describing a yoga intervention that was associated with some benefits for people with FND (decreased FND symptom severity and increased function, perceived health, quality of life, and self-efficacy). A larger case series is warranted to understand how to best select individuals who would benefit from the program.
摘要：
功能性神经障碍(FND)是神经症状的异质性状况,其不能与特定的神经原因相关联。瑜伽结合了运动，呼吸,和冥想，并为管理心理和神经系统疾病的人建立了身心影响。这个案例系列描述了FND患者瑜伽计划的关键组成部分，评估可行性，可接受性,通过自我报告调查和效能，临床评估，和干预后面试。FND的四个人参加了45分钟，一对一的虚拟瑜伽课程，每周两次，共8周。我们在四个领域测量了结果(医疗保健利用，FND症状,生活质量和自我效能感，以及功能和流动性)在基线，第4周和第8周。评估包括心理性运动障碍评定量表，定时启动测试，患者健康问卷-15，简要疾病感知问卷，36项简式健康调查，华盛顿大学自我效能感量表。四名参与者完成了至少8次会议，两人完成了全面干预(16次会议)。无不良事件发生。两名参与者在瑜伽后报告了积极的变化，并且在所有临床评估（定时测试和心理运动障碍评定量表）上都有所改善。干预后访谈分析揭示了三个主题：负面诊断经验，瑜伽对健康的影响，和会话格式首选项。这是一个探索性案例系列，描述了瑜伽干预对FND患者的一些益处（FND症状严重程度降低，功能增加，感知健康，生活质量,和自我效能感)。有必要提供更大的案例系列，以了解如何最好地选择将从该计划中受益的个人。
