PDF(Pubmed)
Abstract：
BACKGROUND: Functional dystonia (FD) is a common subtype of functional movement disorder. FD can be readily diagnosed based on positive signs and is potentially treatable with rehabilitation. Despite this, clinical outcomes remain variable and a gold standard approach to treatment is lacking.
METHODS: Here we present four cases of axial and limb functional dystonia who were treated with integrated rehabilitation and improved. The therapy approach and clinical outcomes are described, including videos.
METHODS: A literature review evaluated the published treatment strategies for the treatment of functional dystonia. Out of 338 articles, 25 were eligible for review and included mainly case reports and case series. Most patients received more than one treatment modality. Non-invasive therapies, commonly physiotherapy and psychological approaches were mostly associated with positive outcomes. Multiple treatments commonly used in dystonia were used, including botulinum toxin injections, pharmacotherapy and surgery, leading to variable outcomes.
CONCLUSIONS: Therapy should be personalized to the clinical presentation. In challenging cases, initiation of a multidisciplinary approach may provide benefit regardless of etiology. Pharmacotherapy should be used judiciously, and surgical therapy should be avoided.
METHODS: Here we present four cases of axial and limb functional dystonia who were treated with integrated rehabilitation and improved. The therapy approach and clinical outcomes are described, including videos.
METHODS: A literature review evaluated the published treatment strategies for the treatment of functional dystonia. Out of 338 articles, 25 were eligible for review and included mainly case reports and case series. Most patients received more than one treatment modality. Non-invasive therapies, commonly physiotherapy and psychological approaches were mostly associated with positive outcomes. Multiple treatments commonly used in dystonia were used, including botulinum toxin injections, pharmacotherapy and surgery, leading to variable outcomes.
CONCLUSIONS: Therapy should be personalized to the clinical presentation. In challenging cases, initiation of a multidisciplinary approach may provide benefit regardless of etiology. Pharmacotherapy should be used judiciously, and surgical therapy should be avoided.
摘要：
背景：功能性肌张力障碍（FD）是功能性运动障碍的常见亚型。FD可以很容易地根据阳性体征诊断，并且可以通过康复治疗。尽管如此,临床结局仍然存在差异,缺乏金标准治疗方法.
方法：在这里，我们介绍了4例轴向和肢体功能性肌张力障碍患者，他们接受了综合康复治疗并得到了改善。描述了治疗方法和临床结果，包括视频。
方法：文献综述评估了已发表的治疗功能性肌张力障碍的治疗策略。在338篇文章中，25人符合审查条件，主要包括病例报告和病例系列。大多数患者接受了一种以上的治疗方式。非侵入性治疗,通常,物理治疗和心理疗法大多与阳性结果相关.使用了肌张力障碍常用的多种治疗方法，包括肉毒杆菌毒素注射,药物治疗和手术,导致可变的结果。
结论：治疗应根据临床表现个性化。在具有挑战性的案例中,无论病因如何,多学科方法的启动都可能带来益处.药物治疗应该明智地使用，应避免手术治疗。
方法：在这里，我们介绍了4例轴向和肢体功能性肌张力障碍患者，他们接受了综合康复治疗并得到了改善。描述了治疗方法和临床结果，包括视频。
方法：文献综述评估了已发表的治疗功能性肌张力障碍的治疗策略。在338篇文章中，25人符合审查条件，主要包括病例报告和病例系列。大多数患者接受了一种以上的治疗方式。非侵入性治疗,通常,物理治疗和心理疗法大多与阳性结果相关.使用了肌张力障碍常用的多种治疗方法，包括肉毒杆菌毒素注射,药物治疗和手术,导致可变的结果。
结论：治疗应根据临床表现个性化。在具有挑战性的案例中,无论病因如何,多学科方法的启动都可能带来益处.药物治疗应该明智地使用，应避免手术治疗。
