背景:功能性运动障碍(FMD),一种功能性神经紊乱,是与神经科协商的常见原因。物理治疗对这些患者运动康复的功效已得到广泛研究。这篇综述的目的是分析物理治疗对运动症状的影响的现有证据,活动(步态,移动性,balance),感知健康,生活质量,以及口蹄疫患者的认知/情绪状态。
方法:本综述遵循PRISMA的建议。搜索了四个电子数据库以查找相关文章。我们的综述包括随机对照试验,研究作为多学科方法的一部分,单独或与其他治疗相结合的专门物理治疗干预的效果。与标准物理治疗的结果进行比较。
结果:我们回顾了4项研究,共188名患者。我们收集了研究人群的数据,结果衡量标准,协议,和结果。根据牛津质量评分系统,3项研究的方法学质量中等(3-4/5),其余研究的方法学质量较差(<3)。
结论:物理治疗可改善运动症状,活动,感知健康,和FMD患者的生活质量。
BACKGROUND: Functional movement disorder (FMD), a type of functional neurological disorder, is a common reason for consultation with the neurology department. The efficacy of physiotherapy for motor rehabilitation of these patients has been widely studied. The aim of this
review is to analyse the available evidence on the effects of physiotherapy on motor symptoms, activity (gait, mobility, balance), perceived health, quality of life, and the cognitive/emotional state of patients with FMD.
METHODS: This
review follows the PRISMA recommendations. Four electronic databases were searched for relevant articles. Our
review included randomised controlled trials investigating the effects of a specialised physiotherapy intervention alone or in combination with other therapies as part of a multidisciplinary approach, with results compared against standard physiotherapy.
RESULTS: We reviewed 4 studies, including a total of 188 patients. We gathered data on the study population, outcome measures, protocols, and results. According to the Oxford quality scoring system, 3 studies had moderate methodological quality (3-4/5) and the remaining study presented poor methodological quality (< 3).
CONCLUSIONS: Physiotherapy improves motor symptoms, activity, perceived health, and quality of life in patients with FMD.