■功能性神经障碍(FND)是一种临床综合征,其特征是异常的不自主运动和特定的临床特征与已知的神经系统疾病不一致。FND患者缺乏门诊康复的临床信息。
■一名28岁妇女因步态障碍来我院就诊。她在20个月前经历了一次职业事故。她的伤势相对较轻,但随后,她无法自愿移动脚踝,开始领取工人补偿金。患者有持续的步态障碍,更喜欢用踝足矫形器行走。然而,在她第一次访问时,没有脚踝支撑,她的脚踝可以在走路时移动。神经传导研究未显示异常。在收到关于FND诊断的解释后不久,患者能够自愿移动脚踝;然而,她的步态障碍部分持续。门诊康复后,她能够穿着不同类型的鞋走路,没有脚踝支撑。满意的结果,她同意停止康复和获得工人补偿。
■在职业伤害后诊断和康复后,我们的病人最终能够在没有脚踝支撑的情况下行走。在这种情况下,向患者提供有关FND诊断的信息,并获得其随后康复的知情同意,可能有助于改善FND的症状.
UNASSIGNED: Functional neurological disorder (FND) is a clinical syndrome characterized by abnormal involuntary movements and specific clinical features that are incongruent with known neurologic diseases. Clinical information is lacking on outpatient rehabilitation for patients with FND.
UNASSIGNED: A 28-year-old woman visited our hospital for gait disturbance. She had experienced an occupational accident 20 months earlier. Her injuries were relatively minor, but subsequently, she was unable to move her ankle voluntarily and began receiving workers\' compensation benefits. The patient had persistent gait disturbance and preferred to walk with an ankle-foot orthosis. However, at her first visit, her ankle could move while walking without her ankle brace. Nerve conduction studies showed no abnormalities. Shortly after receiving an explanation regarding the diagnosis of FND, the patient was able to move her ankle voluntarily; however, her gait disturbance was partially persistent. After outpatient rehabilitation, she was able to walk in different types of footwear without an ankle brace. Satisfied with the result, she agreed to end rehabilitation and her access to workers\' compensation.
UNASSIGNED: After diagnosis and rehabilitation for FND following an occupational injury, our patient was eventually able to walk without an ankle brace. In this
case, providing the patient with information regarding a diagnosis of FND and obtaining her informed consent for subsequent rehabilitation may have helped to improve the symptoms of FND.