Workshop: Functional Neurological Disorder (FND) and physiotherapy - success, relapses and pitfalls
Tracks
Breakout 4
| Sunday, September 8, 2024 |
| 10:10 AM - 10:40 AM |
| Dobson 4 |
Overview
Presented by: Professor Jon Stone
Speaker
Professor Jon Stone
University of Edinburgh
Functional Neurological Disorder (FND) and physiotherapy - success, relapses and pitfalls
Presentation Abstract
In this session I aim to take an interactive approach to discussing the practical management of the patient with FND – especially those with motor symptoms most encountered by physiotherapists. I will discuss, using case based material, FND topics including the following:
• Explanation of the diagnosis
• Principles of therapeutic assessment
• Applying new knowledge about the mechanisms and aetiology of FND to physio
• Principles of FND focused physio (acknowledging that I am not a physio!)
• Managing relapses and the patient who doesn’t improve
• Managing comorbid pain, fatigue, other FND symptoms and psychiatric disorder
• Specific physiotherapy role in Persistent postural perceptual dizziness (PPPD)
• Management in paediatrics and people with intellectual difficulties
• Difficult cases including the patient who doesn’t agree with the diagnosis, the patient in a legal case, the patient with suspected feigning instead of FND
I’m keen to make sure there is plenty of time for discussion including cases brought by audience members.
• Explanation of the diagnosis
• Principles of therapeutic assessment
• Applying new knowledge about the mechanisms and aetiology of FND to physio
• Principles of FND focused physio (acknowledging that I am not a physio!)
• Managing relapses and the patient who doesn’t improve
• Managing comorbid pain, fatigue, other FND symptoms and psychiatric disorder
• Specific physiotherapy role in Persistent postural perceptual dizziness (PPPD)
• Management in paediatrics and people with intellectual difficulties
• Difficult cases including the patient who doesn’t agree with the diagnosis, the patient in a legal case, the patient with suspected feigning instead of FND
I’m keen to make sure there is plenty of time for discussion including cases brought by audience members.
Biography
Professor Jon Stone is Professor of Neurology at the University of Edinburgh and Consultant Neurologist with NHS Lothian.
Jon was a medical student in Edinburgh before working in Oxford, Leeds and Newcastle and then returning to Scotland. Since 1999 Jon has promoted a new transparent, pragmatic and multidisciplinary approach to FND which had been a neglected and stigmatised problem.
In 2009 he made the first website (and now app) for patients with FND at www.neurosymptoms.org which is now widely used across the world. He has published over 350 articles in the area including large cohort, mechanism and treatment studies. and led on new diagnostic criteria for FND in DSM-5 and ICD-11. He is the first Secretary and co-founder, with Mark Hallett and Alan Carson of the new international FND society (www.fndsociety.org).
His awards include the Jean Hunter prize from the Royal College of Physicians (2014), the Royal College of Psychiatry President’s Medal (2017), the Ted Burns Humanism in Neurology Award from the American Brain Foundation (2020) and the John Walton Lecture Award from the Association of British Neurologists (2022).
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