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Rehabilitation principles for Functional Neurological Disorder

05 March 2026

 

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Clare Nicholson - Clinical Specialist Occupational Therapist (Clinical Lead, Physical Therapies), FND Rehabilitation Team, National Hospital for Neurology & Neurosurgery, London

Neurosymptoms logo Neurosymptoms website

CIAP logo Aybek S, Perez DL. Diagnosis and management of functional neurological disorder. BMJ. 2022 Jan 2

Open Access logo Nicholson C, Edwards MJ, Carson AJ, Gardiner P, Golder D, Hayward K, Humblestone S, Jinadu H, Lumsden C, MacLean J, Main L, Macgregor L, Nielsen G, Oakley L, Price J, Ranford J, Ranu J, Sum E, Stone J. Occupational therapy consensus recommendations for functional neurological disorder. J Neurol Neurosurg Psychiatry. 2020 Oct;91(10):1037-1045. doi: 10.1136/jnnp-2019-322281. Epub 2020 Jul 30. PMID: 32732388.

Open Access logo Baker J, Barnett C, Cavalli L, Dietrich M, Dixon L, Duffy JR, Elias A, Fraser DE, Freeburn JL, Gregory C, McKenzie K, Miller N, Patterson J, Roth C, Roy N, Short J, Utianski R, van Mersbergen M, Vertigan A, Carson A, Stone J, McWhirter L. Management of functional communication, swallowing, cough and related disorders: consensus recommendations for speech and language therapy. J Neurol Neurosurg Psychiatry. 2021 Oct;92(10):1112-1125. doi: 10.1136/jnnp-2021-326767. Epub 2021 Jul 1. PMID: 34210802.

Open Access logo Nielsen G, Stone J, Matthews A, Brown M, Sparkes C, Farmer R, Masterton L, Duncan L, Winters A, Daniell L, Lumsden C, Carson A, David AS, Edwards M. Physiotherapy for functional motor disorders: a consensus recommendation. J Neurol Neurosurg Psychiatry. 2015 Oct;86(10):1113-9. doi: 10.1136/jnnp-2014-309255. Epub 2014 Nov 28. PMID: 25433033; PMCID: PMC4602268.

Open Access logo Drane DL, Fani N, Hallett M, Khalsa SS, Perez DL, Roberts NA. A framework for understanding the pathophysiology of functional neurological disorder. CNS Spectr. 2020 Sep 4:1-7. doi: 10.1017/S1092852920001789. Epub ahead of print. PMID: 32883381; PMCID: PMC7930164.

Open Access logo Perez DL, Edwards MJ, Nielsen G, Kozlowska K, Hallett M, LaFrance WC Jr. Decade of progress in motor functional neurological disorder: continuing the momentum. J Neurol Neurosurg Psychiatry. 2021 Mar 15:jnnp-2020-323953. doi: 10.1136/jnnp-2020-323953. Epub ahead of print. PMID: 33722822; PMCID: PMC8440656.

CIAP logo Stone J, Burton C, Carson A. Recognising and explaining functional neurological disorder. BMJ. 2020 Oct 21;371:m3745. doi: 10.1136/bmj.m3745. PMID: 33087335.

UpToDate logo Patient education: Functional neurological symptom disorder (The Basics)

HNE Health Libraries logo Reuber M, McCormick M, Rawlings GH, Stone J, editors. FND Stories : Personal and Professional Experiences of Functional Neurological Disorder. London: Jessica Kingsley Publishers; 2024.;