Review Functional Movement Disorder: Assessment and Treatment 2023 Serranová et al

Abstract

Functional movement disorder (FMD) is a common, potentially reversible source of disability in neurology. Over the last two decades, there have been major advances in our understanding of the clinical picture, diagnosis, and management of this condition. Motor presentation is heterogeneous and several non-motor symptoms (e.g., pain, fatigue) are part of the clinical spectrum. The diagnosis should be made by neurologists or neuropsychiatrists based on the presence of positive signs of inconsistency and incongruence with neurological diseases. Promising evidence has accumulated for the efficacy of physiotherapy, psychotherapy, or both in the management of FMD, for a majority of patients.

Paywall, https://www.sciencedirect.com/science/article/abs/pii/S0733861923000063

 

Can't access this, but I like how the keywords include "Inconsistency; Incongruence;".

Pain is not motor, though obviously will act to limit motor activity - that's its job. Why is fatigue not motor? I know it's conflated with "tiredness" but at its essence it is limited energy, i.e. motive power.