Role of Physiotherapy in Functional Recovery
DOI:
https://doi.org/10.29070/mwazaz96Keywords:
Physiotherapy, Functional Recovery, Rehabilitation, Therapeutic Exercise, Quality of LifeAbstract
In the treatment of a broad range of health issues, including musculoskeletal injuries, neurological disorders, cardiac illnesses, and post-surgical rehabilitation, physiotherapy is an essential component in the process of facilitating functional recovery. The fundamental objective of physiotherapy is to restore optimum mobility, improve physical function, and increase the overall quality of life of those who have been impacted by an accident, disease, or handicap. Pain reduction, muscle strengthening, joint mobility, balance, and coordination are all areas that may be improved with the use of physiotherapy. This is accomplished through the use of evidence-based therapies such as therapeutic exercises, manual therapy, electrotherapy, gait training, and patient education. In addition to this, it places an emphasis on early mobilization, the avoidance of secondary problems, and the development of independence in activities of daily life. In the treatment of neurological and chronic disorders, physiotherapy helps to promote neuroplasticity, functional adaptability, and long-term self-management and management. In addition, physiotherapy takes a comprehensive and patient-centered approach to treatment, including not only the physical but also the psychological and social elements of medical healing. A physiotherapist's job description include not just rehabilitation but also health promotion, injury prevention, and community-based care in addition to rehabilitation functions. When taken as a whole, physiotherapy is an important component of multidisciplinary healthcare, making a substantial contribution to the functional recovery and long-term rehabilitation results.
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1. Alyami, A. N. A., Alismail, M. H. M., Alharbi, M. A. M. A., Alyami, M. M., Alzmanan, S. M. M., Zabr, M. M. Y., & Alsagoor, A. S. (2025). Comprehensive functional rehabilitation: A review of physiotherapy and occupational therapy roles in mobility, ADLs, and community reintegration. The Review of Diabetic Studies, 21(S5), 401–410. https://doi.org/10.70082/0syhhc47
2. Cottrell, M. A., Hill, A. J., Hudson, Z. J., et al. (2024). The effectiveness of telerehabilitation for functional recovery after orthopedic surgery: A systematic review and meta analysis. Journal of Orthopaedic & Sports Physical Therapy. https://pubmed.ncbi.nlm.nih.gov/38558953/
3. van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., et al. (2014). The effectiveness of physiotherapy functional restoration for post acute low back pain: A systematic review. Manual Therapy, 18(1), 4–25. https://doi.org/10.1016/j.math.2012.06.005
4. Pollock, A., Baer, G., Pomeroy, V., & Langhorne, P. (2017). Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: A systematic review. Cochrane Database of Systematic Reviews.
5. Zhou, Z., Li, X., Wu, X., et al. (2024). Impact of early rehabilitation therapy on functional outcomes in patients post distal radius fracture surgery: A systematic review and meta analysis. BMC Musculoskeletal Disorders, 25, 198. https://doi.org/10.1186/s12891 024 07317 0
6. Stone J, Carson A, Duncan R, Roberts R, Warlow C, Hibberd C, et al. Who is referred to neurology clinics? The diagnoses made in 3781 new patients. Clin Neurol Neurosurg. 2010; 112:747—51.
7. Edwards MJ, Bhatia KP. Functional (psychogenic) move- ment disorders: merging mind and brain. Lancet Neurol. 2012; 11:250—60.
8. Carson AJ, Brown R, David AS, Duncan R, Edwards MJ, Gold- stein LH, et al. Functional (conversion) neurological symptoms: research since the millennium. J Neurol Neurosurg Psychiatry. 2012; 83:842—50.
9. Stone J, Burton C, Carson A. Recognising and explaining func- tional neurological disorder. BMJ. 2020;371:m3745.
10. Ding JM, Kanaan RAA. Conversion disorder: a systematic review of current terminology. Gen Hosp Psychiatry. 2017; 45:51—5.
11. Stone J, Wojcik W, Durrance D, Carson A, Lewis S, MacKen- zie L, et al. What should we say to patients with symptoms unexplained by disease? The ‘‘number needed to offend’’. BMJ. 2002; 325:1449—50.
12. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington (DC): American Psychiatric Association; 2013.
13. Binzer M, Andersen PM, Kullgren G. Clinical characteristics of patients with motor disability due to conversion disorder: a prospective control group study. J Neurol Neurosurg Psychiatry. 1997; 63:83—8.
14. Szaflarski JP, Ficker DM, Cahill WT, Privitera MD. Four-year inci- dence of psychogenic nonepileptic seizures in adults in hamilton county, OH. Neurology. 2000; 55:1561—3.
15. Espay AJ, Aybek S, Carson A, Edwards MJ, Goldstein LH, Hallett M, et al. Current concepts in diagnosis and treatment of func- tional neurological disorders. JAMA Neurol. 2018; 75:1132—41.
16. Gelauff J, Stone J. Prognosis of functional neurologic disorders. Handb Clin Neurol. 2016:523—41.
17. Carson A, Stone J, Hibberd C, Murray G, Duncan R, Coleman R, et al. Disability, distress and unemployment in neurology outpatients with symptoms ‘unexplained by organic disease’. J Neurol Neurosurg Psychiatry. 2011; 82:810—3.
18. Bermingham SL, Cohen A, Hague J, Parsonage M. The cost of somatisation among the working-age population in England for the year 2008-2009. Ment Health Fam Med. 2010; 7:71—84.
19. Espay AJ, Lang AE. Phenotype-specific diagnosis of functional (psychogenic) movement disorders. Curr Neurol Neurosci Rep. 2015; 15:32.
20. Morgante F, Edwards MJ, Espay AJ, Fasano A, Mir P, Martino D. Diagnostic agreement in patients with psychogenic movement disorders. Mov Disord. 2012; 27:548—52.
21. Gupta A, Lang AE. Psychogenic movement disorders. Curr Opin Neurol. 2009; 22:430—6.
22. Espay AJ, Maloney T, Vannest J, Norris MM, Eliassen JC, Neefus E, et al. Impaired emotion processing in functional (psychogenic) tremor: a functional magnetic resonance imaging study. Neu- roimage Clin. 2018; 17:179—87.
23. Edwards MJ, Adams RA, Brown H, Pareés I, Friston KJ. A Bayesian account of’ hysteria’. Brain. 2012; 135:3495—512.
24. Lau H, Rogers R, Haggard P, Passingham R. Attention to inten- tion. Science. 2004; 303:1208—10.
25. Fobian AD, Elliott L. A review of functional neurological symp- tom disorder etiology and the integrated etiological summary model. J Psychiatry Neurosci. 2019; 44:8—18.
26. Teodoro T, Meppelink AM, Little S, Grant R, Nielsen G, Macerollo A, et al. Abnormal beta power is a hallmark of explicit move- ment control in functional movement disorders. Neurology. 2018;16:e247—53.
27. Nielsen G, Buszewicz M, Stevenson F, Hunter R, Holt K, Dudziec M, et al. Randomised feasibility study of physiotherapy for patients with functional motor symptoms. J Neurol Neurosurg Psychiatry. 2017; 88:484—90.
28. Jordbru AA, Smedstad LM, Klungsøyr O, Martinsen EW. Psy- chogenic gait disorder: a randomized controlled trial of physical rehabilitation with one-year follow-up. J Rehabil Med. 2014; 46:181—7.
29. Sasikumar S, Strafella AP. The neuroimaging evidence of brain abnormalities in functional movement disorders. Brain. 2021; 144:2278—83.
30. Nicholson TR, Carson A, Edwards MJ, Goldstein LH, Hallett M, Mildon B, et al. outcome measures for functional neurological disorder: a review of the theoretical complexities. J Neuropsy- chiatry Clin Neurosci. 2020; 32:33—42.
31. Hömberg V. Neurorehabilitation approaches to facilitate motor recovery. Handb Clin Neurol. 2013; 110:161—73.
32. Nielsen G. Physical treatment of functional neurologic disor- ders. Handb Clin Neurol. 2016; 139:555—69.
33. Jacob AE, Kaelin DL, Roach AR, Ziegler CH, LaFaver K. Motor Retraining (MoRe) for functional movement disorders: outcomes from a 1-week multidisciplinary rehabilitation program. PM R. 2018; 10:1164—72.
34. Hebert C, Behel JM, Pal G, Kasi R, Kompoliti K. Multidisciplinary inpatient rehabilitation for Functional Movement Disorders: a prospective study with long term follow up. Parkinsonism Relat Disord. 2021; 82:50—5.
35. Matthews A, Brown M, Stone J. Inpatient physiotherapy for func- tional (psychogenic) gait disorder: a case series of 35 patients. Mov Disord Clin Pract. 2016; 3:603—6.
36. Nielsen G, Ricciardi L, Demartini B, Hunter R, Joyce E, Edwards MJ. Outcomes of a 5-day physiotherapy programme for functional (psychogenic) motor disorders. J Neurol. 2015; 262:674—81.
37. Demartini B, Batla A, Petrochilos P, Fisher L, Edwards MJ, Joyce
38. E. Multidisciplinary treatment for functional neurological symp- toms: a prospective study. J Neurol. 2014; 261:2370—7.
39. McCormack R. Specialist inpatient treatment for severe motor conversion disorder: a retrospective comparative study. J Neu- rol Neurosurg Psychiatry. 2014; 85:893—9.
40. Schmidt T, Ebersbach G, Oelsner H, Sprock A, König IR, Bäumer T, et al. Evaluation of individualized multi-disciplinary inpatient treatment for functional movement disorders. Mov Disord Clin Pract. 2021; 8:911—8.
41. Petrochilos P, Elmalem MS, Patel D, Louissaint H, Hayward K, Ranu J, et al. Outcomes of a 5-week individualised MDT outpatient (day-patient) treatment programme for func- tional neurological symptom disorder (FNSD). J Neurol. 2020; 267:2655—66.
42. Gandolfi M, Riello M, Bellamoli V, Bombieri F, Geroin C, Di Vico IA, et al. Motor and non-motor outcomes after a rehabilita- tion program for patients with Functional Motor Disorders: a prospective, observational cohort study. NeuroRehabilitation. 2021; 48:305—14.
43. Hinson VK, Cubo E, Comella CL, Goetz CG, Leurgans S. Rating scale for psychogenic movement disorders: scale development and clinimetric testing. Mov Disord. 2005; 20:1592—7.
44. Nielsen G, Ricciardi L, Meppelink AM, Holt K, Teodoro T, Edwards
45. M. A simplified version of the psychogenic movement disorders rating scale: the Simplified Functional Movement Disorders Rat- ing Scale (S-FMDRS). Mov Disord Clin Pract. 2017; 4:710—6.
46. Pick S, Anderson DG, Asadi-Pooya A, Aybek S, Baslet G, Bloem BR, et al. Outcome measurement in functional neurological dis- order: a systematic review and recommendations. J Neurol Neurosurg Psychiatry. 2020; 91:638—49.
47. Nielsen G, Stone J, Buszewicz M, Carson A, Goldstein LH, Holt K, et al. Physio4FMD: protocol for a multicentre randomised controlled trial of specialist physiotherapy for functional motor disorder. BMC Neurol. 2019; 19:242.
48. Gelauff JM, Rosmalen JGM, Carson A, Dijk JM, Ekkel M, Nielsen G, et al. Internet-based self-help randomized trial for motor functional neurologic disorder (SHIFT). Neurology. 2020;95: e1883—96.
49. Demartini B, Bombieri F, Goeta D, Gambini O, Ricciardi L, Tinazzi M. A physical therapy programme for functional motor symptoms: a telemedicine pilot study. Parkinsonism Relat Dis- ord. 2020; 76:108—11.
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