Spezialisierte Physiotherapie bei funktionellen Bewegungsstörungen

Physiotherapy for functional movement disorders differs significantly from conventional neurologically oriented physiotherapy. It follows a cognitive-behavioral therapeutic approach, in the sense of a psychologically informed physiotherapy. Multiple factors are included in the therapy process, which are collected using the bio-psycho-social model to determine the underlying symptom triggers and modulators. It aims to ensure, that the affected patient understands and accepts the diagnosis and can attach importance to the content of the physiotherapy. The development of a conscious attention control (strategy) away from the actual functional disorder, is a central component. This takes place via the use of our sensory stimuli, shifting the focus to intact movement patterns, goal-oriented tasks, and the use of deliberated language. Self-management in dealing with influencing factors, the development of tolerance towards such and general health-promoting behavior complete the therapy. In this article, we present this therapeutic approach, which is being tested in an outpatient setting for the first time in Germany and give practical advice.