Objective: We aimed to evaluate the impact of demographics, clinical characteristics, and comorbidities on treatment follow up and outcomes in patients from an interdisciplinary FMD clinic, which offers tailored treatment plans including PT, CBT, and potentially inpatient rehabilitation.
Background: Functional Movement Disorders (FMD) are common and treatable conditions. Interdisciplinary care, combining physical therapy (PT) and cognitive behavioral therapy (CBT), may be the optimal initial treatment approach for patients with FMD.
Method: A retrospective analysis was conducted on 33 consecutive patients seen in our FMD interdisciplinary clinic (IDC) over 18 months. Statistical analyses, including Pearson correlations, t-tests and Mann-Whitney U tests will be used to assess outcomes.
Results: 33 patients at our IDC clinic, 25 attended follow-up care for their FMD, of which 23 attended PT, 18 CBT, 2 were admitted to inpatient rehabilitation, and 16 had follow-up with neurology at our institution. Among those with neurology follow-up, 10 showed improvement on PGI-I and 13 improved on CGI-I (scores <4). We intend on analyzing whether demographics or clinical characteristics were associated with neurology follow up.
Conclusion: IDCs offering customized treatment plans can be effective for FMD patients, with the majority pursuing follow-up treatment and most experiencing improvement from the patient and clinician perspective. Perhaps the act of attending the IDC clinic itself, solidifying understanding, and/or formally establishing/accepting the diagnosis of FMD augments the improvement. Limited by small numbers, trends in data may be worth pursuing with larger data irrespective of statistical significance. Tailored interventions developed during IDC assessment based on FMD patient characteristics may improve outcomes and encourage follow up. Comparing this intervention to other modalities would be informative, especially for centers without IDC clinics.
To cite this abstract in AMA style:
D. Del Papa, T. Najafi, J. Harris, T. Peabody, Y. Villalobos, K. Mcinerney, J. Wohn, M. Feldman, J. Margolesky. A retrospective analysis of an FMD IDC: considerations that impact outcomes. [abstract]. Mov Disord. 2025; 40 (suppl 1). https://www.mdsabstracts.org/abstract/a-retrospective-analysis-of-an-fmd-idc-considerations-that-impact-outcomes/. Accessed November 20, 2025.« Back to 2025 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/a-retrospective-analysis-of-an-fmd-idc-considerations-that-impact-outcomes/