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. 2021 Dec;28(12):3921-3924.
doi: 10.1111/ene.15092. Epub 2021 Sep 27.

Gaps in Functional Motor Disorders care in two European countries: time to address shared terminology, medico-legal barriers and public investments

Ilaria A Di Vico  1 , Tereza Serranova  2 , Michela Colombari  1 , Tereza Rosikova  2 , Evžen Růžička  2 , Marialuisa Gandolfi  1 , Michele Tinazzi  1
Affiliations

Gaps in Functional Motor Disorders care in two European countries: time to address shared terminology, medico-legal barriers and public investments

Ilaria A Di Vico et al. Eur J Neurol. 2021 Dec.

Abstract

Background and purpose: Functional motor disorders (FMDs) are frequent and highly disabling conditions. Despite the substantial advances in FMDs diagnosis, mechanisms and treatments, their tangible application to care of patients with FMDs is yet to be established. We aimed to identify the main real-life gaps and barriers in FMDs care, faced by both patients and physicians, in two different European countries, Italy and Czechia.

Methods: A cross-cultural study was performed.

Results: Both patients and physicians are face practical difficulties and pay a high price for the poor management of FMDs as a result of outdated classifications and insufficient education. This, in turn, has led to inadequate access to care and the existence of common misbeliefs regarding symptom severity or even suspicion of malingering. FMDs need to be integrated into national healthcare systems and in research priorities so that substantial cost savings can be achieved and appropriate care provided to patients.

Conclusions: We found multiple serious real-life unmet needs in FMD care, ranging from terminology and classification to poor recognition in national healthcare priorities. Based on these findings, we intend to mark the beginning of a collaborative project among researchers even in other different European settings to promote coordinated development efforts and goals in the evolving field of FMDs in clinical and research practice.

Keywords: functional neurological disorders.

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