From the Guidelines
The neurofunctional approach is supported by recent consensus recommendations for occupational therapy in functional neurological disorder, emphasizing a biopsychosocial framework and education, rehabilitation, and self-management strategies. This approach is based on the understanding that functional neurological disorders (FND) require a comprehensive treatment plan that addresses the complex interplay between biological, psychological, and social factors 1. The recommendations, developed through a multidisciplinary consensus process, highlight the importance of occupational therapy in the management of FND, with a focus on functional activity and self-management strategies 1.
Key aspects of the neurofunctional approach include:
- Education: providing patients with a clear understanding of their condition and its management
- Rehabilitation: focusing on functional activities and everyday tasks to improve patient outcomes
- Self-management strategies: teaching patients techniques to manage their symptoms and improve their quality of life These strategies are distinct from traditional approaches to neurological conditions and are supported by the latest evidence in the field 1.
The neurofunctional approach prioritizes functional communication and everyday activities over isolated skills or drills, which is consistent with the latest research on neuroplasticity and language rehabilitation 1. By focusing on meaningful, contextual practice, patients with FND can experience improved outcomes and better quality of life. Overall, the neurofunctional approach offers a comprehensive and patient-centered framework for managing FND, and its emphasis on education, rehabilitation, and self-management strategies is supported by the latest consensus recommendations 1.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Neurofunctional Approach Evidence
The neurofunctional approach is supported by various studies that demonstrate its effectiveness in rehabilitation. Some key points include:
- The neurofunctional approach is a client-centred, goal-driven approach that incorporates the principles of skill learning and promotes the development of routines and competencies in practical activities required for everyday living 2.
- The approach has been found to be more effective than cognitive-retraining for some individuals with moderate-to-severe traumatic brain injury (TBI) who have deficits in activities of daily living 2.
- Physical therapies, such as exercise and physical activities, have been shown to improve functional outcomes, reduce impairment, and improve participation in individuals with neurological impairments 3, 4.
- Multidisciplinary rehabilitation programmes that incorporate physical therapy, occupational therapy, and other interventions can lead to longer-term gains in activity and participation 3.
- The use of adjunct physical therapies after Botulinum toxin-A injection can improve motor function in adults with neurological spasticity 5.
Key Components of the Neurofunctional Approach
The core components of the neurofunctional approach include:
- A client-centred approach that incorporates the principles of skill learning 2.
- The development of routines and competencies in practical activities required for everyday living 2.
- The use of evidence-based interventions to promote functional outcomes and reduce impairment 3, 4.
- A focus on promoting participation and improving quality of life 3, 4.
Evidence for Rehabilitation Interventions
There is evidence to support the use of various rehabilitation interventions, including:
- Physical therapies, such as exercise and physical activities 3, 4.
- Multidisciplinary rehabilitation programmes 3.
- Adjunct physical therapies after Botulinum toxin-A injection 5.
- Task-oriented training, constraint-induced movement therapy, and mental practice 4.
- Neuromuscular electrical stimulation (NMES) shows promise as an intervention for stroke survivors 4.