Multidisciplinary Treatment for Functional Movement Disorder

Functional movement disorders such as tremor, dystonia, jerky movement, limb weakness, and gait abnormalities are a common clinical concern for neurologists. This article is a practical guide for neurologists to manage these conditions. The authors describe how the principle of "rule-in" diagnosis, which involves demonstrating the difference between voluntary and automatic movement, can be carried through to explanation, triage, and evidence-based multidisciplinary rehabilitation therapy. New predictive processing models of functional movement disorder can be combined with an understanding of the relevance of comorbidities such as pain, other neurologic conditions, and psychological disorders.