Objective: Functional Neurological Disorder (FND) is a complex condition characterised by neurological symptoms that cannot be explained by a structural or organic disease. Traditional interventions often emphasise psychological and physiotherapeutic approaches. This case series explores the efficacy of an integrative treatment combining Chiropractic care, Vestibular Rehabilitation (VR), and Sensory Motor activities in four patients diagnosed with FND.
Methods: Four patients (2 females, 2 males, age range 15-48 years) with confirmed FND were treated. Each presented with distinct neurological complaints including motor weaknesses, sensory disturbances, and movement disorders. An individualised treatment regimen was designed for each patient combining Chiropractic Adjustments, tailored VR exercises, and specific sensory motor activities. The intervention spanned 3 - 36 weeks, and outcome were evaluated based on symptom reduction and functional improvement.
Results: All four patients exhibited significant improvement post-treatment with three patients achieving completeresolution. The movement disorders, such as seizures, tremors and dystonia, were reported as achieving considerable symptom alleviation.
Conclusion: This case series suggests that an integrative approach, melding Chiropractic care with Vestibular Rehabilitation and Sensory Motor activities, may offer a promising avenue for the management of FND. Larger controlled studies are warranted to validate these findings and to further explore the underlying mechanisms behind this synergistic therapeutic approach.
The clinical presentation and treatment course of each patient is presented, including the specific VR and Chiropractic techniques used, and report on their outcomes. We also discuss the potential mechanisms by which VR and Chiropractic treatment may be effective for individuals with FND.
Author keywords: Functional Neurological Disorder - Chiropractic - Sensory Motor Integration - Rotating Chair -Vestibular Rehabilitation - PNES - Homeostasis
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