Outcomes of a 5-day physiotherapy programme for functional (psychogenic) XXXX .

@entity1 @entity1957 @entity717
UNASSIGNED: @entity1 with @entity1957 ( @entity1957 ) are commonly seen by physiotherapists and there is growing evidence to support a physical rehabilitation approach. There are, however, few descriptions in the literature of the content of successful physiotherapy treatment. This prospective cohort study reports the practicalities and outcomes of a pilot 5-day physiotherapy programme. @entity1 were referred from a specialist @entity717 clinic. The treatment consisted of education and movement retraining, with a long-term self-management focus. Education and movement retraining was based on a pathophysiological model for @entity1957 that stresses the importance of self-focussed attention and illness belief. @entity1 were assessed at baseline, end of treatment and 3-month follow-up. 47 @entity1 completed the programme, mean symptom duration was 5.5  years, 64  % were unemployed due to ill health. At the end of treatment, 65  % rated their symptoms as "very much improved" or "much improved", this reduced to 55  % at 3  months. At follow-up, there was a significant improvement in physical domains of the SF-36, Berg Balance Scale and 10 Metre Timed Walk. Measures of mental health did not change. This prospective cohort study adds to the growing evidence that supports the use of specialist physiotherapy treatment for @entity1957 . Improvements here were made despite the cohort having characteristics associated with poor prognosis. We argue that specific treatment techniques are important and have the potential to improve physical function, quality of life and may prove to be a cost-effective treatment for selected @entity1 with @entity1957 .
