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Functional Movement Disorders Part 2 - Physical Therapy Treatment Webinar

One of the most challenging yet increasingly prevalent conditions is functional movement disorder (FMD). Historically termed psychogenic or conversion disorder, FMD remains incompletely understood and is often underdiagnosed. Emerging evidence and clinical management approaches can provide insight into underlying mechanisms and efficacy for functional improvement. In this session, speakers will reveal what is known about FMD in the literature, including the underlying neuroscience as well as treatment. This webinar series will be presented in two parts: Part 1 will focus on assessment of individuals with functional movement disorders; Part 2 will focus on treatment strategies for management of functional movement disorders. Case studies will be utilized to demonstrate a multitude of practical skills, including task management, interviewing techniques, lifestyle modification, cues, and motor learning strategies to enable every attendee the opportunity for success treating people with FMD. The speakers will debunk the debilitating myth that people often hear, that "it is all in your head," and instead empower clinicians to listen and help guide positive changes in the lives of people with FMD.”

Learning Objectives:
1. Understand key treatment principles for neuroplasticity in FMD.
2. Apply the evidence for and principles of PT treatment in functional movement disorder cases
3. Identify and problem solve team based referral and collaboration with psychology, neurology and occupational therapy. 

Course Recorded May 2022

Julie Hershberg

PT, DPT, NCS

Julie Hershberg, PT, DPT, NCS is a neurologic physical therapist, founder and owner of re+active physical therapy & wellness and adjunct instructor of clinical physical therapy at the University of Southern California. Current clinical interests include evaluation and treatment of patients with movement disorders, especially dystonia, Functional Movement Disorders, Parkinson’s disease and Huntington’s disease. She has special interest in facilitating exercise and wellness in order to optimize outcomes and quality of life for patients with movement disorders. Her background includes completion of the neurologic residency program at USC and Rancho Los Amigos National Rehabilitation Center in 2003 and becoming a board certified neurologic clinical specialist in 2005 with recertification in 2015. She founded the Schmidt Movement Disorders Fellowship for physical therapists at re+active in 2016. Experience in clinical research includes the site team leader for 5 years for the NIH-sponsored Locomotor Experience Applied Post Stroke (LEAPS) clinical research trial at USC and Centinela Freeman Regional Medical Center. She has also coordinated two ongoing studies in collaboration with USC and UCLA at [re+active] physical therapy & wellness. Julie received the 2019 Academy of Neurologic Physical Therapy Clinician of the Year award in 2019. She presented at the APTA’s Combined Sections Meeting 2020 titled, “Functional Movement Disorders: It’s Not All in Your Head.”

Chelsea Richardson

PT, DPT, NCS

Chelsea Richardson PT, DPT, NCS is a Board Certified Neurologic physical therapist with a movement disorders specialty. She received her doctorate from the University of Southern California and completed the Schmidt Movement Disorders Fellowship in 2017. She has practiced extensively in movement disorders, participating in clinical research in Parkinson’s and Huntington's Disease (PACE-HD trial) and mentoring physical therapists and physical therapy students. Current clinical interests include evaluation and treatment of complex movement disorders including dystonia and functional neurologic disorders. She presented at the APTA’s Combined Sections Meeting 2020 titled, “Functional Movement Disorders: It’s Not All in Your Head.” 

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Functional Movement Disorders - Physical Therapy Treatment Webinar: Part 2
Open to view video.
Open to view video. One of the most challenging yet increasingly prevalent conditions is functional movement disorder (FMD). Historically termed psychogenic or conversion disorder, FMD remains incompletely understood and is often underdiagnosed. Emerging evidence and clinical management approaches can provide insight into underlying mechanisms and efficacy for functional improvement. In this session, speakers will reveal what is known about FMD in the literature, including the underlying neuroscience as well as treatment. This webinar series will be presented in two parts: Part 1 will focus on assessment of individuals with functional movement disorders; Part 2 will focus on intervention strategies for management of functional movement disorders. Case studies will be utilized to demonstrate a multitude of practical skills, including task management, interviewing techniques, lifestyle modification, cues, and motor learning strategies to enable every attendee the opportunity for success treating people with FMD. The speakers will debunk the debilitating myth that people often hear, that "it is all in your head," and instead empower clinicians to listen and help guide positive changes in the lives of people with FMD.”
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