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gnielsenphysio.bsky.social

@gnielsenphysio.bsky.social
126 followers 62 following 23 posts
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Reposted by @gnielsenphysio.bsky.social
Sarah Cope @sarahrcope.bsky.social · 01/09/2026
How did MODIFI participants experience EMDR therapy tailored for FND? This is what we examined in our latest open access paper from our NIHR-funded feasibility RCT - www.cambridge.org/core/journal...
cambridge.org
‘A challenging but rewarding journey’: qualitative study of participants’ experiences of EMDR for functional neurological disorder within the MODIFI trial | BJPsych Open | Cambridge Core
‘A challenging but rewarding journey’: qualitative study of participants’ experiences of EMDR for functional neurological disorder within the MODIFI trial - Volume 12 Issue 5
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Reposted by @gnielsenphysio.bsky.social
UK FND Network @ukfndnetwork.bsky.social · 26/08/2026
One-day symposium on FND and other functional disorders - St George's Hospital, London. Sep 11th 2026. Book via: zurl.co/PmDS2.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 29/07/2026
Congratulations Gita, well deserved.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 13/06/2026
Among 100 individuals with motor FND, 62% reported at least one fall in the previous six months, 56% experienced recurrent falls, and almost two-thirds of those who fell reported an injury. We explored factors associated with falling and suggest ways to assess and support in rehab
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 13/06/2026
Our new paper on Falls in motor FND has been published. This is work completed by Zahra Mohammadi and Rory Higgins doi.org/10.1111/ene....
doi.org
Falls in Functional Neurological Disorder: Prevalence, Risk Factors and Clinical Implications
Background Functional neurological disorder (FND) is a disabling condition often presenting with motor impairments, including gait disturbance and postural instability. Data on the prevalence and pr.....
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Reposted by @gnielsenphysio.bsky.social
David L Perez MD, MMSc @davidlewisperez.bsky.social · 07/04/2026
Editorial by @gnielsenphysio.bsky.social and I on the Keatley et al., #JNCN systematic review and meta-analysis on rehabilitation interventions in #FND found below (@apapsychiatric.bsky.social): psychiatryonline.org/doi/10.1176/...
psychiatryonline.org
Therapies for Functional Neurological Disorder: From Promising Outcomes to Evidence-Based Interventions | The Journal of Neuropsychiatry and Clinical Neurosciences
PsychiatryOnline.org is the platform for all American Psychiatric Association Publishing journals, DSM, and bestselling textbooks, as well as APA Practice Guidelines, and continuing medical education.
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Reposted by @gnielsenphysio.bsky.social
Rory Higgins @roryhigginsphysio.bsky.social · 17/02/2026
Delighted to report our study on sensory symptoms has been published in @braincomms.bsky.social - @jonstoneneuro.bsky.social, Prof. Mark Edwards, Dr. Jan Coebergh, @roryhigginsphysio.bsky.social, @gnielsenphysio.bsky.social academic.oup.com/braincomms/a...
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 08/08/2025
The symposium aims to support cross pollination of ideas & concepts between different medical specialties and professional backgrounds. Topics covered include visual loss, urological symptoms, dissociation, dizziness, interception, clinical signs, mental health and neurocognitive perspectives.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 08/08/2025
The St George's FND service is hosting its annual multidisciplinary symposium on functional disorders Friday 5 September 2025 Program: www.citystgeorges.ac.uk/__data/asset... Register through link below: shop.sgul.ac.uk/short-course... Face to face and virtual attendance both possible.
citystgeorges.ac.uk
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 27/06/2025
Congratulations Gita! Well deserved
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
The clinical outcomes can be found here www.thelancet.com/journals/lan...
thelancet.com
Specialist physiotherapy for functional motor disorder in England and Scotland (Physio4FMD): a pragmatic, multicentre, phase 3 randomised controlled trial
Although more participants who were assigned specialist physiotherapy self-rated their motor symptoms as improved and had better scores on subjective measures of mental health, the intervention did no...
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
Despite costing slightly more, SP is most likely more cost effective than TAU, especially once societal costs are considered, eg loss of work productivity and the time spent by carers TAU/community physio may be more cost effective if components of SP are incorporated into treatment.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
It is possible to have a treatment that may not be significantly more clinically effective, but has a high probability of being more cost effective.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
The clinical trial found no difference between SP and TAU for the primary outcome, however SP were twice as likely to report improved movement on the CGI at 1 year ...
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
Health economic evaluations do not use p-values to determine outcomes because they are not the main outcome, cost data is skewed, and it is hard to calculate the p-value of the incremental cost per QALY gained. Instead, probability of cost effectiveness is determined with bootstrapping.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
This is a cost effectiveness acceptability curve The probability of cost effectiveness at the £20,000 cost per QALY threshold was 86% When we included societal costs, the probability was 89% This is the probability that SP is more cost effective than TAU
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
Dots in the south east quadrant represent more effective and less costly treatment (compared to TAU). 63% of simulations fell in the south east quadrant.
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
This is a Cost Effectiveness Plane Each of the 5000 blue dots represent a different simulation that tested different probabilities of cost effectiveness to account for the variability in the data. The red dot is the mean of all the blue dots
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
Cost effectiveness is calculated as cost per QALY gained with treatment SP cost an additional £143, for 0.03 extra QALYS To determine the cost for 1.0 QALY, we divide the cost by the QALYs gained £143.23 ÷ 0.034648 = £4133 values less than £20,000 are usually considered cost effective
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
QALYs are measured on a scale of 0 - 1 1 QALY = I year of life lived in full health We used the EQ-5D-5L to calculate the number of QALYS gained with treatment and found SP was associated with a gain of 0.03 QALYs at 12 months compared to TAUP (95% CI -0.007, 0.067)
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
When cost of treatment is added to health and social care costs (not including societal costs) the SP group cost an extra £143 So what do we get for this additional cost? In health economics this value is measured in QALYS = quality adjusted life years
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
When we included societal costs, such as carer time, the difference was greater: Cost of SP £24,565 (32,686) Cost of TAUP £28,751 (44,311) Adjusted difference, SP cost less than TAUP by -£5519 (-15,460, 4423)
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
We calculated health and social care costs over 12 months post randomisation Costs for SP £3214 (SD 3581) Costs for TAUP £3314 (SD 4279) After adjusting for baseline and other factors SP cost less than TAU: difference -£208 (95% CI -1410, 994)
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
We calculated the cost of the treatment Cost of SP £646 (SD 72) for a mean of 9 sessions Cost of TAUP £272 (SD 374) for a mean of 5 sessions The cost of SP included an additional £189 per participant to account for the cost of training received by the physio delivering SP
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
The Physio4FMD RCT clinical outcomes were published last year. Here we report the health economic analysis, comparing Specialist Physiotherapy (SP) vs Treatment as usual physiotherapy (TAUP)
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 02/04/2025
The economic evaluation of the Physio4FMD trial was finally published today! www.neurology.org/doi/10.1212/... @jonstoneneuro.bsky.social
neurology.org
Cost Utility of Specialist Physiotherapy for Functional Motor Disorder (Physio4FMD) | Neurology Clinical Practice
Background and ObjectivesFunctional motor disorder (FMD), a motor-dominant variant of functional neurologic disorder, is a disabling condition associated with high health and social care resource use ...
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gnielsenphysio.bsky.social @gnielsenphysio.bsky.social · 04/02/2025
A timely review led by the brilliant @sadnicka.bsky.social
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